Falls
These Fall Categories are most likely to result in Harm to a Patient
What is an Unwitnessed & Unassisted Fall?
The evidence based Practice Bundle for HAPI Prevention used at LHH
What is the Pressure Injury Prevention Bundle?
What color tube is a urine culture?
What color tube is a urinalysis?
Grey (UC), Speckled top (UA)
Where should you (RN and PCAs) document bowel movements?
On the “Intake and Output” flowsheet, under “Stool” à “Stool Count”
The frequency in which a central line dressing must be changed
What is Every 7 days or visibly soiled?
Both of these records are not part of the EMR, but should be completed after every Fall event.
What is improve North and a Post Fall Debrief Form
This Braden score and below indicates the patient is at risk for pressure injuries
What is 18 or less?
How many calendar days does a catheter need to be in place to be considered a CAUTI?
3 days or greater
After you exit a positive C. diff patient room, what wipes should you use to clean any items/equipment?
Orange. There must be 4 minutes of contact time. Only Clorox wipes are allowed for disinfecting glucometers, with 3 minutes of contact time.
The 3 elements that must be applied to secure a central line dressing.
What are the shirt, pants, and belt?
When a patient falsely claims to have fallen for various reasons, including seeking attention or obtaining pain medication.
What is a Suspected Intentional Fall Event?
This product is used for trach-associated HAPI prevention
What is the Allevyn Trach dressing?
How many mL of urine on a bladder scan is considered retaining and indicative of straight catherization?
300 mL and greater
What do you do if you feel a C. Diff collection order is inappropriate and the provider disagrees?
Escalate to unit leadership or Epidemiology.
This order must be placed in EMAR once the Central Line is in place.
What is a Chlorohexidine Wipe bath?