How many pumpkins? 🎃
(Answers will be numbers)
(Answers will be numbers)
When is pain reassessed after medication administration?
30-60 minutes
True or False?
It is a state regulation our nursing notes are "person-centered," written, signed and dated the day services are rendered.
True
(12VAC30-122-120.)
True or False?
Being punctual, or on time, is not part of being professional.
False, punctuality is one way we can show respect and commitment as nursing professionals.
Which safety precaution is most applicable for a trach/vent patient?
Aspiration
(Check all precaution boxes on your nursing notes)
What is the name of the tube surgically placed into the stomach and small intestine?
GJ tube
Dr. Pie writes an order for 12.5 mg tablets PO BID. Pharmacy dispenses 6.25 mg tablets. How many tablets do you administer with this dose?
2 tablets
What is required on a timesheet indicating the nurse worked from 7 am to 7 pm?
Caregiver/Client signature
Scenario: Nurse Gourd switched cases but calls former client, Apple Spice. Nurse Foliage answers and shares Apple Spice was hospitalized for a bowel impaction. Nurse Gourd sends a "get well" card to her home. Are any parts of our scenario considered unprofessional?
Nurse Gourd may have put others in an awkward position
Nurse Foliage violated HIPPA
Office staff is best suited to send the card
True or False?
Trach stomas are surgical wounds and not necessary to document unless abnormal findings are noted.
True
Surgical sites are expected findings
Penelope Pumpkin is complaining of 5/10 pain around her G-tube site. What 2 places should I be sure to document?
Pain section pg. 1 Assessment
Pg. 2 Narrative, along with interventions
Cornucopia, MD writes an order for Tylenol 240 mg PO prn every 6 hours for pain. Pharmacy dispenses 80 mg per mL. How many mL's will you administer per dose?
3 mL/dose
What state agency ensures ACCS' compliancy and administers Medicaid?
DMAS-Dept. of Medical Assisting Services
True or False?
Wearing a solid scrub top, jeans and tennis shoes are fine while on a peds school case.
False
(ACCS Dress code policy)
A tracheostomy change in the home is done using CLEAN or STERILE technique?
Clean, why?
Home environment is not sterile
What may Apple Spice exhibit if her tube-feed formula changes?
Gastric bloating, N/V and Diarrhea
Apple Spice is ordered Osmolite 1 cal. You’re supplied with a can of Osmolite containing 237 mL of formula. The doctor orders the feeding to be administered at a 1/2 strength with a rate of 65 mL/hr. How much water will you add to dilute the tube feeding formula?
237 mL of water
To ensure compliance with DMAS, ACCS must provide documentation showing nurses are educated how often?
Yearly
(Happy Skill's Lab Day!)
I'm scheduled for a 12-hour shift; but started running a fever, feel nauseous and my throat is scratchy. Who do I notify first? And whose responsibility is patient, Penelope Pumpkin?
ACCS office
Family/caregiver
True or False?
Deep suctioning is a great way to reach secretions in the lower lungs....
False, why?
Can cause damage and p
Nurse Foliage meets some resistance when inserting the new G-tube....what should she do next?
Gently try again
Henry Harvest is prescribed 20mg/hr of medication. The solution contains 60mg in 100 mL. What is the infusion rate in mL/hr?
33.3 mL/hr
Scenario: Mr. Henry Harvest has a broken stander. It is ordered on his POT for 2 hours daily. His broken DME prevents compliance with doctor's orders. How do I document and address non compliance with the Plan of Treatment (POT)?
Check box "No" on Pg. 1 Assessment Compliance w/ POT?
Document details on Pg. 2 Narrative
Notify Clinical Coordinator
Scenario: Nurse Gourd's shift was scheduled for Wednesday at 5:00 pm. Despite arriving 15 minutes late, the nurse documents a 5:00 arrival to make billing easier. That's fine, right?
Committed Medicaid fraud
(Document 5:15 arrival, start note at 5:15 and stay 15 minutes later to make billing easier.)
Describe how to respond to a trach patient in respiratory distress...
$DAILY DOUBLE$
Suction Breathing tx Inner cannula chge Trach chge Emergency system
Henry Harvest's tube feedings are at 10 am, 2 pm and 6 pm. Meds are given at 12 pm and 4 pm. The POT calls for checking placement/patency every 4 hours or prior to use. How many times will Nurse Foliage verify placement/patency?
$DAILY DOUBLE$
5 in total