Labs
True or False: With Beaker, I can send tubes with generic labels
Your patient has to use the restroom. You overheard the nurse saying they may have a hip fracture. What is the safest way to allow them to use the restroom?
Purewick
Discuss with nurse about team approach to bedpan
When leaving the room, one should always check that the patient has what item within reach?
Call light
True or False: When leaving a patient room, I can keep my gloves on as long as I didn't use them, and go out into the hallway.
FALSE
What are the goals of patient rounding?
1. Improve patient perception of care
2. Increase staff satisfaction and efficiency
3. Reduce call light use
4. Reduce patient falls
When do we use the emergency POC testing form?
In a situation where the patient does not have an armband, ex: code or neuro, after band and stickers print, fill out form completely (including patient sticker) and send to lab
Our time goal to complete an EKG once ordered is?
10 minutes
This device should be used when transferring a patient from EMS stretcher to stretcher or stretcher to bed or stretcher to CT scan
Hover mat.
Bonus question: Where are our slide boards located?
When sitting, the longest distance between myself and the patient should be:
within arm's reach
You are taking a patient to the floor and they have IV medications hanging. It is a medication you are not familiar with. What are your next steps?
Speak directly to the nurse and ask about the medication.
What electrolyte imbalance (high or low) can cause dangerous heart rhythm changes and requires cardiac monitoring?
Potassium
List three items that are one time use and should be thrown away or given to the patient upon discharge or admission
1. Coban
2. tape
3. wipes
4. wound cleanser, iodine,
5. Kleenex
In results pending, on the charger
How do you prepare seizure precautions?
Padding the side rails, ensure suction and oxygen is immediately available (set up and ready to use), keep bed in lowest position
How often should a patient be rounded on for safety and comfort?
Every hour
When collecting blood cultures, how many seconds do you scrub with cloraprep and how many seconds do you allow the site to dry?
30 seconds and 30 seconds, do not fan the site or dry with a cotton ball
Name three items that should always be in the room prior to a new patient arriving
Ambu bag (adult and pediatric), Christmas trees for oxygen hook up, suction canister with tubing and younker ready. (Bother: Monitoring equipment)
You come into the room and the patient is seizing, what are your first steps?
Yell for help, turn patient onto left side, look at clock to help with timing how long it is lasting
What is included in fall precautions?
fall band, grippy socks, side rails up, increasing rounds, bed alarm, sitter
What should I do before taking a patient down for testing or to their bed upstairs?
verify patient identity utilizing two patient identifiers (even if I have met them 30 times.)
Put the tubes in the correct order of draw
What are the four P's of patient rounding?
2. Potty
3. Positioning
4. Physical Environment
You come into the room and your patient is on the ground. What are your first steps?
Call for help, check on patient, do not move patient, are they confused? Do you notice any injuries or wounds? When help arrives, move patient to bed, check their vitals.
What is required with airborne precautions?
1. gloves, gown, N95 mask or PAPR,
Negative pressure room
Bonus: What diseases require airborne precautions?
When ambulating a patient around the department, what fall precautions should be taken if the patient is a fall risk or mentions they are feeling weak?
1. grippy socks
2. another set of hands for assistance
3. A wheelchair to follow the patient just in case they do start feeling weak