Dr. Beenken
True or False: For total joint patients, purewicks can be used at night instead of getting up to the bathroom.
False. Purewicks should not be used on total joint patients.
How many times a day do foley cares need to be completed?
2 times daily
You are getting a new admission from the ED. What skin assessment needs to be completed with another nurse within the first 8 hours?
Four eyes on skin
I have a patient in suicide precautions. How often do I need to chart on the Suicide Risk Assessment?
Every shift
Your patient has a continuous glucose monitor noted on admission. What do you do?
Enter in the belongings on admission navigator and create an LDA (subcutaneous access).
What positioning device is used for patients with posterior hip precautions?
Abductor pillow
When should prostatectomy and nephrectomy patients get out of bed for the first time post-op?
The day of surgery.
My patient has a braden score of 18. Do I need to reposition them based on this?
No
What is the maximum amount of time a wound vac can be off and what should you do if it exceeds that time?
2 hours. Contact the provider in charge of the wound vac to notify.
Your patient's blood sugar is 60. They are alert and have a general diet. What do you do next?
Give 15 grams of carbs (1 juice) and recheck in 15 minutes. Continue this process until their BG goes above 70, then recheck in 1 hour.
What position should the pillow be placed under the surgical leg after total knee surgery.
Pillow under the lower leg and not under the knee to ensure the knee stays straight.
What are signs that your patient with a CBI needs to to have their foley hand irrigated?
Pain, pressure, leaking around the catheter and no output from the foley.
How often do female purewicks need to be changed?
Every 8 hours
After giving carb coverage insulin, how long do you need to wait before giving correction insulin?
Hang new tubing because it's only good for 24 hours. Waste 20mls when priming the new tubing.
Direct anterior hip and the sandbag is placed on the on the incision to prevent a hematoma.
Your patient has a CBI and you aren't sure if you need to adjust the irrigation rate. How do you know if the rate needs to be increased or decreased?
Check the color and characteristics of the urine in the tubing, not the foley bag.
My patient has blanchable redness on his sacrum. Do I label the mepilex with a "P" or a "T"?
"P" for prevention
What lines can you draw labs from?
PICC lines, central lines and midlines (if they draw blood)
Your patient's blood sugar has been greater than 180 for breakfast, lunch and dinner. They have not had any blood sugars under 120 during this admission. What should you do?
Type "reorder" in the orders tab to increase the correction scale. Write a progress note using the prompt ".hyper".
How often should you document drain output from hemovacs, JPs and wound vacs?
Every shift or every 8 hours.
You are irrigating a clotted off catheter when you get bloody urine in your eye. Where is the nearest eye wash station?
Level 14
How often do treatment mepilexes need to be changed?
Every 3 days unless they are soiled.
What IV infusions require an in-person hand off at shift change and transporting between units?
Heparin, Insulin and blood products
Your patient has a continuous glucose monitor and is frustrated that CNAs keep checking their blood sugar since they can see what it is on their phone. The patient is A&Ox4 and does not have an insulin pump. What do you do?
The patient cannot use their CGM if they don't have their own pump. They will need to continue to have BG checks while hospitalized.