cumulative scenario skills check offs list Flashcards

1
Q

how to prime iv tubing

verify

___ iv bag

perform

__ bag

make sure

__bag

un

bubbles

A

verify iv solution on mar

inspect iv bag

perform hand hygiene

open bag

make sure its clamped

spike bag

unclamp bag

prime bubbles out

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2
Q

how to start iv

2/e/p/c
place pt
place
open
prime
apply
remove
hh
apply
clean
__vein
insert
if
apply
release
flush
dressing
start

A

identify pt/ explain/ privacy/ culture

place pt in low fwlers

place protective barrier under arm

open extension tubing

prime extension tubing w/ ns

apply tourniquet and select vein

remove tourniquet

hadn’t hygiene and gloves

apply tourniquet

clean site with antiseptic

anchor vein

insert catheter in 10-30 degree

if blood return, advance catheter into vein

apply pressure

release tourniquet

flush with ns

dressing over catheter

start iv pump

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3
Q

IV push meds -if compatible

check
prepare
__pt
provide/explain
assess
paise
put on
clean
pinch
connect
disconect
clean
connect
restart

A

check mar

prepare med

identify pt

provide privacy/explain med to pt

assess iv site

pause pump

put on gloves

clean port

pinch port

connect and adminster at appropriate rate

disconnect med syringe

clean port

connect ns and flush 3-5

restart iv fluid

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4
Q

IV push meds -if not compatible

check
prepare
__pt
provide/explain
assess
paise
put on
clean
pinch
flush
dis/clean
connect
disconect
clean
connect
restart

A

check mar

prepare med

identify pt

provide privacy/explain med to pt

assess iv site

pause pump

put on gloves

clean port

pinch tube

flush with 10 ml ns

disconnect ns // clean port

connect med and admoisnter at apporate rate

disconnect med syringe

clean port

connect ns and flush 10

restart iv fluid

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5
Q

managing blood

identify
ALWAYS
check
perform
assess
get
close
spike
open
set
get/what-n/ I/ t/ r/ e
pull
start-how much/how long
stay/take
complete
obtain
remove

A

identify pt

ALWAYS get culture

check type and crossmatch

perform a basic assessment beforehand-vs + temp

assess for consent

get correct y tubing

close clamps on y tubing

spike bag of ns

open clamp on y tubing

set pump to a KVO rate

get blood and validate pt name, id, blood type, rh, expiration date

pull tabe on spike blood

start blood slowly- 60-120 for 15 mins

stay w pt- take vs

complete transfusion in 4 hrs

obtain post transfusion vs

remove and discard equipment

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6
Q

CVAD dressing change

determine
e/ p /c/2
what to head
what closer
h/ what on both/ g
remove/stablize
remove/old
open/add
put on
perform
skin
appply
apply
apply
label

A

determine need for a dressing change/ identify pt

explain procedure/provide privacy/culture

elevate head

move trash closer

hh/mask on both/gloves

remove old dressing and stabilize cath

remove gloves and discard old dressing

open kit and add sterile bio patch

put on sterile gloves

perform antisepsis for 30 seconds

skin prep

apply bio patch

apply sterile dressing

label date/time/ initials

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7
Q

chest tub

assess
review
review
check/ to make sure
keep
secure
assess

A

assess rr, vs and 02

review for any anticaguation

review h/h

check dressing to make sure dry/intact

keep drainage upright

secure w/ tape

assess for gentle bubbling

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8
Q

NG insertion

determine
2/e/p/c
perform/prepare
assess/stand
what position
apply
place
measure
prepare
apply
__tube
hand pt
gently
have pt/flex
encourage
check
temporarily
check placement-
connect
fasten
provide

A

determine order

identify/ explain/ provide privacy / cultural needs

perform hand hygiene and. prepare supplies

asses nares and stand on side of bed

high fowlers positions

apply pulse ox/ capnogrophy

place bath towel over pt

measure length of tube

prepare tape

apply clean gloves

lubricate tubing

hand pt cup of water/determain hand signal

gently insert tube in nostril

have pt take a deep breath and flex head toward chest

encourage small sips of water

check for position of tubing

temporarily anchor tube

check placement- X-ray,ph and air bolus

connect to suction

fasten end of gown

provide oral/nasal care

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9
Q

Ng removal

determine
e/p/c
get/h/apply
positoin
palce
disconnect
remove
take/clamp/withdraw
provide

A

determine order

explain procedure/ provide privacy/ cultural needs

equipment, hand hygiene, apply clean gloves

positon in high fowlers

place pad over chest

disconnect tube from suction and clamp end

remove tape and pin

take a deep breath and clamp manually and withdraw in smooth motion

provide oral/nasal care

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