Quality and Safety
Pressure injury prevention measures to take if a patient has a Braden scale of less than 18 (list at least 3)
What is turn at least every 2 hours, apply mepilex sacral dressing (if not incontinent), apply bilateral mepilex heel dressings, float heels/off load with z flex boots
How do you confirm placement of a small bore feeding tube?
What is an chest XRAY?
Patient reports chest pain and SOB. Vitals: BP 150/90, HR 110, SpO₂ 92%. What is your priority intervention?
What is get an EKG? An EKG needs to be done within 10 minutes of a patient reporting chest pain.
You have to perform a chest tube dressing change and need to refresh your skills on current best practice. Where would you go to find this information?
What is Lippincott
What medical device used in hospitals was inspired by velcro?
What is Blood pressure cuffs
When admitting a new patient to the floor, 2 staff members are required to do what?
What is a 2 person skin check.
You are performing a BMAT assessment on a patient. They are able to stretch and point each leg/foot, but are unable to stand with good balance for 5 seconds. What BMAT level are they and what equipment might you use to mobilize them?
What is level 2. What is a powered sit to stand, hoyer lift, etc.
Patient on heparin shows a platelet count drop from 220K to 90K. What condition might you suspect and what would be your next actions?
What is HIT; What is hold heparin and notify the provider.
How often do safety checks need to be done on an SI patient? How often does the room clearing sheet need to be filled out?
What is every 15 minutes?
What is on admit, once per shift and after any visitors?
What movie character says: "I'll be back"
The Terminator
These 2 procedures require 2 staff members to be present to help ensure sterile procedure is maintained.
What are foley catheter insertion (can be either a nurse and a PCT or 2 nurses) and central line dressing changes (2 nurses).
The provider orders a chest tube set up to continuous suction: -20cm. What does the wall suction need to be set to achieve this?
What is 80mmHg (on wall)
You're changing your patient's chest tube dressing and you feel crepitus around the insertion site. What does this mean? And what do you do?
What is air is leaking into the subcutaneous tissue and notify the provider.
The provider has ordered a UA and culture on your patient that is suspected of having a UTI. Their Foley was placed 4 days ago. Are you able to collect the UA off of the Foley? The culture?
What is no on both; would need to replace Foley first.
What planet in our solar system has the most moons?
What is Saturn
What type of cleaning treatment is required for patients with a central line and how often must this be completed?
What is a daily full body CHG treatment after a hygiene bath.
A patient is in a right soft wrist restraint as they keep trying to pull out their NG tube. How often do you need to chart an assessment on this patient? What actions do you need to take if their now require bilateral wrist restriaints?
What is at least every 2 hours.
What is obtain a new order and update flowsheet charting to match the restraints needed.
Nitroglycerin is often contraindicated in which type of STEMI? Why?
What is inferior STEMI (right ventricular infarction)
What is can cause reduced preload and hypotension worsening the patients condition
You just gave IV dilaudid to your patient and performed a pain assessment. Per policy, when do you need to perform a reassessment?
What is within 1 hour?
What country consumes the most chocolate per capita?
What is Switzerland
Which type of isolation would be used for a patient with COVID and what PPE is required?
What is Respiratory Enhanced?
What is N95 mask/PAPR, goggles/face shield (if no PAPR), gown, gloves.
A trauma patient's X-Ray shows no fracture in the cervical spine. The family is wondering if we can remove the C-collar. What would be your response?
We need to wait for official C spine clearance from the provider before removal.
Before administering blood products, it is crucial to perform this test to ensure compatibility between the donor and recipient.
What is crossmatching/type & screen?
In terms of fire response, RACE stands for what?
What are Rescue, Alarm, Contain, Extinguish.
What organ can survive the longest without bloodflow?
What is the brain stem