Anything that can be used to hurt oneself or others and which staff members should always be on the lookout for while on the unit.
What is contraband?
Temperature, pulse rate, blood pressure, respiration rate, and oxygen saturation.
What are vital signs?
A specimen collected to detect bacteria in the urine.
What is a clean catch urine?
What is called if a patient is unresponsive and/or does not have a pulse or is not breathing.
What is a Code Blue?
How many people should talk to an escalated patient?
What is one.
Where money that a patient brings to the unit is sent.
What is security?
The person the UAP should notify if a patient's vital signs are out of normal range.
Who is the nurse?
Occurs when something other than air gets into the airways.
What is aspiration?
An object that must always be readily available when a patient is in restraints.
What is a restraint key?
Where any linen contaminated with bodily fluids must go.
What is the biohazard container?
How many sets of their own clothes patients are allowed to have on the unit.
What is two?
An emergency response that is called when a person stops breathing.
What is a Code Blue?
Where to look to find more information about collecting a clean catch urine specimen or other procedures.
What is Lippincott?
What type of observation a patient in restraints must be on?
What is 1:1?
When a nurse (RN or LPN) entrusts authority and responsibility for a task to another qualified staff member, such as an MHT or BHS.
What is delegation?
How far apart safety rounds must be performed on our patients.
What is 10-20 minutes?
Chest pain, shortness of breath, back pain, numbness, weakness, change in vision, difficulty speaking
What are symptoms of a hypertensive emergency?
Coughing or feeling short of breath while eating, painful swallowing, excessive saliva, repeated bouts of pneumonia.
What are symptoms of aspiration?
The involuntary confinement of a patient alone in a room or an area from which the patient is physically prevented from leaving.
What is seclusion?
How far away to stand from someone who is escalating?
What is at least two arm's lengths?
What it's called when a staff member inspects every room on the unit to identify and remove contraband and safety risks.
What is environmental rounds?
Smoking, caffeinated beverages, alcohol, exercise
What are things that should be avoided 30 minutes prior to a blood pressure measurement?
The minimum amount of time that someone at risk for aspiration should sit upright after eating.
What is thirty minutes?
To totally immobilize or reduce the ability of individuals to move their arms, legs, body, or head freely.
What is a manual hold?
Techniques that must be attempted before restraints are initiated.
What is de-escalation (or less restrictive measures)?