Assessment
Airway
Breathing
Circulation
How often do you chart IPOCs?
How often do you chart patient education?
IPOCs at least once a day
Patient education at least once a shift
What are the critical highs and critical lows on the glucometer? What do you do if your patient's blood sugar is ciritcaly high on the glucometer?
critical low < 50
critical high > 500
must send a BMP to the lab if your patient's blood sugar is > 500 on the glucometer
How often do you reposition a patient in the bed or in the chair?
Q2 hours for bed
Q1 hours for chair
What does SBAR stand for?
Situation
Background
Assessment
Recommendation
How often do you perform and document a pain assessment?
Medsurg: at least once a shift, prn, and after analgesia administration (30 min for IV and 60 minutes for PO)
ICU: at least Q4 hours and prn after analgesia administration (30 min for IV and 60 minutes for PO)
How often do you chart a Morse Fall Scale Score?
Admission, once a shift, after a status change, after a fall, after receiving sedation*
How many seconds do you have to scrub the hub?
How many seconds of dry time is needed after scrubbing?
Scrub the hub for a minimum of 15 seconds.
Allow a minimum of 5 seconds for dry time
If your patient is on a simple face mask, how many liters minimum of O2 must be delivered
a minimum of 6 and up to 12L
Where do you chart critical results? What is the time frame for reporting and documenting critical results?
In adhoc
You have an hour to report and document critical results
How do you know if wrist restraints are tightened appropriately?
How often do you perform and document oral care?
Medsurg: at least once a shft
ICU: perform oral care a minimum of q4 hours and brush teeth at least q12 hours
True. Best practice is to utilize "push pause" or "pulsatile" flushing for both PIV and central access lines
How often do restraints need to be reordered?
Every calendar day
Your patient is diagnosed with a new diagnosis of type II diabetes. How you consult the diabetes educator?
You put in an order to "SHY consult diabetes educator" and then call the diabetes educator
What are the four orientation questions you should ask your patient at least once a shift?
Name, place, time, situation
within 30 minutes pre transfusion
15-30 minutes after transfusion start time
within 30 minutes post-transfusion
Name the 5 rights of medication administration
Right patient, right time, right dose, right route, right medication
You pull out IV hydromorphone from the medication cabinet. What is the time frame for administering the controlled substance? What is the time frame for wasting the controlled substance?
Must give within 1 hour
Must waste within 1 hour of removal
Explain closed looped communication. Give an example
a structured communication method where a message is sent, repeated back by the receiver, and confirmed by the sender to ensure accurate understanding.
How do patients benefit from hourly rounding?
reduced need for call bells
reduced falls
reduced skin breakdown
True or false, you must document the blood product arrival time in the chart
True: document the time the blood product arrives to your unit in "comments" under "Blood Product Administration"
6 hours
72 hours
Spike TF bags Q48 hours
Open TF bags Q24 hours
Explain the process for obtaining a in person or online interpreter
in person: contact patient relations
online: use Voyce - accessible though the infonet