Emergencies
During severe weather, when should you move all residents to the basement?
-When a tornado watch turns to warning, or tornado sirens go off
If there is a low blood pressure, who should you call?
on call
What are the steps to complete before reordering a PRN medication?
Check all PRN's in cart
Check overflow in med room
Double click medication in EMAR tp refill
What do you do if you find a med error?
-Fill out medication error report in Elder mark, Risk Management.
What is a normal blood sugar?
What do you do if its high?
What do you do if it is low?
70-120
Give insulin, drink water
Low: Give a sugar and carb, (orange juice and sandwich) recheck BS after 15 minutes.
Where are the emergency supplies stored?
Second boiler room
Who do you contact if a resident gets stuck in the elevator?
Marty
How long is a insulin pen good for after being opened?
28 days
When did the USA become a country?
1776
You are sending a W2A about a resident's new sore on bottom, what W2A type would you choose to categorize it under?
Weight change, Intake change, skin condition, difference-other, mobility, output, agitation, communication, tiredness/weakness
Skin condition
What should you do if a resident refuses to leave the building during a fire?
Shut resident's door and let fire department know the room number of residents room
You notice a resident has been gone for 2 hours and did not sign out or let any staff know, what should you do?
Check to see if resident is in building or outside (ex: room, bathrooms, dining room, smoking area, living rooms, etc.?)
If not, call Hayley and she will determine a plan
Guardians should also be called
Scheduled time 8pm.
745pm-815pm
How do you determine how many clonazepam's a resident was given throughout the day if they are scheduled to only get it PRN three times a day
Elder mark
Resident chert
Choose resident
Orders
Choose medication
Delivery history
What duties should be completed at the end of your shift? (7)
-Clean cart with purple wipe
-Restock diabetic supplies
-Restock cups, spoons, etc.
-Clear PRNS
-Fill water
-Take trash
-Finish charting
What medications on the weekend should you call Lotus for to get an emergency refill?
-Insulin
-Warfarin
-Clozapine
-Xarelto
What are five things you should report to on call
-High/Low blood sugars
-Falls or other incidents
=Medication errors
-Change in conditions
-Sending someone to the ED
What do you do if you are at the end of the medication cycle and you are out of meds.
Pull from new cycle & W2A what medications you pulled.
Order:
Clonazepam 0.5mg
Give 1/2 tablet twice daily
How many MG are they receiving?
0.25mg
What are five things you should report at shift change?
-Showers given (linens changed)
- ER visits
-LOA
-Things that are out/ need to be reordered
-Residents not feeling well -Laundry needing to be changed
-Out of range vital signs
You find a resident in their bed unresponsive, what are five things you will want to do?
1. Call for help
2. Check their code status
3. Call 911
4. Start CPR
5. Call guardian/admin after
What are three reasons to call a guardian?
-Incidents (Falls, resident to resident altercations)
-ER/Hospitalizations
-Missing resident
How to sign in a narcotic?
-Sign pharmacy delivery paper
-Fill out controlled substance delivery sheet & put in nursing file
-Fill out index
-Fill out top of narcotic page
-Add page number to card
What "Rights" should you be checking before giving medications? (5 rights_
-Right person
-Right time
-Right medication
-Right route
-Right documentation
What should you do if a resident comes to you and states they are missing money?
Fill out a grievance report and turn in to Sunday.