Precautions
TED hose, ace wrap, abdominal binder
What are ways to prevent orthostatic hypotension?
Ace wrap, shrinkers, limb guard
What are ways to prepare a residual limb for prosthesis fitting?
This is the name of the modified diet system that was adopted by Prisma Health and is recognized worldwide.
What is IDDSI (International Dysphagia Diet Standardization Initiative)?
What are: moisture, pressure, friction/shear, poor nutrition, SCI
This equipment helps to prevent pressure injury by evenly distributing pressure and use of wedges.
What is the AirTAP?
These are cardiac/sternal precautions.
What is : do not push/pull with arms, raise arms above head, lift more than 5 lbs., or use arms to get out of bed.
Arm trough, wheelchair tray, upper extremity sling
What are types of equipment used to prevent shoulder subluxation?
This is the type of radiological study that a speech language pathologist performs when addressing a patient's dysphagia.
What is an MBS (Modified Barium Swallow)?
This is the minimal time to maintain a pressure relief position for a patient in a wheelchair.
What is 2 minutes (preferably 5).
Name (2) conditions that increase a patient's pressure injury risk.
What is 1)poor nutrition, 2)decreased weight, 3)immobility, 4)diabetes, 5)poor circulation, 6) SCI
Name (3) low stimulation guidelines used for patients recovering from a TBI.
What are 1)Limit distractions, 2)Calm interactions with patient, 3)Quiet Room, 4)Limited visitors and length of visits, 5)Dimmed lights
Name 3 reasons a patient may need to wear a splint or brace.
What is to Gain movement, Stop movement or Restrict movement?
Drooling, coughing, pocketing of food, recurrent lung infections, reduced appetite
What are symptoms of dysphagia?
Name (3) goals for post-amputation rehabilitation.
What is 1)shape residual limb, 2)protect residual limb, prevent contracture formation, 3)improve mobility, 4)decrease edema and 5)decrease pain.
This is the type of assessment for skin integrity that is required to complete every shift at Prisma Health.
What is a second set of eyes skin assessment. At least one of the two team members is an RN.
Itching, cramping, warmth, burning, tingling, moving.
What are common phantom sensations post-amputation?
This is used to diagnose current level of recovery and predict progression of recovery with a patient who has a disorder of consciousness following TBI.
What is the Rancho Los Amigos scale?
This is best practice for frequency of oral hygiene if patient is NPO.
What is every four hours?
flushing of skin and sweating above level of injury, blurred vision, headache, seeing spots, slow heart rate, nasal stuffiness
What are signs of autonomic dysreflexia?
Every 30 min when patient is sitting in a wheelchair.
What is the frequency of pressure relief?
In SCI, fingers flex when wrist is extended and fingers extend when wrist is flexed.
What is a description of the tenodesis grip??
This piece of equipment is used after a BKA to protect the residual limb and prevent knee flexion contracture.
What is a limb guard?
Position patient at 90* for meals, keep head elevated at 90* at least 30 min after meals, monitor breathing ability, check for pocketed food, monitor temperature
What are Aspiration Precautions?
Patients are at risk for Autonomic Dysreflexia if their injury is at this level.
What is T6 and above?
Name (3) pressure points that must be offloaded for pressure injury prevention.
What are: Supine: back of head, shoulder, elbow, buttocks, leg, heel? Sidelying: ear, shoulder, elbow, hip, thigh, leg, heel?