Quality Measures
Shift Documentation
Critical Events
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Miscellaneous
100

A class of medications given as soon as possible after sepsis protocol is started.

What is antibiotics?

100

This is the mobility assessment used on new patients, patients transferred to the floor or PCU, and patients returning from the OR.

What is GUAG?

100

This is the person that should be notified of the transfer/Critical event.

Who is next of kin?

100

This should be made prior to discharge.

What is a follow-up appointment?

100

This is the goal time to turn off a patients call light.

What is four minutes?

200

The assessment tool documented every shift on a stroke patient.

What is the NIHSS?

200

This is how often you chart on lines, tubes, and devices.

What is every shift?

200

This is where the primary RN should remain for the duration of the critical event.

What is with the patient?

200

This is a form that has to be completed in the first 24 hours of admission.

What is an admission history?

200

This must be scanned at the bedside for all labs and medications.

What is the patients armband?

300

The two screening tools used in SBIRT.

What is audit C and PTSD?

300

This is the timeframe you have to chart pain re-assessments from administering the medication.

What is two hours?

300

This is something that has to be documented for all code situations.

What is a nursing narrative note?

300

This type of nurse has a scope of practice that does not include admission assessments.

What is an LPN?

300

These are the two things you need to check before picking up blood.

What is a physicians order and signed consent?

400

A alert triggered from an elevated HR, elevated respiratory rate, elevated WBC, and fever.

What is a SIRS alert?

400

This is done toward the end of your shift to document a summary of your shift.

What is a nursing note?

400

This is the priority if the patient is decompensating on a medsurg unit.

What is transferring to a higher level of care?

400

This is the assessment done on admission to document medications/food a patient cannot have.

What is allergy reconciliation?

400

This physical form must be done all deceased patients.

What is a body release form?

500

This is the screening tool used on all trauma and burn patients.

What is SBIRT?

500

This is the range of which a blood glucose becomes critical and must be reported/charted as a critical result.

What is a blood glucose of less than 61 and greater than 449?

500

This is the place you go to find the Rapid Response/Transfer to Higher Level of Care form.

What is ADHOC?

500

These are the common things charted as present on admission.

What are lines, tubes, devices, and skin breakdown?

500

This is a power plan used on any patient with skin breakdown.

What is the Wound and Skin Care Protocol orders?