STNA
What do we do if a resident refuses a shower?
Ask again if resident is refusing. Have another staff member attempt. Give them time and come back to resident.
Who are you responsible to chart on daily?
Everyone is your resident. If you are providing care, you are to document. STNA's are to chart on the hallway they are scheduled on.
When receiving pharmacy tote, when do meds get put away? What do you give the pharmacy driver?
Right away. 3rd shift is to put all medications away before shift is over. Give the driver the pharmacy slip and totes.
What do you do when administering meds to a resident?
Assure that the medications were taken. Do not ever leave medications unattended. Do not leave cart unlocked, make sure your screen is secured when walking away.
What should you do when first opening a medication?
Date when opened on bottle/package
How often do we fill out shower sheets?
On scheduled shower days, noted skin issues, when resident skin is assessed (even if not shower day)
When does RP/Guardian get notified?
Falls, altercations, skin alterations, med error, new orders, change in condition, send to hospital,etc.
Describe the difference of Buccal and Sublingual
Buccal medications are placed in the pouch between cheek and upper or lower gum. Sublingual medications are placed under the tongue.
Can you pull insulin from a pen?
NO
When staff is late, what do you do?
Call that staff member, see if they are on the way, running late, etc.
When does inventory sheet get filled out & by who? Where do you place once completed?
STNA is to fill out shower sheet upon admission. Go through all personal items and document on inventory paper. Place in back of chart.
What is the process when receiving a new order?
Transcribe order into PCC, update RP/guardian of new order, document in progress note all of the above. Assure there is not drug interactions (document that NP aware and to continue order or d/c)
Where do starter kit meds go?
IN THE EDK, IN THE CORRECT BINS (verify lot #)
10ml
What food is not allowed to be warmed in the microwave?
Foods containing liquids ie. noodles
What are you reporting in rounds?
Behaviors, appointments, resident LOA, change in condition, abnormal findings, task to be completed.
What audits are done on 3rd shift?
Glucometers, Fridge Temps, Crash Cart
Where does insulin go when received?
In the fridge. Only one insulin per resident should be in the top of the cart.
When administering eye drops, what is the correct order of administration and how long in between eye drops do you have to wait?
Medicated eye drops first, then artificial tears (avoid the "wash-out" effect) Wait 3-5 minutes
What are your 6 "checks" when administering medications?
Right resident, right medication, right dosage, right time, right route, documentation
What is the chain of command?
STNA - Floor Nurse - Unit Manager - ADON - DON - Administrator.
What is the process when finding a new skin alteration?
Measure skin alteration, update NP and get tx in place. Complete skin and pain assessment. Complete risk assessment. Document in progress note how incident occurred, tx in place, updating NP and RP/guardian.
When giving insulin, how much do you prime and waste?
2 units
How do you check for placement of g-tube?
Using 10ml of AIR ONLY, auscultate with stethoscope. Check for residual before administering medications. Report above 100mL
How many ml's are mixed with each medication when administering in g-tube? Flushed in between?
15-30ml's mixed with each medication, no medication is to be given together. Flush with at least 15mls in between medications to avoid interaction.