Skin
When do you place a wound consult?
What is stage III, stage IV, DTI and unstageable?
What are the 2 biggest things that can be done by nurses and techs that leadership has been hitting on hard?
What is hourly rounding and bedside shift report?
What should you do before placing a new patient in the bed?
What is zero the bed?
What is Lauren's dog's name?
What is Gigi?
How frequently should vital signs be documented?
What is according to the frequency ordered?
Which of the following are risk factors for pressure ulcers?
a. over age 50
b. fecal and urinary incontinence
c. soft bed
d. cold body
What is:
b. fecal and urinary incontinence
What does the 5 "P's" stand for?
What is pain, position, possessions, potty, pump?
What dose RACE stand for?
What is
Rescue
Alarm
Contain/Confine
Evacuate/extinguish
What state did Peyton work in as a nurse before she moved to Oklahoma?
What is Georgia?
Which patients require documentation of a daily weight?
What is all patients?
What are signs and symptoms of an infected wound?
a. fever, chills, and sweaty clammy skin
b. fever, purulent drainage, foul odor, discoloration of wound bed, and macerated wound edges
c. fever, purulent drainage, foul odor, wound bed pink, macerated wound edges
d. fever, granulation tissue present, edges are proximal with purulent drainage
What is:
b. fever, purulent drainage, foul odor, discoloration of wound bed, and macerated wound edges
What does AIDET stand for?
What is acknowledge, introduce, duration, explanation and thank you?
Which of the following must be present in order for a foley to be compliant? (select all that apply)
a) Insert or continue foley order
b) Ordered reason must match reason documented in flowsheets
c) Foley care documented once a shift
d) Urinary Catheter Discontinuation Protocol and Urinary Retention Protocol ordered
What is all of the above?
Where do Fiona's in-laws live?
What is Costa Rica?
How often should a fall risk score and corresponding interventions be documented?
What is upon admission, every shift, following any test/procedure or transfer, and with any change in patient condition (ex. Fall)?
For a wound considered to be chronic, it has to be present for at least:
a. 14 days
b. 45 days
c. 28 days
d. 7 days
What is:
c. 28 days
What does teach back mean?
What is show the patient how to do the task and ask that they perform the task to show their understanding?
What should you do when preparing a room for a patient with a new diagnosis or history of seizures?
What is place seizure pads on the bed rails and place suction equipment in the room?
What is something Jenn did for work before becoming a nurse?
What is a florist?
When performing a skin assessment and a new wound is found, where do you document this?
What is add to the avatar and document on the flowsheet?
When do you change Mepilex when using it for wound prevention?
a. Monday and Wednesday
b. Tuesday and Friday
c. Saturday and Wednesday
d. Monday and Thursday
What is;
d. Monday and Thursday
When a bed alarm sounds, what is the expectation of staff?
What is respond immediately to check on patient?
What would you expect to be called overhead if there was an active shooter on the premises?
What is: Security Alert-Active Assailant?
How many combined years of nursing experience does your leadership team have?
What is 37 years?
When documenting a CIWA score, what also must be documented at the same time?
What is vital signs?