Show & Tell
Demonstrate how to set up a patient with a chair alarm.
Great Job!
How do you properly take an oral and an axillary temperature?
Oral stays under the tongue for 1 minute, axillary is placed vertically for 2 minutes. Both should be read AFTER 10 seconds.
Which patient is inappropriate for the hoyer or ceiling lift?
Anyone with an unstable fracture or a confused patient.
What are the 5 Ps?
Pain, Position, Potty, Personal items & Pump
Your patient is going for a walk. His JP drain is full and dangling. Show me what 2 things must be done.
Awesome!
What are the critical blood sugar results that require a written RN notification?
<50 and >500
How do you call an emergency overhead and what is the number to dial?
"Medical Alert, Medical Assistance, Kahn 1 Room 24 bed 2" for a visitor fall.
"Facility Alert, Fire Emergency, Deskovick A kitchen."
"Security Alert, Security Assistance, Deskovick 4 Room 2."
Dial 8888
What is AIDET?
Acknowledge, Introduce, Duration, Explain & Thank You
Show me what is used to clean a foley catheter when there is visible soiling on the tubing?
You rock!
Your patient has vital signs ordered "q shift." What time are you completing vitals?
Day shift: not sooner than 1pm
Evening shift: not sooner than 9pm
Night shift: between 4am-5am for MD rounds
Your patient calls to have his lunch tray set up, his urinal emptied and his socks put on. Tell me how you would do this/in what order?
Perform hand hygiene, apply clean gloves, set up his lunch tray, put on his socks, empty the urinal, remove the gloves and perform hand hygiene.
What are 3 things can I do during downtime? And what should I not do?
I can restock supplies, fill the supply cart, ambulate patients, check mandatory learning, prepare empty rooms for admissions, round on my patients, offer help to co-workers
I should not be on my phone, checking personal emails or having extensive personal conversations.
Show me how to take a blood pressure on the arm and on the leg.
Way to go!
Your patient's blood sugar is 29, what must be documented on the glucometer and what is your next step for notification?
Choose "cleaned meter" and "RN or PRAC with RB" and then choose the bubble, type "J Smith" and then verbally notify the RN.
Tell me the proper position for a foley catheter bag when the patient is a) ambulating and b) lying in bed.
a) hung securely on the IV pole beneath the level of the waist.
b) hung on the catheter hook at the end of the bed, utilizing the green clip on the sheet to ensure no dependent loops.
Awesome!
You empty your female patient's hat, what and where do you document that?
Your male patient tells you, "I urinated but forgot to use the urinal." What and where do you document that?
Female patient: "500ml" on the Intake/Output flowsheet under "Output (ml)"
Male patient: "1 occurrence" on the Intake/Output flowsheet under "Unmeasured Output"
**All patients must have a hat/urinal for accurate urine measurements**
a) Tell me 2 restraints and 3 restraint alternatives
b) Can a nursing assistant apply and remove restraints?
a) mitts & wrist/ankle soft restraints are restraints and roll belts, chair suspenders and arm sleeve are alternatives.
b) No