Medications
What is required when administering pain, anxiety, etc PRNS meds?
What is add the scale (1-10) for the reason given and documentation of the effectiveness after administration
When can assessments be skipped(not completed)?
When is never!
What is the first step in ensuring an accurate blood pressure reading?
What is selecting the correct blood pressure cuff size?
When should the medication cart be unlocked
When is ONLY during current medication pass with the tech present. All other times the cart should be locked
What is the process for BAC upon admission
When do you hold Valium?
When is only when the client is over sedated
Who approves for the clients to change from Q1 to Q3 to Q6, etc?
Who are the nurses only!
When do you have to do repeat vitals on a client?
When is whenever they are out of range/abnormal a follow-up vitals should be completed via PRN vitals assessment.
When is 10 min before or after they are due
What is the process for medication administration and obs logs during outings?
When do you hold a clients medications?
What is after you have assessed the client and the hold parameters are observed and the medication timeframe is closing.
How early can you completele assessments?
When is no more than 30 min before or after they are due.
When would you verify a clients blood pressure or heart rate manually?
When is whenever the clients vitals are out of range for multiple readings.
When do initial UA's need to be sent to the lab
What is within 24 hours?
What needs to be sent with the clients if they get sent to the ER
What is the clients facesheet, medications list, and nurses phone number for nurse to nurse report.
What parameters do you hold Clonidine?
SBP less than 120 or pulse less than 70
What are the necessary aspects to complete accurate CIWAS/COWS
What is assessments that are individualized to that client for that specific time frame with varying information and not copied/pasted.
What blood pressure and pulse readings would you notify medical of?
What is blood pressure below 90/60, above 160/100
Pulse less than 50 and over 120
What is the process for putting meds to be destroyed?
Placing them in KIPU log with initials and written down on the destruction log paper
What do you do if a client needs meds picked up and a pending meeting for the clients?
Prioritize the medication pick up and contact clinical if unable to attend the meeting.
Demonstrate a medication pass
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What the assessment and vitals protocols for detox/RTC
ALL clients: Vitals and assessment upon intake
Detox: Q1vitals and Q3 assessment x 24 hours, Q3 24-48 hours, Q6 48+ hours- obs during detox until at least 24 hours after last taper
RTC: BID vitals and assessments, 72 hours obs
No taper+Detox LOC= detox protocol/obs
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When should you advise clients to decline medications
When is never.. especially to go off site.
What do you do when the meds on hand don't match the doctors order. Ex: Subs 8mg 1 tab ordered, but you only have 2 mgs on hand
What is contact the medical team to inform of discrepancy and update orders.