Hemorrhage
The 4 T's of Hemorrhage
What are tone, tissue, trauma and thrombin?
What does CAUTI stand for?
What is Catheter Associated Urinary Tract Infection?
How often should you change a central line dressing?
What is every 7 days unless visibly soiled?
How long do we check a pulse for?
What is 5-10 seconds?
Name 4 ways that staff becomes qualified and trained to use restraints.
What is
1- CPR Certified
2- Return Demo
3- Trained in regulatory requirements (LMS & Powerpoint)
4- First Aid training (LMS)
How long after delivery should QBL be measured for?
What is 12 hours?
How do we cleanse the patient if they have a betadine allergy?
What is Soap and water?
How can nursing get a chlorohexidine bath order?
What is go into Orders, then nursing orders, and sign off daily chlorohexidine bath?
When shocking what to we need to ensure?
What is verbalizing "you're clear, I'm clear, all clear"?
Name 3 de-escalation techniques
1- Music
2- Active Listening
3- Food/drink offering
4- Diversional Activities
5- Give space/ allow for movement
6- Increase observation
What does calling a Code Noelle do?
What is notify additional OB staff? *Does not get blood quicker*
Fluid used to fill a foley balloon
What is sterile water?
What do you need to use a central line?
What is a confirmatory x-ray and order to use?
What is required during a maternal resuscitation that is not required for other patient populations?
What is displace the uterus to the maternal left side?
What is seclusion?
What is involuntary confinement of a patient alone in a room where they believe they are prevented from leaving the room?
Patient s&s: Narrowed pulse pressure, HR >100, RR 20-30, diaphoretic, weak, urine output 20-30cc/hr. What stage of blood loss do we think this patient is in?
What is stage 2?
What is the best way to deflate and remove your foley?
What is Passive Deflation?
What are the 6 areas to clean when chlorohexidine bathing?
1- Chest
2- Both Arms
3- Abdomen & Hips
4 - Back
5- Legs
6- Buttocks
What is the rate of compressions to ventilations at SBUH?
What is continuous compressions with one breath every 6 seconds?
Who can initiate restraints and how long till the patient needs an order?
What is any RN qualified and trained and order must be placed within 5 minutes? Also place on 1:1
What are three medications that can be used when a patient is bleeding and what are their contraindications?
What is:
Cytotec- Caution use when pregnant
Methergine- High BPs
Hemabate- Asthma, Renal Impairment, Liver Impairment, Cardiac Disease
TXA- no contraindications
Oxytocin- Can cause hypertension
What is the maximum amount of time a foley can be in for a culture to be drawn?
What is 48 hours?
When are two times I need to replace my needless connector?
1- Prior to blood culture sampling
2- 7 days after infusion initiation
3- After 4 hours or 4 units of blood administration
What is the amount of time after a code is called that we want to facilitate delivery?
What is 4 minutes to incision and 5 minutes to baby?
What should we be assessing q2 hours for our patients in non-violent restraints? Name 5
Elimination, Range of Motion, Nutrition, Hydration, Hygiene, Physical and Psychological Status, Comfort, Remove Restraint/Reapply