Ostomy Care
What are common tasks for a PCT when providing Ostomy Care?
Emptying the Ostomy Pouch
Cleansing the Skin at the Ostomy and the Skin around it
Reapplying the appliance
The first step to removing a Peripheral IV Catheter is..
Move the roller clamp on the tubing to the closed position to avoid spilling IV liquid.
What is the direction to which you apply a immobility splint?
What is the alternate disinfectant of the site when receiving a blood culture?
Chlorhexidine Gluconate
What is the Standard EKG Speed?
25mm/sec
How full should the Ostomy Bag be before you empty it?
Half Full
In what direction should the dressing of the IV Catheter be removed?
What should you remove on the patient prior to applying the splint?
All jewelry
How long should you leave a tourniquet on before removing it?
1 minute
What is the standard measurement of paper on an EKG? (For small boxes)
1mm tall and 1mm wide
What procedure should be done when just emptying the ostomy bag?
Hand hygiene, and use a bed protector under the patient to protect bed linens.
How long should pressure be applying to the site following removing to prevent bleeding?
2-3 minutes
Following applying the splint you should check...
PMS on the patient (Pulse, Motor, and Sensation)
How long should you cleanse the site before performing the venipuncture?
30-60 seconds
Why might the provider might request an increase to 50mm/second to spread the waveforms out over a further distance on the paper.
The patient has a fast heart rate.
Where should you discard and place the stool following removing it from the Ostomy Bag?
Into the commode, and rinse/clean the container.
What guidelines should you follow when removing a Peripheral IV Catheter
Infection Control Guidelines
If the patient reports pain in the extremity is worsening or if movement is more limited than previously, you should....
Report it to the nurse immediately.
What is the typical disinfectant for a venipuncture site?
70% isopropyl alcohol.
What does Limb lead placement measure?
The heart’s electrical axis and is the reference point for the unipolar leads.
What is usually the consistency of stool from an Ostomy?
Liquid, to semi-liquid, to solid. ( although it can depend from the location of the ostomy)
When removing the IV Catheter why is it important to make sure it's intact?
To make sure a piece didn't break off because a piece could be in the vein and cause an embolus.
What does elevation help reduce in the patient?
Edema
Why is it good to carefully clean the area?
It will help ensure better blood culture results and reduce the risk of accidental contamination of the specimen
Bipolar leads have two poles... which are
one negative and one positive.