Falls
3300
What is the number to dial for RR or code blue in Methuen
suction set up and working
seizure pads
side rails
What are seizure precautions?
Sweating, shakiness, headache, pallor, nervousness, increased pulse rate, mental status changes
What are signs and symptoms of hypoglycemia?
The initial diagnostic test done on patients suspected on of having a stroke?
What is a non contrast head CT?
doing this regularly promotes comfort and prevents oral colonization with microorganisms that may contribute to healthcare associated pneumonias in the patient with a NGT
What is providing oral care regularly?
Green means go
how you know the chair alarm is set properly on a patient
Rhythmic twitching
stiff contraction
loss of consciousness
staring off blankly
What are things the nurse might observe in a patient having a seizure?
can progress to LOC, seizures, coma and death
What is UNTREATED hypoglycemia
This must be done prior to giving a stroke patient anything by mouth.
What is a swallow screen?
The reasons that the nurse marks the tube at the patients naris and measures the external length of the NGtube
What is to establish a baseline to assess for tube migration?
Yellow wrist band and yellow socks
Maintain airway, Stay with the patient
turn to side, put nothing in their mouth, do not restrain patient, call a Rapid Response
assess, monitor, document
administer meds, provide emotional support
What are nursing interventions for the patient having a seizure?
Mismatch in timing of food intake and the peak action of insulin or oral agents
What is a common cause of hypoglycemia?
This is the timepoint where a patient with stroke symptoms was last seen acting normally.
What is last know normal or last known well time?
documentation, irrigation as needed and ordered,
monitoring fluid and electrolyte status, monitoring appearance and amount of gastric drainage
report bloody or coffee ground color drainage
What are responsibilities of the RN caring for the patient with a NGtube?
Required meeting with all staff after a patient fall
What is a post fall huddle?
a state of continuous seizure activity or a condition in which seizures recur in rapid succession without return to consciousness between seizures, any seizure lasting longer than 5 minutes
What is status epilepticus?
administer 15 g of simple carb (juice), recheck BS in 15 minutes, if still less than 70mg/dl inject 15g more of carbohydrate and recheck
What is the "Rule of 15" to treat hypoglycemia- in an alert patient who is able to swallow
This is the period of time during which the clot busting drug tPA can be given to stroke patients.
What is less than 4.5 hours from last known normal or last known well time?
skin erosion at the nostril (pressure related injury)
esophagotracheal fistula
pulmonary and oral infection
electrolyte imbalances and dehydration
What are potential complications of the patient with and NGtube?
It is black and cushioned and NOT for intended for Yoga?
What is a fall mat?
Prevention of seizures
What is the major goal of treatment in patients with seizure disorders?
hypoglycemia prevention, symptoms and treatment
What are topics for essential teaching for diabetic patients?
These 2 drugs are NOT considered forms of VTE prophylaxis.
What are aspirin and Plavix?
Uncontrolled semi-liquid or liquid stool >24 hours causing moderate to severe moisture associated skin damage
to protect compromised skin and wounds from uncontrolled fecal matter
What are indications for use of Dignishield Stool Management System?