Skin Integrity
This assessment tool needs to be completed each AM and PM shift
SSKIN Bundle
Frontal. temporal, parietal and occipital
Lobes of the brain
Longest English word without a vowel
Rhythm
To be completed within 8 hours of admission, if patient is over 65 years old, weekly - and to be reassessed after a patient's change cognitive condition, post fall and when clinically indicated
Falls Risk Assessment Tool (FRAT)
What to ask your buddy when you need a medication check
Check Please!
Patients who score moderate, high or very high risk on their PRAT require this to be documented each shift
Pressure Area Care (PAC) chart
Number of bones in the adult human
206
Only food with an eternal shelf life
Honey
Equipment to be used when transferring patient off the floor post unwitnessed fall (4)
Hovermat, Hoverjack, Air supply unit & Spinal board
The acronym used to identify which medications require double checking
APINCHS
On discovery of a pressure injury you can type this into EHR/Cerner to access a note template
.Pressureinjury
Aids in digestion by producing enzymes that break down food, and regulates blood sugar levels by producing insulin and glucagon
Pancreas
Continent which has all 4 hemispheres running through it
Africa
Common timeframe in hospital (hours) on admission that a patient will have an inpatient fall
72 hours
Must refer to this when crushing medications for administration
Interventions to prevent foot pressure injuries (6)
Bed cradle, feet completely free from end of bed, heels completely free of wedge and mattress, toes completely free from bed sheets, bed extension, air mattress
The amount of air that moves in or out of the lungs with each respiratory cycle
Tidal volume
Pro Re Nata
All of this needs to be completed post a patient fall (4)
Post falls responder form, VHIMS, nursing documentation, phone NOK
What must each nurse do when administering oral medications to patients (7 steps)
Refresh MAR Summary, review medications for administration, scan patient's ID band and review patient details including allergies, dispense medication, tick the box in the MAW, watch patient swallow medication, sign off as administered
Common pressure sore areas on human body (7)
Back of head, shoulder, elbow, lower back and buttocks, hip, inner knees, feet/heels
What are the pulmonary and aortic valves also known as
Semilunar valves
Scientific term for brain freeze
Sphenopalatine Ganglioneuralgia
Name two (2) of personal or intrinsic factors and environmental or extrinsic factors to causing falls
Personal - Age, hearing and vision impairment, Balance or mobility issues, polypharmacy, history of falls, postural hypotension, cardiac arrhythmias, continence issue, pain
Environmental - poor lighting, slip or trip hazards, clutter, insufficient supervision, inadequate railing or unavailability of gait aids, inappropriate use of bed rails, personal items or call bell not within reach
Antibiotic that can cause QT prolongation
Macrolides (eg: azithromycin)
Fluroquinolones (eg: ciprofloxacin)