1JO2 Unit 9 Final Exam Flashcards
What is acute care?
It is a hospital inpatient care that provides short term treatment for an illness, where the goal is to discharge the patient as soon as they are stable.
What is the typical routine at the start of a shift?
Do TOA, Do a safety check, complete any assessments, prioritize patients
What are some things I need to check for once ive done an introduction and checked the arm band?
Are the IV solutions correct?
How do the Intravenous (IV) lines look?
Are the flow rates for IV solutions correct?
Does the patient have a Foley catheter for urinary drainage?
Does the patient have any wound drains? If so note the drainage, colour and amount
Does the patient have oxygen running? Is the concentration correct?
Are there any monitors you need to assess?
Is there suction set up and working?
Is there a bag valve mask at the bedside?
What are some things that need to be assessed in a safety check ?
Position of the bed
side rails are up
access to call bell
are they safe to ambulate by themselves, do they have non slip-footwear?
verify name and identifiers
Check oxygen and suction
review any additional precautions
make sure that the IV rate and solution matches the orders.
What is priority setting?
It is the action of ranking nursing diagnosis or client problems from most important to least important.
What should be prioritized first?
ABC’s
Airway, Breathing, Circulation
What are some signs that can indicate that a person is in respiratory distress.
abnormally fast/slow breathing
cyanosis
irregular breathing pattern
Sp02 less then 90%
If someone states that they rate their pain a 4 but they clearly are in more pain then they say they are because they are sweating and grimacing, what should you do?
You get their pain under control as soon as possible since it will only get worse.
What should you do if someone has nausea and is vomiting?
1st give them antiemetics ASAP
2nd clean them up
3rd perform vital signs
4th watch for signs of dehydration, muscle weakness, sunken eyes, fatigue and muscle cramps.
Why is incontinence a priority?
Because it can cause skin break down and contaminate wounds.
What are some pre-op tasks that need to be done ?
Vital signs, OR checklists, pre-op teaching, and pre-op medications
What are some post-op tasks that need to be done?
Frequent VS and assessments, and also have new medications to give and new order to implement.
What are interprofessionals?
The client, doctors, Other specific health care professionals: Social worker, Physiotherapist, Occupational Therapist, Pharmacist, Dietician, Respiratory Therapist, Lab technicians
What are intraprofessionals?
Charge nurse, PSW, RN, RPN, specialist nurses
What are the 4 aspects that affect how other people that are part of the interprofessional team receive my message. And what are they each?
Affinity: How the person views you and your competence
Immediacy: How urgent is your message?
Respect: This is gained over time
Control: How much power and control does the team member have over you? Have they asked you a question about your patient?
What does SBAR stand for?
Situation
background
assessment
recommendation
What is SBAR used for?
It is used to have a structured form of communication that allows for info to be transferred to interprofessional teammates.
What is something that you should always do when using the SBAR communication technique?
Always repeat back any orders that have been given to double check.
What is MAR?
Medication administration record
What are adverse events? (AE’s)
They are unintended injuries or complications that happen as a result of health care management that can lead to a prolonged hospital stay or death.
What are the 3 classifications of Harms?
Harmful incident, near miss, no harmful` incident
What is a harmful incident?
it is an incident that resulted in patient harm which could have been prevented
What is a near miss?
An harmful incident that was about to happen but it did not happen yet as it was caught.
