HEIGHT
Bobby takes a patient to go measure their height and asks them to stand against the scale on the wall. The patient proceeds to face towards the wall against the scale and stand on their tippy toes. How should Bobby re-direct the patient?
Back towards scale, feet slightly apart, facing forward
Gru needs to get an accurate measurement of a patients weight to ensure screening eligibility. What should he do before the patient steps on the scale?
Make sure equipment is calibrated and zeroed.
What is the normal body temperature range in Celsius?
Celsius: 36.0C - 37.5C
Jeff needs to take his patient's blood pressure, what is the correct position the patient should be in for this measurement?
Feet flat on the floor, back supported, arm rested at chest height, no talking
Debra has a health patient and a COPD patient, what should their oxygen saturation be?
Healthy: 95-100%
COPD: 88-92%
Cindy has to measure her patients height, where should she look to find what parameter to use?
What are the common conversions?
Bobby is with a falls risk patient. How should he help this patient measure their weight?
Assist patient on and off the scale.
What should Bennet do before and after using the temperature devices on patients.
Clean the device and wash hands before and after use.
Billy was measuring his patients blood pressure and noticed that it was below normal range. What should he do?
Ask the patient if they know their normal range, if the readings are below their normal ranges and standard normal ranges, measurements should be recorded and reported.
Poppy's healthy patient's oxygen saturation was 87%. What should she do?
assess patient, contact provider and notify clinical staff, report to CRC/PI and follow protocol
Poppy is taking a patients height who is slightly shorter than her. To get the most accurate height measurement, how should she read the patients height?
At eye level
What is the correct position when weighing on a scale?
Centered on the scale.
Manny's patient has been sweating profusely from running from Duke North to Duke South to make it to their appointment. Which temperature device would encounter a contraindication with the patient's current state?
Temporal
Ben's healthy patient BP was 110/75. Is that normal?
Yes
Normal is below 120 for Systolic
Normal is below 80 for Diastolic
What are 5 common causes for false readings?
Dark/thick nail polish
Cold Fingers
Poor circulation
Shaking/Tremors
Low Blood Pressure
Its Joe's first time taking a patients height. What's the first thing he should do to ensure accurate measurement?
Calibrate scale and move calibration rod well above patients height.
Petunia is measuring a patients weight and the scale shows 64.2 kg. Her protocol wants weight to be measured in lbs. What should Petunia write on the CRF.
~141.2lbs
What are the influencing factors of body temperature change?
Circadian rhythm, Hormone Levels, Exercise, Environment, Stress
Assess the situation, notify clinical staff, and notify CRC/PI
What is the shape of a normal pleth wave?
Saw tooth appearance with evenly spaced with equally wide waves of equal amplitude
Todd works in a general practice. His next two patients is a child and an older adult with falls risk. What should he do for each patient to ensure he gets their height?
Have another person during vital assessments.
Child: another person to assist with body positioning
Falls Risk: another person to assist with potential falling of patient
Joe did not check to calibrate and zero out the scale for his next patient. What are the potential risks of an inaccurate weight measurement?
Inaccurate medication prescription, fluid balance, and nutritional assessment
Nurse Judy needs the most accurate temperature measurement for her patient, which site should she use?
Rectal
Common causes for sudden spikes
Caffeine, stress, smoking, and medications
What does %SpO2 stand for?
oxygen saturation