Safety
If there is a risk of exposure to body fluids
When should a nurse wear gloves?
Inspection
Palpation
Percussion
Auscultation
What are the 4 assessment techniques used to assess vital signs?
Consider the patient situation.
What is the first step in the Clinical Reasoning Cycle?
Combines primary and secondary survey to recognise patient deterioration
What is an A-G assessment?
Hypertension
What is the word for High Blood Pressure?
1.Before touching a person
2.After touching a person
3. Before a procedure
4. After a procedure
5. After touching a person’s surroundings or belongings
What are the 5 moments for hand hygiene?
60-100 beats per minute
What is the normal range for adult heart rate?
Describes the desired outcomes and time frame
What is Establishing goals/ What is stage 5 of the CRC?
Assess regions of the body including mental status to lower extremities
What is a Head to Toe assessment?
Bradycardia
What is the word for a pulse rate below 60 beats a minute?
Incorporates cultural awareness and cultural sensitivity to ensure a positive healthcare experience for the recipient
What is cultural safety?
One inhalation and one exhalation of breath.
Includes rate, rhythm, depth, equality
What is a respiration assessment measuring?
Synthesises facts and inferences
What is stage 4 of the CRC/What is identifying problems?
A framework to assess a person holistically using activities of living to determine a person's independence
What is the Roper Logan Tierney assessment model?
Auscultation
What is the method of physical examination; listening to sounds produced by the body, usually with a stethoscope called?
Gaining consent; infection control; ongoing risk assessments; privacy and confidentiality; orientation; bed-height; lighting; appropriate aids; appropriate care provision.
What factors need to be considered to ensure a patients environmental and physical safety?
The pressure exerted by the blood as it flows through the arteries
What is Arterial Blood Pressure?
Is when a nurse selects a plan for intervention.
What is stage 6 of the CRC? Take action
Complete patient assessment
Focused assessment
Follow-up assessment
Emergency assessment
What are the 4 different types of patient assessment?
An elevated body temperature
What is Febrile?
Check bed brakes; wall oxygen supply; wall suction; emergency equipment
What is involved in a bed-side equipment check?
Pressure when the ventricles are at rest. The lower pressure present at all times within the arteries
What is Diastolic Pressure?
When the nurse contemplates what they have learned and what they could have done differently
What is the final stage of the CRC? What is reflecting on the process and new learning
A patient's feelings, perceptions and reported symptoms.
What is subjective data?
A faster than normal range respiration rate (above 20 rpm)
What is Tachypnoea?