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Peg Tubes
Policies and Procedures
Nursing Situations
Med Pass
Miscellaneous
100
how many ml do you use to flush a peg tube before and after
what is 30ml
100
What patients can the Nurse Practitioner see?
What is only Dr. Teagle patients. (no hospice, or other md's)
100
You walk into a room and notice your patient has had zero output from their foley your entire shift. What is the first intervention can you do?
What is reposition or flush.
100
If you drop a pill on the floor or a resident refuses the medication, How do you waste it?
What is Get another nurse and both sign the narc sheet as wasted and place pill in sharps box in front of other nurse.
100
The computers go down completely for hours. Where do you find the "downtime" packets needed for paper charting for you and the cna's.
What is station 2 chart rack bottom cabinet. Separated by hall.
200
This is the current position in degrees that the head of the bed should be in during an dafter feedings or medication administration.
What is 30 degrees
200
What is the shift duty for 7-3?
What is check refrigerator log.
200
Your resident has vomited x 2 on your shift and is still nauseated. What intervention can you do as the nurse?
What is administer medications off the standing orders. (Check allergy)
200
What needs to be on a pain patch prior to administration?
What is date and initials
200
Where do you find standing orders?
What is in the chart
300
what two things do you need to check prior to administration of peg tube medications or feedings?
What is placement and residual
300
What is the shift duty for 3-11
What is glucometer checks.
300
You walk into a room and find a patient unresponsive. You call a stat. What is the most important thing to do next?
What is find out their code status.
300
If the Mar and the card do not match which one do you administer the medication off of?
What is the MAR.
300
Name 6 important things needed for and incident report.
What is MD notified, RP notified, narrative of incident, time, note, vitals.
400
How often does the tubing need to be changed on a tube feed?
What is every 24 hours
400
What is the proper chain of command of notification.
What is on call supervisor, then go up the chain.
400
A resident falls. Besides a nursing note what else would you do in the computer?
What is an incident report
400
Foods/fluids used for med pass need to be what?
What is covered and dated.
400
Who is the best DON ever?
What is ......
500
How do you label the tubing for feedings?
What is with name, date and rate.
500
How do residents take meds with them out on pass? two answers
What is entire card and must sign paper.
500
A resident is becoming increasingly more agitated. What is the best way to calm the situation down?
What is re-direction and minimize stimulation
500
Narcotic count sheets require two what?
What is two signatures
500
When should skilled assessments be completed? When should long term assessments be completed? Where are the lists found?
What is every shift on skilled, once a week on long term care, and in the book at each station.