Keep the Germs Away
This is the correct dressing type for a transthoracic line.
What is a CHG dressing?
This type of bed is considered a restraint and requires an order.
What is a posey (enclosed) bed?
This is the length of time that feeds are good for at room temperature.
What is 4 hours?
This is how often non-violent restraint orders need to be renewed
What is every 24 hours?
The night shift nurse says they changed the PICC dressing, but they did not document it in the flowsheet and did not date the dressing. What do you do?
What is cry? And then redo the dressing and document it?
When cleaning a central line site during a dressing change, this is how long you scrub for.
What is 30 seconds (unless it's femoral...then it's 2 minutes!)?
This is the only movement restrictive item that does not require an order to use.
What are the no-no's?
This is what you should do if you don't have a label to scan for your feeds.
What is double check with another RN (if MBM/DBM)? What is double check against the active feed order (if formula)?
Your patient has ECMO cannulas that are too high, and everyone is freaking out. What order might you expect?
This score should be documented within 12 hours of admission.
What is the Braden score?
It's Friday night. You're working hard. Close to midnight, you happen to notice that your patient's lines have "Change Friday" stickers on them. What do you do?
What is change the lines?
This device helps ensure that chest tubes are properly secured to the chest/abdomen and should be used on every patient.
What is a cinch?
Fresh/never frozen breast milk is good for this long in the refrigerator.
What is 96 hours in the refrigerator?
Your VAD patient just turned 4 months old! This is the order you should ensure is active for this patient.
What is a type and screen recurring every 72 hours?
This type of bath should be given and documented at least every 24 hours.
What is a CHG bath?
This dressing is removed after 4 days unless soiled.
What is Ioban?
This is the required frequency of non-violent restraint documentation.
What is Q2H?
Your patient is using a home formula that is not stocked at Duke. What actions should you take in order to use the patient's home formula?
What is ask the parent to bring in an unopened can and send to PIN room for preparation? Provider can place an order (e.g. ok to use home formula/mix at bedside) until the new container can be supplied to the PIN room.
When performing a skin assessment, you find a purple streak under some IV tubing that was strapped in your patient's arm board. You take the arm board off and wait two hours, but it is still there. What do you do next?
What is take a picture to put in Epic, document the area in your skin assessment, and place an order for a wound consult?
You should observe and document this important fact about your NG/ND tube every 4 hours.
What is the number or mark at the nare?
Your patient on contact/droplet needs to go for a walk. This is the PPE that you should wear.
What is nothing!! (unless direct patient care will be needed for ambulation - the healthcare worker may wear gown and gloves paying special attention to not contaminate the environment)
This needs done as soon as restraints are completed and can be done by a RN.
What is discontinue the restraints in BOTH the flowsheet and the orders?
The rounding team places a feed order of Enfaport 20kcal at 10am. You know you need to call the PIN room to alert them of this new order since it was placed after 0900 (when they pull orders to prepare the next batch of feeds). While waiting for the Enfaport to arrive with the next feed delivery, you grab this formula to use.
What is the powdered emergency stock/backup found in the nutrition room cabinet?
When requesting the IV team come place a PIV, these 2 orders must be in place.
What is "Communication to Vascular Access Team, Insert PIV, Pediatrics" and "Peripheral IV Access, Obtain and Maintain"
You are sending a Type and Screen so you obtain blood and fill one lavender microtainer. Ten minutes later, the lab calls to alert you that the lab cannot be run. What went wrong?
What is you did not send an adequate amount of blood for this lab? A MINIMUM of 1ml is needed to perform a type and screen (in a large purple top EDTA tube).