Acute Care Basics
CardioRespiratory
Tubes & Drains
HACs
Joint Commission Readiness
100
Patients under this age must be placed in a crib and not a bed
What is 3?
100
Your patient on continuous CR monitors needs this done and documented every 4 hours (required on PCU 200/500).
What is Q4H Alarm Review?
100
Use this to check initial placement for a feeding tube when the patient is on antacids.
What is KUB/X-ray?
100
Crusting a diaper rash wound applies CriticAid/Sensicare cream, stoma/nystatin powder, and Cavilon spray in this order.
What is 1st: powder, 2nd: spray, 3rd: cream?
100
Non-violent restraint orders must be renewed this frequently.
What is every 24 hours?
200
This pain scale is appropriate for infants or nonverbal patients
What is FLACC?
200
You've called a code, started compressions, and prepare your Zoll monitor for this function.
What is defibrillate?
200
Bedside emergency supplies for a patient with a chest tube include: Kelly clamp, transparent dressing, and ____?
What is vaseline/petroleum gauze?
200
According to the CAUTI bundle, pericare & catheter care with Theraworx should occur at this frequency.
What is QShift & whenever the peri-area is soiled?
200
For blood transfusions, vital signs must be taken at these three intervals.
What is pre-transfusion, 15 minutes in, and post-transfusion?
300
Breastmilk that has been moved from the freezer to the refrigerator is good for this many hours
What is 24 hours?
300
A run of 6 or more PVCs is called_____
What is Non-Sustained Ventricular Tachycardia/NSVT?
300
You are removing a NG Bridle, but cannot find the chip to unclip. This is the additional option to remove the Bridle.
What is use scissors to carefully cut above the clip on ONE side of the bridle?
300
A PICC with a gauze dressing needs to be changed this often.
What is Q48H?
300
Critical labs must be communicated to the provider (and documented) within this amount of time.
What is 60 minutes?
400
Patients with a PCA who are physically unable to press the demand button need this kind of PCA order to allow the parent or RN to activate the dose button.
What is a "PCA by Proxy" order?
400
This kind of O2 delivery device is used for flowrates of 5-10L/Min
What is a simple face mask?
400
A fresh G-tube has been dislodged. You must replace with the same size or one smaller, call the doctor, and do this before resuming feeds.
What is get an X-Ray or contrast study before resuming feeds?
400
When collecting a wound culture, you must rinse the wound first with this fluid.
What is normal saline?
400
The pediatric mental health screen must be completed for patient of this age and older and within this timeframe.
What are 12 years old and within 24 hours?
500
Every PIV assessment should include these three elements.
What is Touch, Look, Compare?
500
Your 3 year old patients respiratory rate is 4 breath/minute. The rate for rescue breaths is.
What is one breath every 2-3 seconds?
500
The provider has ordered nursing to flush the chest tube. The nurse will use this mission zero error prevention strategy.
What is ARCC
500
This skin injury is_______
What is unstageable?
500
If your patient has 1 of these devices, it is not a restraint. If they have 2 of these devices, they're restrained.
What are no-nos?