How often Glucometer Logs are supposed to be handed in
What is "monthly"
100
An MD order reads "Clean wound with wound cleanser". There is none in the home, so the clinician uses soap and water. Acceptable? Describe the proper course of action:
What is "No", and "call MD office to get order for alternative cleanser"
100
You should scrub your hands for this long to attain proper cleaning:
What is "15 seconds"
100
"SASH"
What is
The acronym for administering IV antibiotics
100
Name a National Patient Safety Goal for Home Health
What is (one of the following)
"Med Reconciliation/O2 Safety/Patient Identifiers/Fall Risk Reduction/Prevent Infection"
200
The right to voice a grievance and the right to be treated with courtesy and respect
What is patient's rights
200
True or False:
It is not necessary to windowpane wounds treated with a KCI VAC
What is "False"
200
Computer, Nursing Bag, equipment, medications, infusion supplies, wound care supplies
What is
things you should use barriers under
200
True or False:
TPN can be taken out of the refrigerator up to 3 hours ahead of time
What is "True"
200
"the nurse in the home, whether PPV, contract, LPN or RNCM"
What is
Who can order supplies
300
Describe how to measure a wound
what to document
how often to measure.
What is: L (6a-12p) X W (9p - 3p) X D (straight down)
Tunneling/Undermining, wound bed, drainage amt and color, odor, surrounding skin
Weekly
300
Always document this when changing a VAC dressing to prevent possible infection.
What is "sponge count"
300
Demonstrate the application of sterile gloves
What is
the application of sterile gloves
300
True or False:
When changing a central line dressing, the Biopatch can be wrapped around the line any way as long as the edges touch.
What is "False"
300
Synch and check your schedule first thing in the morning and last thing at night; check your voice mail frequently - return TCs!; check your email daily. Alert the scheduler for assistance needed by 3pm the day before. Coordinate LPN sup visits with your LPN.
What is
Managing your schedule
400
Able to ambulate 22 feet then needs to sit and rest
Able to get out to see MD but naps for 2 hours upon return
Notable DOE ambulating over 20 feet
increased pain levels with ADLs
What is:
Examples of homebound reasons
400
Where can you place used/dirty dressings or gauze used for cleaning?
(a) On the barrier with your other wound care supplies
(b) On the floor
(c) In a plastic bag used for trash or a trash can
What is (c)
400
You enter a patient's home and the caregiver announces patient has had watery diarrhea constantly x 2 days. Name 2 immediate steps you should take.
What is " Call the MD for an order for a stool specimen to test for C. Diff AND follow C. Diff protocol for handwashing and gowning"
400
You open your schedule for Monday and see 9 visits. You see 3 of them are IV dressings with labs, so you move 2 of them to the next day because you can't possibly do all that. You are violating what cardinal rule of nursing?
What is a better course of action?
What is:
Not following MD orders.
Look at other patients to move; ask scheduler for assistance; call pharmacist and discuss; call MD directly
400
SOC clinician performs med rec>sec clinician places check mark if rec
What is
The Check the Bottle process
500
Monthly Foley or SP catheter change
Teaching wound care
Assessing for s/sx infection
Assessing for effectiveness of medications
Providing infusion site care and lab draws
What are
examples of skilled nursing services
500
Describe the process for changing a wet-to-dry dressing. Start with preparation and end with clean-up. Be sure to include hand-washing and glove changes.
What is :
Lay out all needed supplies on barrier, including gloves
a) Wash hands
b) Gloves
c) Remove old drsg – curl into hand and pull gloves off over old drsg for containment
d) Wash hands
e) Gloves
f) Cleanse wound per orders – discard used gauze in trash- *MEASURE*
g) Remove gloves
h) Wash hands
i) Gloves
j) Apply new dressing
k) Remove gloves
l) Wash hands
m) Discard used or empty supplies
n) Wash hands
500
masks, gloves, footcovers, headcovers, yellow gowns, white coveralls, goggle or masks with shields
What is
PPE
500
length and tip integrity
tolerance to procedure
appearance of site
application of dressing
What is
what to document upon removal of PICC
500
Team Meetings, voicemail, email, tasks, call 'em all
What is
Who does what and how does everyone else know?