Show:
O.A.R.S.
Self Care
Fluidwise/Weigh Right
Infection Control/Flow Sheet
Four Corners TM Agreements
100
Open-ended questions, affirmations, reflective listening, and summarizing.
What O.A.R.S. stands for... What are some ways to meet patients where they are at and build relationship?
100
Breathe, meditate, stretch, go outside, dance, jam to music, drink water, smile, slow down, eat with love, express thanks, unplug, roar, nap, be still, color, hug or high-five, be kind to yourself...
What are different forms of self-care one can practice while at work?
100
Less than 30%.
What is DaVita's IDWG (Fluidwise) goal?
100
Q 30 minutes
What are vitals?
100
Be kind & courteous; Be compassionate towards each other; Ask how each other are doing; Ask for help; Respect each other; Be the change you want to see; Believe in the good in others; Be a team (no individuals); Stop making negative assumptions; Remember that everyone was new once; Use your voice; Smile; Be grateful; 3 good deeds per day - "pay it forward!"
What is Four Corners Teammate Agreements on how to be and act with one another?
200
The purpose of these types of questions are to establish a safe environment, build a trusting and respectful relationship, gather information and create a space for patients to do most of the talking and tell their side of the story.
What is open-ended questions?
200
The effects of these activities are cumulative, so making one small change in one area will positively affect other areas of your life. These activities can be done at anytime and anywhere.
What is self-care?
200
Shortness of breath, edema (swelling), coughing, cramping, high blood pressure, confusion, chest pain, weakness.
What are signs and symptoms of fluid overload?
200
When should you notify your charge nurse?
When a patients BP, temperature or pulse are out of parameter.
200
Speaking directly to your teammate regarding any concerns, feelings, situations, etc...
What is the best way to avoid drama and gossip and create a healthy and safe culture?
300
A ________ to a patient is a simple statement to highlight what he/she has already done or a personal strength. It can be as simple as a high five, fist bump when they weigh in at an appropriate IDWG or a statement like "I am so glad you came to dialysis today - it isn't always easy to get here."
What is an affirmation?
300
One of the simplest, yet most essential things you can do for your self-care. It boosts your energy, helps with digestion, increases clarity, relieves fatigue, promotes weight loss, flushes out toxins, improves skin complexion, maintains regularity, boosts immune system, natural headache remedy, and prevents cramps & sprains.
What is drink water?
300
Percent of patients with weight gain between treatments >5% of target in > 10% of their treatments in the last 91 days from report month-end.
What would make them an outlier in Fluidwise IDWG?
300
What needs to be completed prior to leaving for the night...
What is the water treatment log, chores, etc...?
300
Finding the right time (i.e. not in the middle of turn over), face to face, be honest, utilize "I" statements, do not attack (avoid "you ..." statements), be mindful of body language (voice, tone, gestures), use the 48 hour rule (i.e. calm down before expressing concerns)...
What are skills for healthy communication with teammates?
400
Pre-contemplation, contemplation, preparation, action, maintenance and relapse.
What are the stages of change?
400
90% of us are using less than 50% of this... When we intentionally practice this ____ daily - slowly from low in our core - it helps us become more grounded, present and powerful.
What is breathing capacity?
400
More rapid fluid removal, risk of death, fluid accumulation between dialysis, chronic fluid over, risk of CV events/admissions, and risk of sudden death.
What is the risks associated with chronic fluid overload?
400
What can be transmitted from patients to TM's or TM's to other TM's when one does not utilize PPE or gloves and avoids washing their hands or using hand sanitizer, etc...?
What are blood born pathogens? Such as...?
400
This requires that people manage their egos, develop humility, communicate effectively, resolve conflicts and, above all, commit to one another and to a common goal so that opportunities can be seized, difficult obstacles overcome and challenging objectives achieved.
What is teamwork?
500
When you sense a patient is "resistant" (i.e. defensive, using argumentative language, posturing, they pretend they are sleeping, etc.).
How you can tell a patient is feeling shamed or judged?
500
If we don't ______ we can't reliably show up for others.
What is take care of ourselves first? To stay in this for the long haul, stay open to possibilities, cultivate our creativity and have the greatest impact possible, we need to take care of our most essential resources; ourselves.
500
shoes, jacket, cell phone, coins, vests, keys, gold bricks, hats, jewelry...
What are items that we should have patients remove in order to "weigh right"?
500
A potential ramifications from CMS as a result of RO of Deficiency or standard Deficiency in in-center monitoring. This action would result in the facility being immediately shut down.
What is an IJ? (Immediate Jeopardy)
500
Participating in "Fun" activities (hat day, ugly sweater day, crazy hair day)...helping decorate...giving and receiving kudos...encouraging teammates...making suggestions for DaVita's Way of Giving activities...being silly and playful and encouraging with patients...lion face...!
What are ways to participate and build an awesome and spirited culture?