Restraints
8 911
What is the number to call police?
This personality disorder is characterized by mood swings, episodes of anger, impulsive actions, relationship problems. They tend to view issues as all good or all bad. They tend to self-harm such as cutting.
What is Borderline Personality Disorder? Also called emotional dysregulation disorder.
Patient calls unit after discharge: "Dr. Most didn't send a prescription to the pharmacy for my blood pressure pill." Now what?
Check Cattails record to view discharge medication list. Information listed there will reveal if prescription was sent or order to continue med.
Antidote for Tylenol overdose.
What is acetylcysteine?
Fire Safety:
RACE
What is:
Rescue
Activate alarm
Contain-Close doors & windows
Extinguish/Evacuate
These are 3 things a nurse must assess while a patient is in restraints.
What are VS, circulation, ROM, hydration, elimination, level of distress and agitation, mental status, skin integrity, readiness for release.
What mental illness did John Nash (mathematician, Noble Prize winner, A Beautiful Mind) have?
What is Schizophrenia.
Patient demands to talk to someone about their patient rights being violated. What now?
Call patient rights specialist- Dr. Hein and Jessica Schiek for WI residents.
See Michigan poster for MI residents.
The antidote for opiates.
What is Naloxone(Narcan)?
Run- Hide- Fight
What would you do if there was an active shooter?
Medical problems that can lead to mental status changes, agitation, and out of control behaviors.
What are pain, low O2 sat., electrolyte imbalance, ETOH/drug withdrawal, med reaction and side effects, UTI.
A 25-year-old woman presents to the emergency room complaining of sad mood, nervousness, difficulty falling asleep, and disinterest in her friends for the past 2 months. She notes these symptoms started following a rape by a former male friend after a party. She appears visibly uncomfortable when asked further questions about the attack. The patient has disclosed the incident to some of her peers but did not report it to authorities. She reports nightmares about the rape, concerns for her safety, difficulties in intimate relationships with men, and repeated avoidance of nondangerous situations reminding her of the assault.
What is Post-Traumatic Stress Disorder?
Antidote for benzodiazepine overdose.
What is Flumazenil.
Where do you find Material Safety Data Sheets (MSDS)?
Also called Safety Data Sheets (SDS).
What is the Source under Links and Resources or the intranet.
A medication given to a patient to calm agitation that is not part of their normal treatment regimen.
What is a chemical restraint?
List 2 negative and 2 positive sx of schizophrenia.
Negatixe Sx.: The 5a's
Affective flattening
Alogia- reduction in amount of speech
Apathy- lack of interest in activities that previously were important to them
Attentional impairment
Anhedonia- inability to feel pleasure
Positive Sx.:
Hallucinations, Delusions, Disorganized thinking, Movement disorder
A 26-year-old man with first episode of psychosis who is highly agitated has required several intramuscular injections of an antipsychotic medication, and has been in seclusion and restraint in the past 24 hours. Nursing staff notice some slurring of speech and unsteadiness of gait. Vital signs are checked and reveal hyperthermia of 104°F (40°C), blood pressure of 180/100 mmHg, and tachycardia of 110 bpm. He is disoriented to time and place (not to person). Patient also has cogwheel muscle rigidity.
What is NMS(Neuroleptic Malignant Syndrome)?
4 symptoms of a methamphetamine overdose.
What are chest pain, hyperthermia, severe abdominal pain, arrhythmias, difficulty breathing, agitation, psychosis, seizures.
Name 2 National Patient Safety Goals.
What is:
Identify patients correctly: use 2 identifiers
Use meds safely: med rec, label meds, monitor anticoagulants, document
Prevent infection:hand hygiene, prevent CAUTI, prevent surgical site infections
Identify patient safety risks, especially those at risk for suicide
The time frames a physician/LIP has to do a face to face assessment for an adult in restraints for violent behavior.
What is within an hour and every 8 hours for continued restraints.
A 22-year-old male in his freshman year of college reports increasing stress at school. Although historically he has done well academically and appears quite extroverted, the transition to college has been difficult and his grades have been suffering. He is afraid of drawing attention to himself in his classes by asking "stupid questions" and has avoided meeting with his professors and teaching assistants. He experiences particular difficulty in seminars and tutorials, where there is less opportunity to hide than in a lecture theater. He feels his mouth getting dry and his heart racing when even thinking about trying to get help. He has become more withdrawn, is starting to feel more depressed, and recently began missing classes.
What is Social Anxiety Disorder?
"Doctor, doctor. I found my daughter with a fever, sweaty, high heart rate, agitation, altered mental status, muscle rigidity and her eyes are moving back and forth. She recently went to the mental health clinic and got a new medication."
What is serotonin syndrome?
Name 3 moments when you must use soap and water for hand hygiene.
What is:
Hands visibly soiled
When contact with spore(e.g.C-Diff) or Norovirus is suspected or confirmed
After using alcohol based waterless hand sanitizer approx. 10-15 times
Before eating
After using the bathroom