BLOOD
Go get a Biohazard Response Spill kit within 30 seconds
South Hall Storage
Can you clean a stoma with soap and water?
No. Do not use soap on stomas.
What is a fall?
An event which results in a person coming to rest inadvertently onto a lower level.
What are the 5 rights?
Right route, resident, medication, time and dose.
Should we be toileting residents before meals even on second shift?
Yes.
How are blood-borne pathogens transmitted?
These pathogens can be transmitted from on person to another through contact with blood and other body fluids
When do you flush a PICC line?
Before and after IV medication administration.
True or False
CNA's can do post-fall assessments.
False.
A nurse must do the post-fall assessments.
What to you do if there is a discrepancy with the narcotic count?
Notify DON or ADON
What are the signs and symptoms of hypoglycemia?
Confusion, irritability, diaphoresis, cool to the touch, tremors, weakness, visual disturbances.
What is the first step when you suspect a UTI?
Fill out UTI SBAR and fax it to physician.
Who needs notified as soon as possible if a fall sends a resident to the hospital?
Family
DON/ADON/Administrator
DIA
After administering eye medication, what should you do next?
Instruct resident to close the eye(s). Then press tissue against lacrimal duct gently.
True or False
An INR greater than 3.0 will be called to the physician. The anticoagulant will be held until the physician returns the call.
True.
Greater than 3.0 will be called. Hold medication until further instructions.
For continuous tube feedings. Fill the bag with ___ hours of the formula.
8 hours
If a resident falls and hits their head or suspect the head was hit what are the extra steps post-fall?
Vital signs and neurological assessments at the following intervals:
Q15min X4, Q30min X2, Q1hr X2, Q4hr X2, and Q-Shift X 24hours.
What is the best position for the resident when giving rectal suppository?
Left lateral position.
How do you treat hypoglycemia in an unconscious resident?
1. Give 1mg IM Glucagon
2. Recheck blood glucose levels
3. As soon as the resident is able to swallow have resident consume 15-20 grams of glucose or simple carbohydrates.
4. Recheck blood glucose level
5. Contact provider. DO NOT five antidiabetic medication until the provider is notified.
6. Document.
Insert indwelling catheter.
Using aseptic technique, place and indwelling foley catheter into Al.
Do a post fall assessment.
Find the injury.
Give a rectal suppository.
JUST KIDDING