PCA's
Scheduled Pain Medication
Measuring Pain
Hodge Podge Assessment
Potpourri
100
True or false: you can use a PCA syringe pump as a normal syringe pump?
What is False
100
How often are you required to chart a pain assessment on EVERY patient?
What is every 4 hours ( with vital signs )
100
When should you perform a pain assessment?
What is upon admission, with each new report of pain, and at least every 4 hours
100
How often do you change PCA tubing
What is 72 hours
100
Who can you call if an administrator on call is not a clinical person?
Who is De Anna. Please know that you can always call me and if I will help the best way that I can.
200
How do you document changing a syringe out of a PCA pump
What is on the PCA flowsheet. Be sure to chart who witnessed the waste in the double signature for waste, syringe, volume, and settings verification.
200
If you have Tordol scheduled every six hours, when should you chart a pain assessment?
What is before and 30mins-1 hour after the medication administration
200
What does a pain assessment include?
What is location, duration, intensity, character, frequency, and aggravating and alleviating factors.
200
What is the max time limit the nurse must reassess a patients pain level?
What is 60 minutes
200
If a DNV surveyor asks you where to find the quality information for infection rates, medication communications, care transitions ect.
What is the dashboard under the shared drive
300
Where do I document the wasted amount of narcotic from a PCA syringe?
What is in the PCA flowsheet under amount wasted.
300
If you are giving tylenol or ibuprofen, scheduled or not, when should you chart a pain assessment?
What is before administration and 30 mins-1 hour after administration
300
What must accompany every PCA machine that is connected to a patient?
What is capnography
300
Where would you go to see the meeting minutes from any of the committee meetings that have been done in the facility?
What is the shared drive under the meeting minutes folder
400
Where do I chart in Medhost, that I changed a PCA syringe?
What is the pca flowsheet
400
Should you document a pain assessment every four hours if you are taking care of a medical admit for dehydration who has orders for fluids only?
What is yes
400
If a patient is unable to give the nurse a pain number on the pain scale, how might she chart a pain level for this patient?
What is a modified FLACC or faces scale
400
What should you do if something out of the ordinary happens within the facility? For example a patient calls and cancels a surgery or a patient falls?
What is write a Web QI report
500
How often should you be regularly charting on a pca flowsheet if there are no changes?
What is every four hours
500
Which box do you select if you are giving a pain medication and doing an assessment with the administration of medication.
What is the box that states "assessment (to be coincide with daily physical assessment or assessment prior to med administration)
500
How does a nurse know if a patient has met a pain goal?
What is the admitting nurse will discuss with the patient a "comfort level" goal. This will be the care expectation to help the patient work to getting to a tolerable pain level.
500
Let's say you are working a night shift and your patient is asleep and you are doing a pain assessment but you do not want to wake the patient. What should you chart?
What is patient resting quietly with eyes closed. This shows that you were assessing the patient.
500
How often should you do a self chart audit?
What is once a week :)