Policy
If not ordered otherwise by a doctor, how often are vital signs to be taken/documented in EPIC on a patient?
1x per shift (7a & 7p)
What time can patients receive ADL supplies for AM hygiene/showers?
0600
Explain a 201-commitment vs. a 302-commitment
201: Voluntary
302: Involuntary
What does ER/XR mean on a medication package?
Extended-release medication.
Do not crush!!
What color socks should a "fall risk" patient be wearing?
Yellow
How long can an adult patient be held in a physical restraint per UHS policy with a valid doctor's order?
What is 4 hours
What time does the activity room close for the night?
2200
What does it mean is a patient is "orthostatic"?
BP drops when standing >20 systolic and >10 diastolic and pulse increases.
What is 1 use of Hydroxyzine (Atarax/Vistaril) for the psychiatric patient?
Anxiety, sedative
Itching (antihistamine)
How often should the 1:1 sitter be documenting checks on a SP patient via EPIC rover?
Q15 min
How often are nurses required to round on their patients?
Q 4 hours
What is the allotted time for a patient phone call?
10 minutes
Give an example of "staff splitting"
Patient asks for a snack from one staff and is turned away and then goes to another staff and requests the same hoping for different results.
When administering a "HAC" Haldol/Ativan/Cogentin, which medication must go in its own syringe?
Cogentin
A fall risk score < _____ on the Edmonson Psychiatric fall risk assessment means the patient is a "fall risk" and fall risk precautions should be initiated.
90
Explain what a 72-hour notice means for a patient?
The patient is signing an agreement that they are providing the physician with written notice that they request discharge within 72 hours of signing the paper. The physician then has 72 hours to determine a plan for the patient.
What time are room doors unlocked for patients in the evening?
After wrap up group
Explain affect vs. mood
Affect: outward expression of emotion
Mood: internal subjective emotional state
What medication poses a risk for agranulocytosis and therefore requires weekly monitoring via labwork?
Clozaril/Clozapine
When a restraint is initiated, a face-to-face evaluation is to be completed by a QRN/provider within _______ minutes, and the doctor is to be notified within ________ minutes.
60
30
While in restraint/seclusion how often must a nursing assessment and vital signs be documented?
Q 15 minutes
A patient is permitted to have how many of the following articles of clothing while on the unit:
Pants, underwear, shoes, Bra, Pajamas
3,3,1,1,1
What does "second to force"(2TF) or "medication over objection" mean for a psychiatric patient when ordered by a physician?
The patient has been ordered by two physicians to have their medications offered by mouth FIRST. If patient refuses their medication, there will be a linked order for an IM to be given.
What mood stabilizer advises use of gloves while administering due to its quick absorption into the skin?
Depakote
How do I initiate the emergency response on the RELAY walkie talkies?
Press middle button down 5x.