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Sunday Bloody Sunday - BPAM It Wasn't Me - Falls I'd Rather Have Nothing - C. Diff State of Confusion - Delirium, CAM, Ace Unit Sepsis/NICOM and Cardiac
100
What is 2 things you must do to complete a transfusion?
Document transfusion complete as "yes" and right click in pink header.
100
What is How often CLOF needs to be charted?
Chart Q Shift
100
What is stool characteristics for a C. Diff sample to be tested?
Liquid/loose stool that conforms to the specimen cup.
100
What is times to document the CAM?
Document 2 x a day during day and eve shift & PRN.
100
What is necessary when your patient has chest pain.
Stat EKG
200
What you must do for the first 15 minutes once transfusion begins.
Stay with the patient.
200
What is the distance between you and the patient while toileting in the bathroom or bedside commode?
Policy states within arm's reach.
200
What is initial steps when a patient has the first unexplained loose/liquid stool?
Document amount and characteristics in H/C, place patient on Contact + isolation, document under critical alerts "other", and notify the doctor.
200
What is why we don't wake patients at night for a routine CAM?
Sleep is essential to help prevent delirium.
200
What SVI value (number) indicates fluid responsiveness?
Stroke Volume Index > 10.
300
What is the three pre-transfusion verification options you must document for ALL blood products?
Appropriate Consents, Blood Products, Patient 2 Ids.
300
What is fall risk factors?
Recent fall within 1 year, delirium, weakness, stroke, syncope, orthostatic changes, surgical procedures, CNS effecting meds.
300
What is disposable items for an isolation room which must be used and then disposed of when a patient is discharged?
Stethoscope, BP Cuff, thermometer, pulse oximeter finger probe.
300
What is how to accurately perform the CAM?
Answer all questions and use standardized question prompts listed in H/C.
300
What is a contraindication to PLR?
Septic Patient cannot lie flat.
400
What is the window of time you must document "yes" or "no" to a transfusion reaction?
Document within the first 15 minutes, anytime necessary, or at least before ending the transfusion.
400
What are ways to determine patient's ability to mobilize?
PLOF, CLOF, recent pain medication, balance, strength, ability to follow commands.
400
What is explained loose stool definitions?
Colon or small bowel surgery, new tube feed start, bowel prep, laxative, & enema.
400
What is inclusion criteria for the ACE unit?
75 and older, ambulatory @ baseline & medical diagnosis.
400
What is request order for 250 ml fluid bolus to perform NICOM?
Patient has NICOM ordered and has contraindications to PLR.
500
What is when you document VS?
Pre, during and post.
500
What are ways to identify a patient at risk for falls?
Place "Falling Leaf" outside patient room and yellow wrist band on patient.
500
What is the stool that is sent to the lab?
3rd unexplained loose or liquid stool within 24 hours.
500
What are some of the interventions to prevent delirium?
Provide eyeglasses, hearing aids, dentures, mobility, and ensure sleep at night.
500
What is when patient is symptomatic- pale, diaphoretic, c/o chest pain, dizzy, ALOC, & worsening VS?
Call RRT and anticipate Heart Alert.




ICU SKILLS

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