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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
100
What is 2 things you must do to complete a transfusion?
Document transfusion reaction as "yes" and right click in pink header.
100
What is zero bed and weigh your patient in the bed on admission?
How to ensure bed alarms activate properly with different size patients.
100
What is stool characteristics for the lab to accept the specimen?
Liquid/loose stool that conforms to the specimen cup.
100
What is patients the CAM must be completed on?
65 or older, previous hx of delirium prior hx of delirium with hospitalizations, & PRN.
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?
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 times to document the CM?
Document 2 x a day during day and eve shift & PRN.
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.
400
What is the window of time you must document "yes" or "no" to a transfusion reaction?
Document within the first 15 minutes.
400
What are ways to determine patient's ability to mobilize?
PLOF, CLOF, recent pain medication, balance, strength, ability to follow commands, and sign on patient's wall.
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.
500
What is when you document VS?
Pre, during and post
500
What is shows if the bed safety features are activated.
Red and green light on end of the bed.
500
When you send specimen to the lab.
500
What is exclusion criteria for the ACE unit?
Tele monitoring, Stroke/TIA, Isolation precautions, ETOH abuse/withdrawal, *active delirium, with disruptive behavior, *Dementia with behavioral problems/non redirectable, *1:1 sitter, long term care or placement issue, or comfort care.




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