Resources
Location to find how to perform a PICC dressing change
What is Elsevier (Previously nursing skills online)
An Acronym used to communicate or escalate patient concerns to a provider
What is SBAR (Situation, Background, Assessment, Recommendation)
Document both the reporting nurse, and the receiving nurse are expected to sign when a patient handover is completed
What is the transfer of accountability signature record
PPE required for a patient with a respiratory illness on contact/droplet precautions
Procedure mask
eyewear (or mask with face shield)
isolation gown, gloves
You a preparing a patient's medication. Name 2 ways you would know this medication is a 2-nurse check?
The Parenteral Drug Monograph - alert banner
High Alert stick on vials/stock medications
Pharmacy dispensed medications - auxiliary label
Provinicial High Alert Medication List Poster from Shared Health
Where would you find the learning module for Documentation in a Code Blue
Learning Management System (LMS)
A patient presents with fever (39C), chills, and was diagnosed with a right knee infection. You drew blood cultures and are waiting for the physician to order antibiotics. To ensure the best outcome, what is our goal time to administer antibiotics by?
60 minutes
What documentation do we need to fill out when a code white is called?
RL6
OSH Injury/Near Miss Form
Code White Debrief Form (during debrief)
Your patient was found with unresponsive, with a respiratory rate of 8 breaths/minute. The patient has no signs of trauma. What airway intervention would be most appropriate to consider at this time?
A nasopharyngeal airway (NPA) if semi-conscious or an oropharyngeal airway (OPA) only if the patient is unconscious
The nurse enters a patient's room to find he has an altered LOC, RR is 10 breaths/min and skin is pale, and cool to touch. During shift report, you were told he was A&Ox3 with stable vital signs. He is ACP-M. What do you do now?
Call a code blue
Nursing resource for how to prepare and administer IV Medications
What is the Parenteral Drug Monograph (PDM)
A physician writes the following order:
Tylenol 1-2 tabs PO OD
What is the correct way to write this order, and does the order need to be corrected on the order sheet?
Acetaminophen 325-650 mg PO Daily
Mandatory tool to complete by the nurse prior to a transfer to the pre-op or the OR suite
Pre-op Checklist
For best practice, what are the minimum requirements to collect samples for blood cultures on a person weighting >27 kg? ie: # of sites, bottles, and amount to draw
2 sites
4 bottles
40 ml of blood
All collected within 60 minutes
Name 2 interventions for treating a STEMI
Percutaneous Coronary Intervention
Fibrinolytics (TNK)
When and how often do we need to be completing a Braden Scale (Pressure Ulcer Assessment) on a patient? (list frequencies)
Within 24 hours of admission
1 week post-admission
2 weeks post-admission
3 weeks post-admission
3 months post-admission AND
when there is a change in health status
Process where a nurse checks all orders on an order sheet, and confirms the MARs have been transcribed correctly (usually done each night shift)
Redlining
52 y.o. male, admitted with pneumonia
Alert
18 RR, 96% on 2L nasal prongs
112/49, 88 bpm (regular)
36.6C (oral)
Referring to the NEWS2 Vital Sign Record, what is the minimum frequency of monitoring required?
Minimum every 4-6 hours
What is your priority assessment per the Acute Stroke Care Map, when caring for a patient with suspected stroke?
Ensure airway, breathing and circulation are not compromised
41 y.o. female, POD 2 from a laparoscopic cholecystectomy. On assessment, pt has abdominal distention, and no bowel sounds. Pt reports nausea, no emesis, has not had a BM since surgery and denies flatus. What are we concerned for?
Post-operative ileus
Documentation required when a patient passes away in hospital
Death Package, registration of death for vital statistics, detailed IPN about the death
Your patient is having alcohol withdrawal. Calculate the following CIWA score:
Mild nausea, no vomiting
Mildly anxious
Beads of sweat on forehead
Moderate tremors
10
Which documents do you need to be filling out when you have a patient in restraints
constant care record, restraint monitoring form
You go into a patient room after shift change, and notice the patient has 8L of O2 being administered through a non-rebreathe mask. Their O2 sats are 98%. What do you do?
Try an oxymask or nasal cannula. You cannot safely deliver less than 10L O2 through a non-rebreathe O2 mask
Patient is restless, anxious and seen pacing outside their room (mild agitation). Name 3 interventions or ways to prevent the patient from further escalating
Perform a safety scan and remove safety hazards ( know your exit)
Provide calm but firm approach
Move to non-stimulating environment (going back into room) if possible
Validate their feelings
Offer to help with what the person needs
Respect their personal space
Be aware of your body language/posture and approach - ie: sit if patient sites, stand if patient stands