It is the loss or removal of a body part such as finger, toe, hand, foot, arm or leg.
Amputation
Do I need to complete the weekly evaluation form?
Yes
How often do we do CHG baths and on which patients?
Every night for patient with central lines.
Orientee: I'm going to be late. Preceptor has noted orientee has been consistently late. What do you do?
Ask the orientee what is the barrier. Communicate to orientee the attendance policy and escalate to nursing leadership team/education department. Document your conversation with the orientee.
What are the 5 program teams we have?
SCI, CVA, TBI, CIIRP, Amputee
True or False: I don't need to initial and date the competency forms.
False
How often do you do peri-care and on which patients?
What wipes do you use?
Every shift for patients with indwelling catheter.
Ready Cleanse (green) wipes
Orientee: I've done this before at my old job.
Preceptor: That's great to hear. Can you show me how you did it? I want to make sure you are doing it according to our policy.
Name the three common Spinal Precautions
No bending, No twisting and no lifting
True or False: I'm missing my orientee's signature on one of the competency forms. I can still submit it to my educator.
False
For skin integrity, PCT are responsible for ________ and RN are responsible for _____________.
PCT: reinforce skin management education, TAP, and notifying RN of skin issues.
RN: Education, wound care dressing, assessment, and escalating to MD.
Orientee: Can I come off orientation sooner?
Preceptor: Yes, but we need to have all your competency forms completed, and you are managing a full group on your own with supervision to ensure documentation and processes are followed.
The level describe the patterns or stages of recovery typically seen after a brain injury.
Rancho level
False
RN: When do you document vital signs for blood transfusion?
PCT: When and where do I document interpreter services?
PCT: For patients with LEP, and in I-View Cerner interpreter services.
You noticed your orientee is disengaged, not following you and always disagreeing with you. How do you approach them.
Ask them what is going on and determine if there is a misunderstanding. As a teacher/preceptor we need to engage in different learning style and teaching style. Some new hires have no experience and some do. First learn what they are capable of doing.
a condition that emerges after a spinal cord injury, usually when the damage has occurred above the T6 level. Common symptoms are fast increase in blood pressure, bradycardia £ing headache .
Autonomic dysreflexia
True or False: Additional resources can be found on the education department SharePoint. This can be used to help with completing the competency forms.
True
The patient ate half of their food and finished their ensure. What is the percentage of intake?
75%
Preceptor: I do not feel comfortable signing off the new hire's competency form. But I know it should be done. I will sign them off anyways.
Never sign off on a competency form if you feel they are not competent in the skills. Your signature validates the new hire's skill. Never feel pressured to "pass" them. You can always make comments, i.e. repetition required and was successful after multiple attempts.