Restraints: Non-violent
Expiration date of a a nonviolent restraint order
What is one calendar day
State the Life of Nova stat test strips and Controls after they have been opened
What are six (6) months and 3 months or the printed expiration date on the vial, whichever comes first .
These are three things the Nurse needs to check/review in the chart, prior to releasing blood slip
Type and Screen, Doctors order, Signed Consent
Amount of joules the Zoll Defibrillator is preset to deliver for first defibrillator shock
What is 120 joules
Frequency of monitoring patient in a violent restraint
What is at least every 15 minutes
Type of knot used to secure the soft limb wrist restraint to the frame of the bed
What is a quick release slip knot
The glucometer is cleaned when visibly soiled and in what other two situations
What is after performing on an isolation patient and after each patient
Next steps after the Nurse releases the Blood release request form in Epic
What is the person picking up blood and RN verify if correct patient by comparing Blood Release Request form label against patient's ID band, using THREE Patient Identifiers RN Initials Blood RELEASE Request Form , if correct .
When performing daily Defibrillator check, state Number of joules to Short the defibrillator pads
What is 30 joules
This order is required for a patient with a VIOLENT RESTRAINT
What is maintain 1:1 Observation of Patient
These two restraints are Considered a nonviolent restraint
What is a Peek -a- Boo mitten with fingers not exposed and soft wrist restraint
For a Un-Registered patient/Rapid Response non-patient identifier, this form is utilized to perform a blood sugar fingerstick
What is Downtime form
Type of fluid used to prime the Y-Type blood Administration set
What is Normal saline (0.9 %)
These two checks must be performed DAILY on the Zoll defibrillator
What are both the Pad and Paddle Checks
A patient placed on Suicide Precautions must have the environmental checklist form completed when (state three (3)
What is:
- Upon inhiation of Suicide Precautions,
-Transfer to another room/area
-Once a shift
The PCA or nurse must round this many minutes to check on patient in a non- violent restraint and attend to patient needs such as elimination, hydration, nutrition
What is every 30 minutes
Name the six ( 6) steps to follow in situations where a capillary blood glucose result is above 550 (adult/pediatric or above 300 (neonate/newborn)
What is :
-Enter comment code
-Dock meter
-Notify provider and enter STAT glucose order into EMR
-Notify lab of STAT glucose order
-Treat the patient as per Doctors orders
Amount of time the Nurse MUST stay at the bedside to monitor the patient receiving blood, after it is initiated
What is 15 minutes from time blood hits the vein
What is interval RN must assess patient in a non violent restraint to perform a Circulatory check
What is every 2 hours
When collecting a patient sample for capillary blood sugar testing ,name three steps that are needed to obtain sample
What are :
-Clean finger /heel with alcohol , let dry thoroughly before puncturing with lancet
-Discard first drop of blood prior to apply sample to test strip
-Fill test strip completely with blood, if strip doesn't fil completely ,discard strip
When blood is being initiated on pump, pump is programmed at this rate per hour and amount of volume
What is 120 ml /hour and a volume of 30 cc's