Feed and Treat Me/Body and Spirit
My HR is 140, my BP is 80/46, my RR is 26, and my Spo2 is 89. I have a fever of 102.3F. I could possibly have what process going on in my body and what will you do about it?
What is the sepsis continuum and what is start the sepsis protocol that includes treating my symptoms, finding the source of my infection, and administering antibiotics within 3 hours of my diagnosis (start the sepsis bundle)?
This type of isolation is utilized for a suspected or Covid positive patient.
What is Enhanced Droplet plus Contact?
(hot pink door sign)
This special cap is placed on all specimen collection ports of indwelling urinary catheters and all central venous catheters lines.
What is a Curos Cap?
Green and Red (pressure tubing)
I am the one to call if your patient would like to take their own medication from home while they are in the hospital, such as inhaler or eye drops.
Who is the pharmacist?
I will come and evaluate your patient if they are having difficulty with ambulation.
Who is a Physical Therapist?
I will come in to speak or pray with your patient or I can help you contact their own spiritual provider.
Who is Spiritual Care or the Chaplain?
A patient who was just admitted started having loose stools; these two things must be completed as soon as possible.
What is place the patient in special enteric precautions and obtain a stool specimen right away, but no longer than 3 days.
(nurse driven by policy)
All patients in the ICU require this special bath in addition to all other patients with central venous catheters and/or indwelling urinary catheters.
What is a CHG Bath?
When a patient is diagnosed with an ischemic stroke while in the hospital, upon discharge I will review their discharge medications to ensure they are on all the proper ischemic stroke medications. I will also notify the physician if they need to order the two appropriate quality control medications which are these.
Who is the pharmacist and what are statins and anti-thrombolytics such as warfarin, eliquis, xarelto and atorvostatin and simvastatin?
Your patient is having difficulty with dressing after rotator cuff surgery. I will evaluate and provide adaptive devices to assist them.
Who is an Occupational Therapist?
This type of diet does not allow you to have anything by mouth. It is commonly ordered on pre-surgery patients, patients with an NG tube, and is also what you will order for a stroke patient who has failed their dysphagia swallow screen.
What is an NPO diet?
I am used to treat respiratory distress in COPD/ CHF patients as a last resort prior to intubation. I provide bilevel positive airway pressure.
What is Bipap?
This type of dressing is used for central venous catheters and is changed every how many days
What is a CHG dressing and what is 7 days?
At Froedtert South, insulin is considered what type of medication and must be double checked/reviewed by this person.
What is High Alert and another RN or Pharmacist?
A patient trips and falls in the hallway as they are leaving the unit.
These 4 types of documentation are now required.
What is an Event Report, Post Fall Assessment, a Physician Notification Note and a Post Fall Huddle?
This type of diet only allows the patient to have items such as milk, ice cream, juice with no pulp, butter and pudding.
What is a Full Liquid Diet?
This type of isolation requires nursing staff entering the patient room to don an assigned N-95 mask or PAPR hood and be placed in what type of room.
What is Airborne isolation and a Negative Pressure Room?
The HOUDINIE anagram stands for the clinical indications for urinary catheters. Name each of those clinical indications.
What is Hematuria, Obstruction, Urology Consult/Surgery, Decubitus, I & O for hemodynamic instability, Neurogenic bladder, Immobilization and End-of-Life.
When discontinuing a PCA, the RN notices the syringe still contains over half of the narcotic medication. This is the first step in managing this medication situation before disposal in this container.
What is the remainder of the medication must be wasted properly in Pyxis with another RN or pharmacist and what is the RX Destroyer?
I can evaluate your patient if they are having dysphagia or dysarthria.
Who is a Speech Therapist?
This can provide you with information on patient education for any diets that are new to the patient, and you can locate it on the portal under reference manuals or through UPerform in Epic.
What is the Nutritional Care Manual?
I am a high alert organism that is also known as Vancomycin Resistant Staph Aurus (VRSA) infection. I will require what type of isolation.
What is Enhanced Contact Precautions?
Name 5 interventions you can do to help prevent CAUTIs.
What are CHG baths, Curos Caps on specimen port, prompt removal when no longer indicated, keeping the catheter bag below the level of the bladder, no kinks in the tubing, hand hygiene, good peri care, using external catheter when able, and using aseptic technique during insertion.
A patient states they take metoprolol 12.5 mg at home, but their physician has completed the home medication list and ordered metoprolol 25mg instead. In order to clarify, I am the one to call.
Who is the ordering physician?
I will need additional interventions if my fall risk score is greater than 7 on the Hester Davis Fall Assessment. Name 5 of them.
What are yellow socks, yellow gown, yellow sign on the door, alarm on bed and chair, yellow wrist band, room close to the desk, gait belt with ambulation, assist into and out of bed, stay with patient when they are up, frequent rounds, review medications.
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