Right Patient
This is the correct number of identifiers used to confirm the correct patient
What is two - name and MRN or name of DZOB
This is the resource to go to for information about monitoring parameters for IV Medication
IV med guidelines DOUBLE JEOPARDY – pull the IV Med guidelines up on the screen
This is the timeframe within which all controlled substances removed from an Omnicell must be administered to a patient
Immediately
Two IV medications are ordered for a patient with one access, this is the resource utilized to know if they can run together
Micromedex via Lexicomp
A patient requests more information about the side effects of their medication, this resource can be utilized to support patient education
Lexicomp
The correct action to take when a patient wristband is faded and no longer scans for KBMA
obtain a new wristband, have the patient state and spell their first and last name and give DOB
This is the correct hierarchy of barcode scanning in KBMA
manufacturer first, pharmacy label if no manufacturer label only
This is the appropriate action if the RN is unable to immediately administer a controlled substance they have removed from the Omnicell
return it with a witness
This method of priming can be utilized when hanging secondary lines to decrease the need to clamp the secondary line
back priming
A patient has multiple orders for Tylenol, and it’s unclear what the indication for each is, the RN’s next step would be
request clarification from provider DOUBLE JEOPARDY – describe the SBAR text you would send
During independent double check for a PCA the patient interrupts to ask for water, these steps are required
Begin the check again, DOUBLE JEOPARDY – describe patient communication practices for tasks requiring complete attention ex: I’m going to be doing a check for safety, so you’ll notice we’re concentrating on this task for a few moments and then we’ll address anything you need
A dose of an antibiotic is given at 1500 during an RRT for sepsis, then ordered standing q6h, the RN notes no dose populates on the MAR for their shift, what additional action is required
check that the next dose is ordered for correct times on the next shift and reschedule if not
Oral chemotherapy may be crushed at the bedside for administration via PEG: true or false
false, must consult with pharmacy and team for plan
A patient refuses their ordered dose of docusate because they do not feel it’s necessary today, these are the steps the RN should always take
patient education, *inform provider
Patients should have individual pill splitters at their bedside for scored tablet doses true or false
false
You notice an incorrect dose of medication hanging on your patient’s secondary line during your initial assessment, these steps should be taken
assess patient for safety, inform APP, NL or Clinical Supervisor, enter RISQ
This is the minimum amount of time until bags run empty that a patient can safely be sent off unit with, according to policy
2 hours
A patient notes hives following initiation of a new medication, and the APP confirms this is an allergic reaction to the new drug, this helps confirm correct documentation
visible in the header
These 4 medications are the only allowed by policy to be kept at the bedside for patient to self-administer
metered dose inhalers, PO nitroglycerine tablets, insulin via a continuous insulin pump.
FYI- Medical marijuana is self-administered but is NOT at the bedside. It is located in the Omnicell
These are the steps of wasting a PCA with reservoir in Omnicell
See policy
The RN notes several orders for a patient transitioning from a PCA to a medicated patch, timed throughout their shift, this is their first time completing this task, what steps should be taken
check with resources – charge nurse, CNS, prescribing provider DOUBLE JEOPARDY describe SBAR communication to CNS requesting help
This is the preferred site for larger volume IM injections in adults
ventrogluteal DOUBLE JEOPARDY – describe site marking and patient education process)
A patient’s relief from pain medication is inadequate, and the ordering APP is notified without timely response, according to MSK escalation protocol, who is next to be called
fellow – it’s also recommended to call the charge nurse or CNS