safety & emergency procedures
What rate should you give compressions at when administering CPR?
100-120 compressions per minute
What does OOB stand for?
out of bed
Describe prone vs supine.
Prone = lying face down on the stomach. Supine = lying face up on the back
Where should the drainage bag for a catheter be positioned in relation to the patient?
Below the level of the bladder, usually attached to the bed frame
Name 2 circumstances or conditions that might require the use of restraints.
Severe behavioral or cognitive issues, irrational or confused patients, danger to self, skin conditions, paralysis or limited muscular coordination
What is the correct order for donning PPE?
Gown, mask, goggles, gloves
What does lapar- mean?
abdomen, abdominal wall
What temperature should the water be for a bed bath?
105–110°F (40.6–43.3°C)
How often should a drainage bag for a urinary catheter be emptied? (bonus points if you know why!)
every 8 hours (bonus: longer than 8 hours encourages growth of microorganisms)
What are 3 methods of oxygen administration?
Mask, nasal cannula, tent
What vitals/objective data should be monitored during a move or transfer (4 things)?
Pulse, blood pressure, respirations, and color
What is the difference between an NG tube and an OG tube?
nasogastric vs orogastric, both terminate in stomach but one goes through the nares and nasopharynx and the other goes through the oral cavity/mouth and oropharynx
What safety feature of the patient's bed should be utilized before turning a patient?
Bed rails- should be up on the side they are turning toward
After detaching the bag and cleaning around the stoma during colostomy care, what should the stoma site look like?
Bright to dark red and moist
Where could a pulse ox be applied? (hint: 3 places)
Toe, earlobe, finger
How frequently should circulation be checked after physical restraints are applied? Name one sign of poor circulation.
Every 15–30 minutes. Signs: cyanosis, paleness, cold skin, edema, weak or absent pulse, slow pink color return on nail beds, numbness, pain, or tingling
What is a PCA?
patient controlled analgesic
Which of these would be part of a patient's recorded output (select all that apply): urine, emesis, enteral feeding volume, chest tube drainage, or orange juice they drank at breakfast?
Urine, emesis, and chest tube drainage
What is the purpose of a wafer when performing ostomy care?
It serves as a barrier between the ostomy pouch/bag and the skin
What stage is a pressure ulcer if damage extends into the muscle, tendon, and bone tissues?
Stage 4
Name 2 differences in giving compressions to an infant vs an adult during CPR.
Use 2 fingers on the lower half of the sternum, and compress about 1.5 inches (1/3 chest depth)
what is another name for a pressure ulcer:
decubitus ulcer
Describe closed bed vs open bed.
closed bed: made following discharge of patoent and after terminal cleaning of the unit, purpose is to keep bed clean until a new patient is admitted
open bed: converted by fanfolding the top sheets, done to welcome new patient, also should be done for patients who are ambulatory or out of bed for short periods.
What is the difference between a straight catheter and a foley catheter?
Straight cath: not left in the bladder, usually used for a urine specimen. Foley cath: left in the bladder over an extended period, held in place by a balloon
Name 2 treatments for pressure ulcers.
Foam or hydrocolloid dressing, negative wound vac, foam sponge with adhesive film