Ewww...Cooties
Frequent hand washing or alcohol based hand sanitizer
HEPA filter room
Avoid fresh flowers
Daily showers
Daily linen change and high touch area cleaning
What is neutropenic precautions?
-Potty
-Position
-Pain
Ask about each of these specifically
What is purposeful rounding?
Pan Blood cultures
Urine culture
Chest x-ray
CBC
Antibiotics
What is interventions to be completed within 30 minutes of 100.4 temperature in neutropenic patients?
A lab value that is a rough estimation of the number of disease fighting white blood cells present in one's blood.
What is absolute neutrophil count (ANC)
-Bed alarm
-Bed in low position
-Bathroom
-Call light within reach
-Double check safety measures
-Check patients water/drink
-Clean up clutter
What are things to check before you leave the room?
Weight loss
Fluid overload
Provider management of weight gain/loss
What is daily weight importance?
Change bed linen
Cavi wipe high touch areas of room
Cavi wipe mattress
Discard old food/drinks
What is RN/PCA daily housekeeping responsibilities for HCTT patients?
-Emergency equipment
-IV lines/tubing
-Ensure equipment is plugged in
-Check tele leads/batteries
-Update white board
What are things to double check at the start of your shift?
BID weights
Daily shower, chlorahexadine wipes
Strict I/O's
Daily room wipe/ linen change
Prompt vital sign reporting
Hygiene education for patient and family
QID mouth care
What is basic interventions for EVERY HCTT patient?
-All 6 cloths must be used
- (1) Neck/shoulders/chest, (2) both arms/both hands, (3) abdomen and then groin/perineum, (4) right leg/foot, (5) left leg/foot, (6) back of neck/back/buttocks
-Do not use above jawline
-Use on all patients with a central line
-If a patient showers, they must use cloths afterwards
What is proper use of CHG wipes?
-Double check trash/linen
-IV fluid volumes
-Bathroom
-Clean up clutter
-Pain reassessment documentation
-End of shift nursing notes
What are things to double check at the end of shift?
Prevent infection of oral mucosa
Prevent regional spread and systemic infections
Maintain oral functions
Reduce adverse effects of radiation and chemotherapy
What is purpose of QID mouth care in HCTT and chemo patients?
Faster heart rate
Reduced urine output
Fever and chills
Decrease in platelet count
Difficulty In breathing
What is signs and symptoms of sepsis?
Adult care and treatment->Activities of daily living->Environmental safety implemented->Check all that apply
What is area to document fall bundle interventions in Cerner?