Care Plans
How often are care plans charted?
What is qShift
TRUE OR FALSE
Where do you find the most up to date blood transfusion policies?
Policy Tech
Before blood transfusion, what do you check?
What is the Blood consent
When should SDOH be completed by? And for who?
At admission and for all patients- inpatients, obs, and surgical admits
This licensed nurse is responsible for the operation of nursing services and approval of nursing policies and procedures.
Who is the Director of Nursing (DON)
Where do you document care plans?
Care Plan tab -> "Manage plan and document progress"
Annual performance evaluations are completed for all staff by Mae Wheatley.
TRUE OR FALSE
False-- it is done by Roxanne Gordon
Per policy, how often do you document vital signs?
*Within 30 minutes prior to the start of the transfusion.
*Every 15 minutes for the first hour, and every 30 minutes for the remainder of the transfusion
*Within 30 minutes after completion of transfusion
A type and screen is valid for this amount of time and collected in this tube
What is 72 hours in a lavender tube
How long does an RN have to notify physician of a critical lab result?
The RN will notify the attending physician within 30 mins and receive any additional orders if needed.
Dirty linen bags may not exceed this capacity
What is ¾ full
If a patient is on restraints-- aside from restraint documentation what else has to be documented?
Restraint care plan
Where do you find hospital policies?
Main page -> hospital policies -> policy tech -> click on Galveston
With the exception of rapid infusions in the OR and emergent situations, the transfusion flow rate should be slower during the first 15 minutes. If the patient exhibits no signs or symptoms of a transfusion reaction, the rate should be increased per provider order after 15 minutes to ensure that infusion of the product is completed within the 5-hour window.
TRUE OR FALSE
False-- 4 hour window!
The effectiveness of each dose of pain-relieving medication will be assessed and documented within _____ minutes after its administration
what is 60 minutes
Sharps containers must be less than this amount full
What is 2/3 full
Restraint documentation must be completed at this frequency
What is every 2 hours
Nurse just took her patient off of restraints, order got discontinued, what else does the nurse have to complete?
Restraint documentation & complete/resolve restraint care plan
Where can nursing staff find education regarding evidence based nursing practice/procedures?
Lippincott
Can lab run type and screen & CBC off of one lavender tube?
No- type ad screen requires its own sample/ own lavender tube
According to our policy, how often should RASS score be documented?
Patients on opiates and/or sedatives will be assessed for sedation every four (4) hours, or more frequently as patient condition warrants
Germicidal wipes must leave surfaces wet for this long.
What is 2 minutes
Only this IV solution may be used when administering blood products
What is normal saline (NaCl)
Upon the initiation of a new medication, nurses should teach patent/guardian and document the education under the "first-dose education".
TRUE OR FALSE
True
There is an active bomb threat, where do you find education on what to do?
** two answers **
Policy tech & pamphlet on both units
In the case of a suspected transfusion reaction, what are the first two steps you do? Where do you find the list of steps on what to do?
1- stop the transfusion & flush with NaCl
2- perform a clerical check between patient and the component
Policy tech
Per our policy, how long do you have to waste a narcotic medication?
Medications removed from the automated dispensing system (ADS) more than the amount ordered shall be wasted within 30 minutes of removal time
T or F: Platelets should be administered using Y‑tubing
What is false
What are the 5 rights of medication
What is the right patient, right medication, right dose, right route, and right time.