S/R
Dress Code
Linens
Patient Identification
Assignment Sheet
100

This is the required distance that staff MUST maintain with a patient while monitoring an S&R

What is 3 to 8 feet?

100

These are to be non-artificial, no acrylic and less than 1/4 inch past the tip of the finger according to CDC guidelines

What are fingernails

100

One fitted sheet, one flat sheet, one pillow case per pillow, two blankets

What is a set of linens?

100

This type of patient identifier is when a nursing staff asks a  patient their full name/date of birth

What is an active patient identifier

100

This is filled out by the Charge RN in the morning and guides nursing staff to know what they are assigned to do every hour during their shift

What is the Daily Assignment Sheet

200

This must occur during every Q15 minute S&R check 

What is cap refill, offer bathroom, offer fluids, ensure safety, respirations....

200

These type of pants are ok to wear, however, need to be clean, without tears, and fit appropriately

What are Jeans?

200

This occurs hospital-wide every Saturday on Shift A when a patients brings their dirty linens in exchange of clean linens

What is Linen exchange?

200

This type of patient identifier is when nursing staff uses a pictorial sheet and/or diet sheet to identify a patient. 

What is a passive patient identifier?

200

Nursing staff will do this underneath their name to indicate that they have received report

What is place their initial

300

These are the individuals trained and required to participate in an SR episode

What is all nursing staff

300

These are not to be worn on the head unless there is a religious exemption or they are a disposable bouffant-style surgical cap

What are hats/head coverings

300

This must occur when a patient brings a sheet that has a missing piece and the missing piece cannot be found

What is a room search, ward search, RLdatix form, contact Nurse Manager and Hospital Police

300

Nursing staff must always utilize these two types of patient identifiers with any medication or treatment administration, giving our any food or drinks, blood glucose reading, or any invasive procedures

What is an active patient identifier and a passive patient identifier

300
Types of items listed in the Duty Menu that are assigned to nursing staff every hour during their 12 hour shift
What are:  Wellness, precautions (1:1, 2:1), cross shift report, milieu management, medications, treatments, I Care Rounding, Sharps monitoring, staff breaks, trash/linen, point store, groups, dining room, fresh air break/yard time, in-services, trainings, ADLs, charting
400

These items are required to be brought to the room when placing a patient in S&R

What are laptop, chair, table, Nextel phone, vital signs tower, wedge pillow

400

This type of jewelry is not permitted, with the only exception being a small stud in the nostril

What are tongue rings or studs, ear gauges (unless wearing solid plugs), or facial piercings

400

This is required anytime a patient request more than 2 blankets

A provider's order

400

Nursing staff can do this when a patient is refusing to answer when being asked for their full name

What is ask another staff member

400

Nursing staff will look in this location of the Daily Assignment sheet to know what their charting assignments are

What is the back of the Daily Assignment Sheet

500

This type of check list accounts for all restraints after any S/R episode. If a restraint bag is open, it is then sealed and recorded with new lock number. 

What is the RIPP restraint check list?

500

This type of footwear is the only footwear allowed to be worn on a unit

What are closed toe and closed heel footwear.  (Flip flops or thong-type footwear are not permitted, crocs with open heels are not permitted, high heel shoes are not permitted).  

500

This is the form used to track the patient's linens

Weekly Linen Check In/Out Form

500

These are the proper ways to identify a patient prior to  administering any medications or treatments

What are active patient identification and passive patient identification

500

The only person who is allowed to complete the Daily Assignment sheet and make any changes

Who is the Charge RN