GENERAL/MISC
it is policy to check residuals on a a PEG tube/G tube
what is FALSE
length of time allocated to "scrub the hub"
what is 15 seconds
you must wait for antifacor Xa/PTT to result before starting heparin gtt
what is: FALSE
you wait for labs to be drawn but NOT for them to result
when to reassess after IV/PO Meds
what is 15 minutes for IV and 30 minutes for PO
...OR per admin instructions
steps after finding a patient down
what is
1. check for a pulse
2. call for help/initiate code blue
3. begin CPR
types of restraints
what is
chemical
violent
nonviolent
occurs q/shift for all patients with a central line
what is a CHG bath
happens at change of shift and when new labs result
what is dual RN sign off
commonly used medications to treat withdrawal/ meds to advocate for in CIWA protocol patients
what is Librium and Ativan
CPR to breath ratio
what is 30:2
(keep hands in place! time = perfusion)
monitor this value when on an amiodarone gtt
what is QTC
a central line that primary RNs CANNOT remove
what is a picc line
(VAT must remove midlines as well- although they are NOT a central line)
type of labs drawn
what is PTT/antifactor Xa
1500 CIWA: 16... 3mg PO ativan given
1600 CIWA reassessment 20
what are the next steps
what is notify physician and clinical supervisor
what is q/2minutes
code to unlock PCA pump
what is 722 (PCA)
3 examples of a central line
what is
PICC line
internal jugular
implanted port
trialysis catheter
subclavian line
how to get a heparin gtt to contribute to acuity
what is
inserting infused values into I/O flowsheet
risk factors for severe withdrawal
what is:
prior withdrawal
heavy alcohol use
increased age
comorbidities
steps to activating the ZOLL
whats is
1. turn on (dead to red)
2. analyze
3. shock
list one of the standards of pathway to excellence
(hint: there are six total)
what is
standard 1: shared decision making
standard 2: leadership
standard 3: safety
standard 4: quality
standard 5: well being
standard 6: professional development
supplies needed to remove central line
(hint: 5 items)
what is:
xeroform, gauze, Tegaderm, chlorhexidine, and nonsterile gloves (x2)
what to do if you see new signs of bleeding
what is
STOP heparin gtt immediately and notify physician
list 5 withdrawl symptoms on the CIWA scale
what is
orientation questions
auditory/visual hallucinations
headache
sweating
nausea/vomiting
tremors
three components of good HIGH QUALITY compressions
what is
1. depth
2. recoil
3. rate