Indwelling Lines
Should be done daily on patients with indwelling lines.
CHG baths
This restraint type is renewed every 24 hours.
Non-Violent
Blood can only be infused with this IV fluid.
Normal Saline
Rapid Response number?
4444
How often is a PTT drawn on a patient until they are therapeutic.
Evry 6 hours
Central line dressings should be changed every ____ days.
7
Patients presenting with risk of suicide have to be considered ____ or ____ prior to discharge.
Low or No Risk
Blood Transfusions must be initiated within ____ minutes after obtaining it from Lab.
30
Who is responsible for charting the rapid response clock?
The nurse calling the rapid.
Where should specimens be labeled
at bedside
Indicates an air leak with a chest tube.
Bubbling
Restraints were removed on a patient 1 hour ago, the patient is now requiring them again. What should you do?
Notify MD and place a new order
When ordering blood, you must order:
What is required to obtain a MEWS score
HR, Temp, BP, RR, O2, Level of consciousness
A physician order is required to collect blood cultures from indwelling lines that are ____ hours old.
>48
When setting up a chest tube, the suction should be set at ____ and the wall suction should be set at_______.
20 and 80
The only form of restraint that can be used prn in a 24 hour period.
Geri Chair
2 units or 4 hours, whichever comes first.
Surgical patients with incisions are to receive nozin for 7 days. You should administer nozin every ___ hours.
12
Reasons for foley placement.
(hint: 7)
Critically Ill
Assist with sacral or perineal wounds
end of life
S/P urologic surgery
GU tract surgery
Prolonged Immobilization
Urinary retention or bladder obstruction
This level of suicide risk required patients to have someone with them at all times.
High Risk
List the steps taken if a patient has a transfusion reaction
stop blood
notify MD, Blood Bank, and Charge nurse
Check vitals Q 15 minutes
Send remaining blood to blood bank
Document reaction
record amount of blood infused in tar
True or False: Narcotic medications should be wasted immediately with a witness.