Policies & Procedures
Urine specimens should not be collected from indwelling catheters after this amount of time
48hrs
These are the last 4 digits to the STAT team cell phone number
5686
To communicate a critical finding of a patient to a covering physician over the phone, one should initially use this communication method
SBAR
Your patient has a central line. This is when the dressing needs to be changed
Every 7 days, when dx is not intact, or is soiled
What is the most common preventable surgical prevention complication for abdominal surgeries?
surgical site infection
Your patient K+ is 2.9, they are at risk for______ and should have on this____.
Arrythmias; Telemetry
The one thing that the STAT team can NOT order when called to a concerning patient
Medications
Effective Handoffs
These are the 3-hour bundle elements of the Sepsis Promise Package
Antibiotics, Normal Saline, Lactic Acid, Blood Cultures
In the Emergency Department, how do you call a code STEMI?
You call the charge nurse and they notify the secretary who calls carelink and they page the STEMI to all those who need to see the patient.
What are the Indwelling Catheter (Foley) Maintenance Bundle elements?
1) Nursing indication for indwelling catheter documented 2) Red seal intact 3) Securement method intact 4) Perineal hygiene performed 5) Drain tube and bag care
Refer all patients within ___ hr of asystole for tissue and eye evaluation
1 hour
Validate and Verify is an example of this letter in the S.A.F.E. acronym
Ask Questions
These are the elements of the clean for you education
1) Clean Hands 2) Clean Bed 3) Clean Room 4) Clean Patient
What is the role of the Transition Nursery Nurse?
They assist in caring for the newborn during the first few hours of life allowing the L&D nurse to focus on the mother.
How often do you document restraints on a violent patient?
Every 15 min
Name 3 of the 5 organ donation referral criteria.
GCS<5; Prior to withdrawal from life-sustaining therapies, Prior to DNR or comfort care orders, prior to referral to hospice, family mentions donation or asks about next steps.
Name and explain the mnemonic for Effective Communication.
CARES
Clarifying Questions
Alphanumeric language
Read Back and Repeat
Effective Handoff
SBAR
Are nurses allowed to put in an order for C-diff collection? Why or why not?
No they are not. To prevent unnecessary testing. The MD must place this order. There cannot be a verbal order.
If an emergent patient bypasses pre-op but CHG bathing, hair clipping or warming are performed by the OR nurse how/where is it documented?
This can be documented in the "skin prep" section of the current workflow. Patients classified as emergent are excluded from the horizontal SSI prevention measures (PAT CHG bath, pre-op CHG bath, hair clipping, and pre-op warming)
List the different 6 types of restraints used at the bedside?
Wrist, ankle, mitt, belt, chemical, seclusion
What is in the bottom drawer of the crash cart?
The orange airway box & suction supplies
What does the SAFE stand for in Always SAFE 2.0?
Support the Team
Ask Questions
Focus on the Task
Effective Communication
Do Telemetry orders expire?
No. They should be reviewed regularly scheduled intervals for continuing medical necessity.
In the NICU, where and what kind of central lines are placed?
PICC Single Lumen (Peds)
PICC Double lumen (PEDS)
UVC Single Lumen
UVC Double lumen (PEDS)
UAC
CVC Single Lumen