JC
Skin
Restraints
Falls
Safety
100

Pull, Aim, Squeeze, Sweep

What is PASS?

100

Completed on admission, change in status, transfer, and every 8 hours.

What is a skin assessment?

100

A bath, a peanut butter sandwich, a Pepsi, a call home, away from the milieu, pain medication, a warm blanket, music, walking, and a bathroom trip.

What are prior interventions to a restraint?

100

History of falls, secondary diagnoses, ambulatory aids, IVs, Gait, and mental status.

What is the Morse Fall Scale?

100

A safe distance of a bumblebee patient.

What is an arm's length?

200

Rescue, Alert, Contain, Extinguish

What is RACE?

200

Done within 8 hours.

What is the skin check and assessment?

200

Progressing, not progressing, goal completed, etc.

What are care plans?

200

Alarms when a person moves.

What is a bed or chair alarm?

200

Injury, near-miss, witnessing an unsafe practice, potential injury, or a problem.

What is a Midas?

300

Must be started within 8 hours of admission, JC wants to see this and is charted on twice a day.

What is a Treatment Plan?

300

Breast, abdominal, groin, and buttock folds.

What are skin folds?

300

Requires an RN to call the MD first.

What is a restraint order?

300

Bipolar, depression, frailty, and Parkinsons 

What diagnoses have increased risks for falls?

300

Aware of your environment.

What is situational awareness?

400

P. Home page, P. pulse, Sharepoint page for temperature, cough, and other symptoms and signs.

What is covid information?

400

Redden skin or wounds require all eyes.

What are nurses and techs?

400

Prior interventions/nursing restraint note, order, documentation every 2 hours, notification of family, care plan, documentation of the care plan, and Midas.

What are the requirements for documentation

400

Psychotics, PRNs, cardiac meds, diuretics

What are medications that increase fall risk?

400

Checking pockets, suitcases, and plastic bags

What is keeping staff and patients safe?

500

Pulse> quick links> SDS> type product> read

What is how to find an SDS chemical sheet?

500

A reference at the main nursing station and a protocol to help with most skin problems.

What are the General Nursing Skincare Protocol and the wound care book?

500

A problem for the violent restraint documentation

What is the face to face?

500

Shared Anatomy and Pathology between cognition and gait.

What are Neuropathways?

500

Taylor

Who is the Safety Coordinator?