Safety
History, Secondary diagnosis, Ambulatory aid, IV, Gait, Mental Status
Components of the Morse Fall Scale
The most effective way to reduce the spread of infection is...
Hand Hygine
Placing the extremities in alignment to maintain the position for their use and movement.
Position of function.
Being NPO, receiving O2 by nasal canula or mask, having an NG or feeding tube, being unconscious.
Conditions when oral care is required to be completed every 2 hours (special mouth care)
/2.2
conversion formula to convert lbs--> kg.
A systematic approach to enhancing the quality and safety of healthcare services delivered by nurses.
Quality Improvement
Skin, mucous membranes, vaginal pH, normal flora
Primary Defense in the Defense Against Infection
Preferred position for examination of abdomen and genitals and completion of perineal care.
Dorsal Recumbent
Caffeine, financial burdens/stresses, bright lights, monitor alarms, frequent interruptions, pain, frequent urination.
What are factors that affect a patients ability to achieve rest and restorative sleep in the hospital.
Fear, anxiety, loss of control, and loss of identity.
What are common reactions to admission.
Elevating your work level, avoid twisting, maintaining your center of gravity, lifting with your knees
Maintaining good body mechanics.
Enemas, tube feedings, daily hygiene cares, hand hygiene.
Examples of Medical Asepsis
When transferring a patient to a wheelchair who is experiencing right sided weakness, this is the side you should place the wheelchair.
Left side
Requires one to file the nails rather than clipping.
Diabetic nail care
Holding the bottle so that your hand is against the palm and holding the bottle 4-6 inches above the basin.
Appropriate way to add sterile liquid to a sterile field.
Placing the patient near the nurses station, keeping the bed in the lowest position, offering regular opportunities for the patient to go to the restroom, answering call lights in a timely manner, and assessing risk.
Strategies to prevent falls.
Method by which the organism enters a new host.
Portal of entry
A common symptom of prolonged immobility when a patient eventually is assisted out of bed. Is associated with dizziness and lightheadedness and places the patient at risk for syncope.
What is orthostatic hypotension
A complete bed bath
Patient will maintain a pain level less than 4/10 for the remainder of shift.
an action to relieve chocking by thrusting just below a person's xiphoid process.
Heimlich Maneuver
Hand Hygiene, PPE, Cough Etiquette.
Orthostatic Hypotension, Blood clots in extremities, Blood clots traveling to the lungs, heart, and brain.
Cardiovascular complications associated with immobility.
Prompt removal of commodes and bedpans, using neutralizing odor sprays, removing food trays, assisting with hygiene, and changing linens.
Ways to reduce odor and promote wellbeing.
1) Initial assessment/Vital Signs, 2) Mental status, 3) Surgical site, 4) Fluids/Other Equipment, 5) Pain/Discomfort
Priorities of the post-operative patient after PACU