SBAR | Hourly Rounding | Bedside Shift Report | Plan of Care | Documentation/Consent |
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What is Situation
What does the S in SBAR stand for?
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What is Pain, Position, Potty and Possessions
The nurse will include these four P's when rounding on a patient
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What is Bedside shift report?
This provides accountability, patient safety and improves patient satisfaction.
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What is to receive nursing care?
This is why patients are admitted to the hospital.
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What is black ink?
This is what color we use to document in the patient record.
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What is the Assessment
Information concerning the mental status of a patient can be found where in the SBAR
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What is the white board
This is where staff document hourly rounding and communicate the patient's plan of care.
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Where is at the patient's bedside (not in the hallway)
This is where bedside shift report occurs
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What is why we having nursing staff?
This is what the plan of care legitimizes.
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When is NEVER?
This is when we should leave a blank line in the medical record.
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What is when calling the Physician
When would a nurse on med/surg use the SBAR process
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What is every 30 minutes
How often rounding should occur in the ED and SDS
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What is the SBAR format?
The bedside shift/hand off report utilizes this communication tool to maintain the hospital's standard of communication.
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What is bedside shift report?
The plan of care should be used as a tool in this event.
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What is with one line straight through the error with initials. Never use white-out.
This is how we correct an error in the medical record.
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What is thirty minutes
The ER will fax the SBAR and wait this long to transfer the patient to the recieveing unit
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What is AIDET?
The technique used to introduce yourself to the patient, decrease anxiety, and increase compliance.
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What is all visitors should be asked to leave the room, unless otherwise approved by the patient.
This should happen to preserve patient privacy.
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What are problems to think about including in the plan of care?
Pain, falls, skin integrity, nutrition, communication deficits, discharge planning, restraints, isolation and level of consciousness should all be considered for what?
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What is objective?
When describing observations, use ___ language rather than subjective language.
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What is one
The ER nurse will attempt to call the floor nurse this many times before transfering the patient to the unit
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What is hourly rounding?
Reduction of call lights, falls & skin breakdown are all benefits of this.
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Who is the offgoing nurse?
This person introduces the oncoming nurse by using AIDET and managing up methodology.
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What is the patient?
The plan of care should center around ___.
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When is NEVER?
This is when it is ok to document nursing care or observations ahead of time.
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