Communication
Double tap Vocera or use code line
What is the number you call for a code gray?
Refusing food and hygiene, sleeping a lot, or changes in sleep patterns, prolonged sadness, or unexplained, crying spells, irritability, anger, worry, agitation, pessimism or indifference vacillating between high energy.
Feelings of guilt, worthlessness, and inability to concentrate.
Inability to take pleasure and former interests, reoccurring thoughts of death for suicide.
What is bipolar depression?
Upon arrival, room, change, Q shift (8 hours) break coverage.
What are the instances you need to document room safety/ligature risk?
Identify location, clerk will notify operator and the security supervisor will be notified to send security
What does the Vocera double tap?
What must be done prior to the patient arriving to a room?
What is room safety?
What explains how the day looks for the patient
What is the daily schedule?
Disruptive, threatening or violent behaviors.
What is Aggressive behavior?
Patient comes in by ambi with fresh hanging marks
Knowledge exchange
What should you share with guard/sitter?
Delusions, hallucinations, paranoia, confusion, catatonia, poor hygiene, poor nutrition, and hydration.
What is Schizophrenia?
Note you have to write frequently on a psych/sitter patient
What is the Q 2 hour safety note.
This needs to be done to the patient before and after restraints by the RN
What is a head to toe assessment?
They should be done within one hour of arrival and every 2 hours until medically cleared.
What are vital signs?
This person needs to accompany the patient to the restroom
What is a Healthcare team member and security?
Syndrome characterized by deterioration of cognition in an alert person which results in impaired performance of daily activities
What is Dementia?
Little old lady with a uti, altered
What is a sitter order? no ratio
this is used to communicate with the psych team and MD.
What is chart chat?
Rigid, black-and-white, thinking, intense outburst, manipulative.
What is Borderline personality disorder?
These need to be filled out upon transfer.
Who goes hands-on in a code gray
Who is security and/or a tech?
Looks like this:
John Doe
MRN 112233xxx 1/2
What is a belonging label?
1730-1830
What are the visiting hours in 1North?
A physical assault on a person or a physical action intended to damage property
A developmentally delayed adult comes in and is has paperwork with him
What is conserved/conservatorship?
HUB, charge nurse, receiving facility, second nurse to verify paperwork.
What you need to do when you transfer a patient?
Patients may be quiet, withdrawn, sleep a lot, refuse food and hygiene, flat affect.
What is Depression?
There must be 3 on the transfer form. (The first triplicate page) and possibly 2 if patient declines to sign on the consent to transfer form (The second triplicate page)
What are signatures needed for the EMTALA forms?
Red restraints are placed on these
What are the legs?
Everything needs to come off.
Needs to be left outside of the room or locked in a cabinet.
An interference with or without action that prevents normal work functions or activities.
What is Disruptive behavior?
Patient comes in with PD, dirty and disheveled and with paperwork
What is a 5150, 2:1 ratio
As an option, a clerk can call or arrange ambi transport online.
What is Vectorcare?
Pressured speech, agitated, grandiose thoughts, constantly moving, racing thoughts in speech, impulsive, reckless behavior, loud and boisterous, hyper sexual, insomnia
What is Bipolar mania?
Ratio for a CSSRS of Moderate
What is 2:1?
Fingers, face, feet
What are the 3 F's for harm?
Call 6168 with ratio, hold status and location.
What is security notification?
Be on the look out for hidden actions
i.e. fidgeting under the blanket
Who are patient observers/guards?
Inappropriate verbal, vocal, or motor activity that is not explained by needs or confusion.
What is Agitation?
Patient arrived from heritage oaks for a med clearance (on a 5150), what should be placed
What is a sitter order?
MRSA, VRE, ESBL, Scabies, and Lice precautions
What is Contact Isolation?
Inappropriate social interactions, poor eye contact, compulsive behavior, repetitive movements, self-harm
What is Autism?
Needs to be signed at the beginning of shift along with knowledge exchange.
What is the Security Q15 minute observation tool
Anyone that has been properly trained, but it is always the primary nurses responsibility to verify they have been placed correctly.
Who can put on restraints?
2 guards and 1 staff member are needed for what?
What is transportation of the psych patient?
Responsible for registering patient, updating insurance, and arm banding patient
A verbal or written statement or a physical action that would cause a reasonable person to fear for his/her safety or the safety of others.
What is Threatening behavior?
Older gentleman that is drunk
What is a 1799
Religion, politics, medical treatment, social status, psych issues, volume
What are some things to stay away from when communicating with a psych patient?
Confused thinking, hallucination, paranoid, overwhelmed, tired, lose interest in activities of daily living
What is Psychosis?
Someone states they have been injured by someone else, this needs to be completed
What is a suspicious injury report?
Assemble staff and equipment, assign roles and engage.
What is pause, plan and prepare?
This must follow the patient because it contains the 5150
What is the pink folder?
What is the Narrator- transfer - disposition?
Acute, reversible alteration in mental status.
What is delirium or Acute confused state?
According to law AB2275, what does the law require that all patients receive after 72 hours?
What is a certification hearing?