H2T
Proper angle when using a doppler to establish blood flow
What is 45 degrees
Hydrogel dressing (contains 80-90% water)
What is the best dressing for a dry wound?
Falls Risk Assessment
What is the name of the tool to assess risk for falls?
Nurse name, date, time, Extern name, delegation
What needs to be included in a delegation order?
Place a probe 5 cm above the symphysis pubis
Where do I place the scanner probe when doing a bladder scan?
Squeeze hands, make me say ouch
What is testing strength?
Foam (absorbs moisture)
What is the best dressing for a wound with large amount of drainage?
Age >65, cognition, medications, clutter
What are some causes of patient falls?
RHP temporarily grants their authority to perform a controlled act
What is delegation?
A hollow plastic wand with a bulbous tip
What is a yankaur?
HR 120, RR 26
What is the context of these vitals?
Prevents drying, supports pH, decreases infection
What is a moist wound environment?
Keep the bed in a low position, provide scheduled toileting
What are actions to ensure patient safety
Doing a controlled act without delegation
What is acting out of scope of practice?
Patient should never lie flat when this equipment is in use
What is a kangaroo feeding pump?
Fifth vital sign
What is pain?
Fails to progress though the normal stages of wound healing
What is a chronic wound?
All 4 siderails in the upright position
What is a form of restraint?
Knowledge, Skill and Judgment
What is required to demonstrate prior to being delegated a task?
Saline, continu flo solution set, curos cap
What is the equipment required to prime and IV
Palpation is the last stage in this examination
What is GI assessment?
To promote optimal wound healing
What is the primary goal of wound care?
SPEAK
What is LHSC's system for reporting of patient safety, staff safety and workplace violence incidents?
MRSA Swab, Removal of NG, POC glucose
What are some formally delegated acts that Externs can perform?
BG < 2.8 mmol/L or > 30 mmol/L
When does a comment need to be entered on the accucheck and the nurse to be informed?