Pressure Injury Stages
This pressure injury has bone, muscle and tendons exposed.
What is:
A stage 4 PI
2 nursing interventions to implement for an at risk patient with a Braden Score < 18.
What is:
Boots, turn schedule, wedges, allevyn
What teaching method should we always include when educating patients and family?
What is:
Teach Back Method
A dressing that can be applied to a partial thickness skin tear to prevent sticking.
What is: adaptic or xeroform
What you do if you're waiting for additional help to arrive and one of your other patients requests pain medication.
What is:
Ask another nurse for help
Do not leave stroke patient alone
A list that's important to reconcile and review with the patient and family prior to discharge
What is:
The medication list
The stroke symptom I assess for when asking the patient to smile
What is:
Facial droop
Change in facial symmetry
Three nursing interventions to perform when your patient is having a stroke
What is:
Vital signs
Complete comprehensive neuro assessment
Make patient NPO
Suction PRN
Place patient on cardiac monitor (Zoll)
Establish large bore IV (18g if possible)
Obtain accurate weight if none in past 24hrs
Maintain O2 SATs >94%
Telestroke if appropriate for your area
Consider notifying family
An acronym to teach the patient and family prior to discharge so they can recognize something is wrong
What is:
BEFAST (Balance, Eyes, Face, Arms, Speech, Time)