Restraints
To reduce risk of skin injury, the RN needs to check under soft and locked restraints this often
What is every 2 hours
A risk assessment tool used to predict the likelihood of pressure ulcers
What is Braden Score (lower number = higher risk)
When helping a patient who is unstable, impulsive, has cognitive impairment, or is a risk for injury from fall to the bathroom, they are a __
What is a STAR patient
(these patients need yellow blanket, yellow socks, yellow sign outside door, and yellow bracelet)
This level of urine in foley bag means it is too full
What is 1/2 full
Where is the 6MB Quality Champion poster board located?
What is the report room (on the first wall to the left)
A pt with bilateral upper extremity weakness is in the broda chair w/ a tray table in place. What device is acting as a restraint?
What is a tray table
Where on the nose should the new clear nasogastric securement device be placed?
What is the side of the nose (please do not place on the middle of the nose)
What should always be turned on when leaving a patient in bed?
What is the bed alarm (make sure the bed alarm plugs are plugged into the wall)
This antimicrobial dressing helps prevent CLABSIs and needs to be changed every Saturday
What is a chlorohexidine dressing
(ALSO: 24hrs after line placement, change to chlorohexidine dressing.)
Which key are we always looking for on 6MB?
What is the closet key
What do you do with locked restraints that are difficult to lock?
These restraints can be placed in the yellow bin the the dirty utility room. Then please write a Safety Net Report (PSN).
Number of layers that are allowed to be under a patient
What is 3
Bedside commodes and bedside walkers should be kept here
What is next to the bed and within reach of the patient
This care needs to be done every 24 hours for patients with Central Line, PICC, or HD line & for patients scheduled for OR
What is CHG bath
(Wash up to the chin and don't forget to chart! For CHG allergies, use purple wipes.)
Which current 6MB staff member has worked at HMC the longest?
Who is Lorri Brandle
When increasing or decreasing the number of restraints, you need a new order & to chart this section
What the pre-restraint assessment
This device should be used for any patient unable to lift or move their head
What is Z-flo pillow
(Call to order from Med Stores!)
Two items that must be ordered if patient has had a fall this hospitalization
What are low bed and fall mats
(This can be ordered by RN)
Needleless Access Devices should be changed after these 2 events
What are blood draws and dressing changes
(Don't forget to chart!)
What year did 6MB open?
what is 2008
This should be charted in the restraint flowsheet and nursing note for restraint justification
What is patient specific behavior
Head to toe assessment that needs to be done every shift - focuses on the skin overlying bony prominences, inside skin folds, and under medical devices
What is Complete Skin Assessment (CSA)
(Use good lighting and make sure the skin is clean and moisturized. )
This is considered a bleeding risk on the Risk of Injury ABC's Scale
What is therapeutic: heparin gtts, Xarelto, apixaban (YES bleeding risk)
(Not considered bleeding risk: prophylactic interventions such as Sub Q heparin, SQ Lovenox, Plavix or aspirin.)
This should be avoided to encourage proper urine drainage and prevent urine backup into the bladder
What is dependent loops
What object do we never touch near the charge front desk?
What is Lorri's crystals