Safety
Regulatory
Standards of Care
Quality
Miscellaneous
100
Where do you chart transfer of accountability?
What is in the adult care and treatment tab under nursing handoff communication
100
If the adult health profile admission assessment does not automatically load into your activities and interventions, where you can find this form to chart it?
What is in the AdHoc form
100
What is included in charting a full head to toe assessment?
What is Morse Fall scale, pain assessment, psychosocial, neurological, coma assessment, neurovascular check, EENT, respiratory, cardiovascular, edema, integumentary, braden assessment, integumentary management, gastrointestinal, genitourinary, musculoskeletal, range of motion
100
How often does oral care and aspiration risk need to be documented?
What is BID?
100
What is a normal ETC02 reading?
What is 35-45 mmHg
200
What does it mean to pause 4-safety?
What is Transfer of Accountability
200
When do IPOCS need to be initiated?
What is within the first 12 hours of admission. Also acceptable with any new change in patient status
200
How often do ADL's need to be charted at a minimum?
What is Q2 hours
200
How many times a day do BMAT 3 & 4's need to sit in the chair?
What is BID
200
What is this rhythm?
What is Torsades de Pointes
300
How often should the whiteboard be updated?
What is QShift?
300
How often does patient education need to be charted?
What is qshift?
300
Who is responsible for daily weights?
Who is EVERYONE
300
How far do BMAT 3 & 4's need to ambulate per day?
What is 100ft
300
How often should the foley catheter drainage bag be emptied?
When is every 4 to 8 hours or before it fills up
400
When should patient bed/chair alarms be on?
What is for ALL high fall risk patients
400
List all items that need to be documented for restraints
What is: initiation order, MD order for renewal, MD order for restraint use, q2h circulation, sensation, movement checks, q2h nursing assessments, restraint alternatives, AVPU, orientation, readiness to discontinue, restraint application, pain, general care (food/water, ROM, toileting), nursing handoff, education, IPOC
400
What needs to be charted in addition to head to toe assessment and ADL's?
What is I's & O's, vitals and measurements, lines, tubes, drains, adult education, & IPOCS
400
What is the correct process for PPID?
What is scan the patient's wristband, collect the sample, put the label on the sample, scan the label, send to lab
400
When does the initial pain assessment need to be completed?
When is within 4 hours of admission?
500
How often do bed/chair alarm audits need to be done on each unit?
What is QShift!
500
Where do you document post pain assessment?
What is FROM THE MAR?
500
How often do CHG baths need to be done on patients with central lines?
What is DAILY
500
How often are central line dressings changed?
What is once a week or when visibly soiled
500
If a patient comes in with a central line, who is responsible for charting and line care?
Who is NURSING!!