Specimen Labeling
Two ways to identify your patient before obtaining a specimen.
What is identifying a patient Verbally and Visually.
Position patient should be sitting.
What is back supported, feet flat and legs uncrossed.
Documenting occurs at this time for NDC, Lot#, Exp Date, VIS date.
What is ALWAYS before you prepare any medication.
Step required to not introduce bacteria in a vial.
What is swabbing vial with alcohol each time it is accessed.
Source and laterality.
What is the type of tissue obtained and the location of the specimen (e.g. side of the body).
Reason why you ask if there is an arm restriction.
What is may cause harm.
Double Check is needed at these 4 times.
What is calculating a dose (from mdv or sdv), reconstituting, mixing or preparer not administering.
Action required to prevent needle sticks after an injection.
What is activating safety with your thumb immediately after use.
After the specimen is obtained and in the presence of the patient.
When the specimen is labeled.
Proper cuff placement.
What is aligned with brachial artery, correct size and 1" above the bend of the elbow.
Needle size for IM injection for women weighing > 200#'s or male > 260#'s.
What is a 1.5 inch 22-25G needle for IM injection.
The only time to switch needles after preparation.
What is when needle is contaminated, bent or damaged.
Two ways to improperly label a specimen.
What is: not covering up name and date of birth and using wrong label.
When to repeat a BP reading.
What is if BP > 140/90 - repeat after 1 minute.
Site to avoid by measuring 3 fingerbreadths below the bony prominence.
What is the bursa.
C-diff and diarrhea cleaning requirements.
What is bleach and use soap and water.
Never cover up these with a label.
What is name, DOB, source and laterality, original method of identification, expiration date and lot number.
Three things that can cause an incorrect BP.
What is wrong size cuff, cuff over clothing, legs crossed, full bladder, talking.
The location of the needle cap while preparing medication.
Held in your hand - CCC method.
Habit which causes cross contamination.
What is wearing gloves all the time.