Skin Integrity
This assessment tool needs to be completed each AM and PM shift
SSKIN Bundle
Post-operative observations are initially done every ___ mins for 4 hours
30 minutes
Longest English word without a vowel
Rhythm
To be completed within 8 hours of admission, if patient is over 65 years old, weekly - and to be reassessed after a patient's change cognitive condition, post fall and when clinically indicated
Falls Risk Assessment Tool (FRAT)
What to ask your buddy when you need a medication check
Check Please!
Patients who score moderate, high or very high risk on their PRAT require this to be documented each shift
Pressure Area Care (PAC) chart
Involves moving a piece of healthy tissue - including skin, muscle, and fat, from one area of the body to another to repair or reconstruct a defect or wound
FLAP
Only food with an eternal shelf life
Honey
Equipment to be used when transferring patient off the floor post unwitnessed fall (4)
Hovermat, Hoverjack, Air supply unit & Spinal board
The acronym used to identify which medications require double checking
APINCHS
On discovery of a pressure injury you can type this into EHR/Cerner to access a note template
.Pressureinjury
Condition characterised by increased pressure within a closed muscle compartment, leading to decreased blood flow and potential tissue damage. It can be classified into acute and chronic form
Compartment Syndrome
Continent which has all 4 hemispheres running through it
Africa
Most common time in hospital (hours) patient will have an inpatient fall
72 hours
Must refer to this when crushing medications for administration
Interventions to prevent foot pressure injuries (6)
Bed cradle, feet completely free from end of bed, heels completely free of wedge and mattress, toes completely free from bed sheets, bed extension, air mattress
Standard pre-mixed solutions of regional infusion medications
Bupivacaine 0.125% and Ropivacaine 0.2%
Pro Re Nata
All of this needs to be completed post a patient fall (4)
Post falls responder form, VHIMS, nursing documentation, phone NOK
What must each nurse do when administering oral medications to patients (7 steps)
Refresh MAR Summary, review medications for administration, scan patient's ID band and review patient details including allergies, dispense medication, tick the box in the MAW, watch patient swallow medication, sign off as administered
Common pressure sore areas on human body (7)
Back of head, shoulder, elbow, lower back and buttocks, hip, inner knees, feet/heels
This type of traction is commonly used for supracondyl/distal humerus fractures
Olecranon Pin Traction
Scientific term for brain freeze
Sphenopalatine Ganglioneuralgia
Name two (2) of personal or intrinsic factors and environmental or extrinsic factors to causing falls
Personal - Age, hearing and vision impairment, Balance or mobility issues, polypharmacy, history of falls, postural hypotension, cardiac arrhythmias, continence issue, pain
Environmental - poor lighting, slip or trip hazards, clutter, insufficient supervision, inadequate railing or unavailability of gait aids, inappropriate use of bed rails, personal items or call bell not within reach
Antibiotic that can cause QT prolongation
Macrolides (eg: azithromycin)
Fluroquinolones (eg: ciprofloxacin)