Environment
Certain items are mandatory for gathering and/or reporting name 4
a) Suicide risk
b) Safety at home (geri/adult/peds/trafficking)
c) Adult first-time seizure
c) Trauma-related to dog bite/violent attack
Legal document that original copy must stay with active patient chart at all times
BA52
Does not go in the sharp box x 3 items
leftover meds. IV tubing, trash
You have a general question about your schedule
Charge Nurse
this log is completed routinely after retrieving data from cartridge
HCG results
Makes the shift start well
Don't be late, be prepared and on time for hand-off
This ED nursing function is done anyway as it is not a place but an assessment
Triage Rapid Assessment
safety rounding on psychiatric patients
Empty completely before discarding delivery system
What is Propofol infusion
You need support and no-one is available immediately, 3 steps
charge nurse
manager
director
accountability to check for anything with expiration dates, remove unnecessary or used items, restock for care
RN oncoming room check
All of these are done timely and given to the manager
Recertifications
Contains the spills, intervenes and notifies
What is ED staff, EVS helps after the medical team has contained the potential infectious waste
There is level 2 and a level 3
What is the safety score to determine sitter or video usage
Must have direct visualization to action
RN visualization of waste by RN who is giving the meds
As charge nurse you need support off-hours r/t a sensitive or odd circumstance two-step.
On-call ED leader then AOC
I don't leave shift until these 3 areas of responsibility are done for patient, HR, finance
Bedside report
validation of scanning completed
any clocking variances documented in Kronos book
accountability in your professional growth
Keep reading and learning - know my pathophysiology ask questions and don't rely on others to do it.
Never found in red trash bins
anything that is not soaked in body fluids
Arm's length direct observation
Level 3 sitter responisbility
Rn needs to ensure this was changed when titrating a medication
Dr orders match the dosing used.
Staff member shows up for work - you are concerned about the behavior, next steps.
1. Remove from an assignment, notify Hse Supervisor (noc) Manager/Director (day)
2. Do not allow to leave premises
Not worn in hallways only in the patient room or dirty utility
gloves
this takes the manager a lot of time to redo
missed clockings - clock in & out
What are re-usable instruments, box located in room 1 & 2.
this is better than the Code Grey call
Should be checked, validated with the patient condition and notified
Critical values.
Be sure that if the lab is very low that lab was not drawn on the same site as IV.
Recheck patient to see if condition matches (e.g. low glucose)
Report and document critical value to provider
not asking about this, and not acting upon it has legal consequences
Living will and/or durable power of attorney.
These are updated every year and I must know them "intimatley"
2019 NSPG
two patient identifiers (name/DOB)
Staff communication follow through to key person for safe care (e.g. critical value, faulty equipment) - SBAR
Medication Safety
Alarm safety
Prevent infection
Risk mitigation (CUS)Time out for procedures
Infection prevention
These two areas will help my knowledge and required professionally
Attend staff meetings and skills trainings