Infection Prevention
Which patients receive a CHG bath?
EVERYONE!
What would you do...if a lung transplant patient asks you for ice
Explain to the patient due to infection risks, they cannot have filtered water and ice = filtered water. Escalate concerns to the covering RN!
Oral intake should be documented...
In real-time and after every meal!
The 4 P's we should address on hourly rounds and with vital signs
Potty, Pain, Positioning, Placement (telemetry)
Psalm, Saint, and Chicago are the names of what?
Kim Kardashian's children
Where should baby soap be used for bathing?
Only on face if requested by patient! CHG should be used on the rest of the body.
What would you do...you have been delegated the task to mobilize/walk with your patient, but the patient refuses
Escalate to the patient's covering RN and document as a "Clinical Notification" in Vital Signs flowsheet
When a blood glucose is out of normal range, in addition to notifying the nurse, document should include...
Escalation to RN as a "Clinical Notification" in Vital Signs flowsheet with result and any immediate interventions delegated (ie. juice)
Glucose levels are considered abnormal and must be reported to the RN and documented. Think high and low reporting values
> 150 and < 90
The Rockettes dance troupe most famously perform at what New York City venue?
Radio City Music Hall
Explain when hand hygiene is required
1. Before entering a patient room
2. Upon exiting a patient room
3. When visibly soiled
Explain the purpose of Voalte
-Notifies you of active call bells after 1.5 minutes, and immediately for bed/chair alarm, RRT, staff assist, and code
-Can call other staff members
You have been asked to change batteries to the patient's telemetry pack, document this...
Under "Battery Change" row of "Telemetry Details" in Patient Care Flowsheet
The time you should have completed CNA-RN report with each nurse you are paired with for the shift
8:30AM/PM!
What year did the comedy sketch TV show, “Saturday Night Live,” debut?
1975
Explain the steps to a bath
-Gather supplies- basin, bag, CHG, & towel
-place bag in basin and wash cloth sin bag. Fill with wash water
-wet skin with wet wash cloth
-Using CHG soap, apply directly CHG to washcloth (do not dilute), apply from neck to toes
-rinse with wet wash cloth
-dry
You are assisting your patient to toilet and see an open area of skin on their back. Your next steps would be...
Assist them to finish toileting and communicate your findings to the patient's covering nurse. It may be new or it may be known- don't leave it to chance!
Your patient is a 1:1 feed, document food intake...
Under appropriate meal (breakfast/lunch/dinner/snack) intake in "Nutrition" of Patient Care flowsheet
Responsibilities when your patient is on a 1:1 Safety
1. Maintaining patient safety by being free of distractions and with patient in eyesight, reasonable distance to intervene
2. Document patient's behaviors, diversional activities, and interventions on Continuous Observation flowsheet
3. Vitals q4 or as ordered
4. AM Care, telemetry lead change, linen change
5. Mobilization as able- work with covering RN
6. If applicable, 1:1 feed, ensure nutrition/intake
7. Diversional activities! Games, reorientation as needed, frequent toileting, engaging family to participate in care
What's the name of the pig in the book “Charlotte's Web”?
Wilbur
Your patient was discharged. Explain the steps of 'stripping the room' after they leave
1. Remove all linens and place into dirty linen hamper, dirty linen bag to linen chute
2. Remove commode and IV pole and put in soiled holding area.
3. Remove any unit equipment and disinfect, store in appropriate area- alcove, clean equipment room
4. Remove all oxygen tubing, suction tubing, any other medical equipment attached at the head wall and throw into trash.
5. Disinfect all bedside monitor cords and telemetry pack. Notify the Support Associate, RN, or Charge RN/leadership to assist storing telemetry pack in the patient server med drawer.
Your patient's blood pressure is 60/40 and they are mumbling and not making sense. How do you proceed?
Call for help! staff assist/RRT
You walked your patient, document this...
"Activity/mobility performed", "level of assistance", and "assistive devices" rows under "Exercise/Mobility Interventions" in Patient Care flowsheet
Explain how often and how you replace telemetry leads in correct Nihon Kohden setup
Every 24 hours with AM care!
White on Right
Smoke over Fire
Clouds over Grass
Blue before Orange
Whitney Houston went to the top of the music charts in 1992 with which Dolly Parton song?
“I Will Always Love You”