Fall Prevention
Urinary
Chest Tubes
Hypoglycemia
MISC.
100
What is something you should always check at shift change and every time you exit the room?
Bed and chair alarms
100
What is considered normal urine output?
Between 0.5mL/kg/hr to 1mL/kg/hr
100
Name the functions x4
Suction indicator, suction turntable, water chamber, collection chamber
100
Patient is a diabetic and is found lethargic, diaphoretic, and feeling lightheaded/ dizzy, what do you do FIRST?
Check blood sugar
100
Best way to prevent c diff infection?
Wash hands with soap and water or
200
Can a competent patient refuse fall prevention strategies?
Yes, refusal of action form needs to be signed and put in chart
200
Who is allowed to place a patient's prima/primofit?
RNs ONLY. Assess every shift
200
What are three important things to remember when putting a patient with a chest tube back to bed or in the chair?
Make sure there are no dependent loops in the tubing, it's out of the patient's arm reach, and is connected back to suction (if indicated).
200
Patient is alert enough to swallow with a blood sugar of 40. Name 5 important things you are supposed to do
add comment that you notified RN (MD).
document in EPIC RN (MD) notification.
Recheck within 8 mins on SAME meter.
Give 15 grams of an oral glucose.
Repeat BG 15 minutes after treatment.
200
What is the protocol for non-violent restraint application?
Apply restraints to prevent harm to self and others. Update POC. Page MD for order with exact restraint applied. New order every calendar day. Document every 2 hours continued use of restraints. Fluids/food, hygiene/toileting, skin integrity, ROM, circulation check of the restrained limbs, rights & dignity maintained. Key for locked restraints in Omnicell.
300
Name three tips to prevent accidental patient falls (3/3)
Room free of clutter (Clear the floor of all lines and tubing)
Non-skid footwear
Ensure easy access to necessary items like the call light, phone, and water.
300
Patient had a foley removed at 1800, how long do they have to void?
6 hours.
300
How do you determine if a patient should be to water seal or suction?
NA ask RNs
RNs Doctors order ONLY! Page out if order is not updated per assessment or MDs note.
300
How often do you continue treatment?
Continue treatment per protocol for BG <70 OR until alternate treatment orders are obtained from the physician.
300
Name two patient safety identifiers that should be used prior to medication administration or specimen collections AND 2 reasons for the importance of barcode scanning
Name and MRN
first, to reliably identify the patient or resident as the person for whom the service or treatment is intended; second, to match the service or treatment to that patient or resident (Joint Commission, National Patient Safety Goals Effective January 2025)
400
Demonstrate how to save a patient from an assisted fall
30 secs or less
400
Name at least three signs and symptoms of urinary retention
Palpable Bladder
Bladder pressure “feeling of fullness”
Straining to void
Frequent small voids
400
You find that your patient's atrium had been tipped over and find drainage in multiple chambers, what do you do as the NA and RN?
NA notify RN
RN change out atrium.
*BONUS 100 points* RNs explain how this is done.
400
Patient's blood sugar is >70 after treatment, do you recheck blood glucose?
Yes, Repeat BG one hour after treatment.
400
What is the monitoring requirement for blood transfusions?
15 min after start of transfusion
Every hour during transfusion
1 hour after transfusion complete
500
Patient is a female in room 7B05
50 years of age
Hx: DM, CAD, HTN, HLD, falls
Admit dx: SOB
Vitals: BP 110/85, HR 72, Temp 98.9, O2 98% on 2L, RR 18
Assessment: complaining of pain 9/10 unrelieved by PRNs, no alternatives available.
Create an SBAR report in 30 seconds or less
Create an SBAR report in 30 seconds or less