Wound Care/Wound Vac
After how many hours of vac inactivity do we switch to wet to dry?
STAT EKG Overnight
On the Web Directory, "on call EKG MMC" or call 201-317-6223
T/F we can use a simple face mask on the floor
True
Hover Jack
Desk 3, Davino 1 and Gagnon 1
T/F we need an order to flush an NGT
False, the standard of care is to flush NGT qshift unless there is an order to NOT DO SO
Name the 2 main pieces of an ostomy appliance
Wafer and bag
Your patient is looking like they're deteriorating, who can you call for a second opinion?
The PCF/charge RN, critical care outreach RN, ANM, surgical resident
Name 3 benefits of calling an RRT
1. Resources to the bedside
2. Assistance with bed escalation
3. Decreases "medical alert - cardiac arrest" calls
Where is MRI
Level D
T/F Once an IV is hep locked, we no longer need to flush it- since we arent using it
false, we need to flush our IVs every shift
T/F bedside nurses stage wounds
False- we cannot stage- we can document what they look like
Your patient expired- it is not known if they are an organ donor. Do you still need to call the Sharing Network?
Yes, every patient regardless of known status gets a call to the sharing network
T/F-Your patient is having irregular breathing but no pulse, you only need to call a RRT
False, no pulse indicates need for "medical alert - cardiac arrest"
Where is central supply?
Level C
How do you label a dressing that you used Mastisol on?
DOUBLE JEOPARDY
T/F after a wound is staged, as it heals you document the different stages of the wound
False, once it is staged, you cannot back down on the Stages, it would remain at its highest stage
Your patient is a hard stick, 4 nurses have tried. It is after hours- who can we call for off shift IV assistance
The outreach RN, secure chat the night IV team or the surgical resident with u/s
What do you do if your patient's trach dislodges
Have the obturator available- call respiratory therapy and make sure the patient's O2 Sats are appropriate
Deskovick 4 staff- where do you find the doppler?
East side omnicell
A STOP BANG SCORE of what is considered positive?
5 or greater
Your patient is being dc home with a wound vac, what are 2 things that need to be done?
Inform CM, make sure home vac has been delivered bedside, plug in home vac to charge, switch pt to home vac when dc is imminent, teach pt how to use/troubleshoot home vac
What department do you call for HIDA scans?
Nuclear medicine
What is the MTP? and
T/F- We can do the MTP on the floor
Massive Transfusion protocol
True
The Insulin Pump Flowsheet
The downtime box or there is a link to it in the MAR order
True