HOURLY ROUNDING
Performed at the beginning of every shift and improves effectiveness of communication amongst caregivers, reduces the risk of omitted/missed information, and encourages patient's active involvement in his/her own care
What is bedside shift report?
2 types of consents required prior to starting a conscious sedation procedure
What is a procedure consent and anesthesia consent?
Scoring system used to assist in determining if the patient's appropriateness for discharge has been met
What is the Modified Aldrete Scoring System?
Request from a patient or family member for application of restraint, prevention of falls, and staff convenience
What are some contraindications to using restraints?
time in which a face-to-face reassessment must be completed after administering a medication in response to a behavioral health emergency
What is 1 hour?
meet patient needs, improves safety and clinical outcomes, increases patient comfort, improves patient confidence, and improves the nurse and care team experience
What is purposeful hourly rounding?
Must be documented by the physician prior to any conscious sedation procedure
What is a history and physical, ASA classification, and mallampati score?
Time a patient must remain in the hospital following administration of a reversal agent during conscious sedation procedure
What is 2 hours?
Increased observation, diversional activities, redirection, reality orientation, and offering liquid, food or toileting as appropriate
What are some alternatives to restraints?
Frequency of patient monitoring and assessment following administration of a medication for a behavioral health emergency
What is every 5 minutes for the first 15 minutes and then every 15 minutes until discontinued by the provider?
used at the beginning of the shift and as needed when discussing plan of care with patient
What is AIDET (acknowledge, introduce, duration, explanation, thank you)?
frequency of vital sign and level of consciousness assessment during conscious sedation procedure
What is every 1-2 minutes during the onset of sedation and every 5 minutes during the procedure?
Aldrete score to meet discharge criteria
What is an aldrete score of greater than or equal to 8 with no 0's or greater than or equal to pre-sedation score?
time limit after which an order must be reevaluated following application of violent/self-destructive restraints on a patient aged 18 years and older
What is 4 hours?
Must be documented even if unable to obtain a full set of vital signs
What are respirations?
the 5 P's that are addressed every time a nurse rounds on a patient
What are pain, potty, position, possessions and pathway?
scale used to assess sedation status
What is the Richmond Agitation Sedation Scale (RASS)?
Must be included in patient's discharge instructions following a conscious sedation procedure
What are post-sedation instructions?
Used to hold a patient in a manner that restricts the patient's movement against the patient's will in order to administer a medication against the patient's wishes
What is a physical hold for forced medications?
Can perform and document the 1 hour face to face reassessment following medication administration for a behavioral health emergency
What is a physician/other licensed practitioner, and a registered nurse other than the nurse who initiated the restraint and has demonstrated competency?
Must be filled out at the beginning of each shift and is utilized to show caregiver names for the current shift
What is the white board?
Person who must sign a consent that is timed prior to a patient signing a consent
Who is the physician?
Must be turned in to Rachel following any conscious sedation procedure
What is the checklist for Procedures Using Moderate Sedation?
Frequency of documentation of signs of injury associated with restraint/skin integrity, circulation/pulse, ROM in extremities and respiratory status after applying a violent/self-destructive restraint
What is every 15 minutes?
typed in the blank note box to populate the documentation for the 1 hour face to face reassessment
What is .chemical?