Document for Skills Flashcards
Label w. date, time, initials.
IVF intake, medication on MAR.
IVPB
o Label syringe with pt name, med name, strength, quantity, date, time, initials
o Document date, time, initials, injection site, (for SSI - FSBS and units given)
- IM injection/SQ injection,
o label IV with date, time, initials
o document with date, time, catheter gauge, location, site assessment, patency, tolerance
IV Start
o label syringes
o document
- IVP medication
o Label dressing with date, time, length of external catheter lumen, initials.
o Document date, time, disinfectant used, site assessment, catheter length, tolerance
- Central Line Dressing Change,
o Document- amount, color, consistency of secretions, number of suction passes, tolerance, VS, lung sounds/resp before and after suctioning
- Trach Suctioning
o document – stoma/skin condition, resp status before, during, and after, tolerance.
- Trach Care,
o Document – assessment findings prior to insertion, date, time, reason, size, type, tolerance, amount, color, consistency, clarity of urine.
- Retention Catheter
o Document – assessment finding prior to insertion, type, size, verification of placement, assessment of gastric contents (amount, color, consistency)
o (for double lumen NG) if low intermittent suction was used, amount of suction, tolerance.
- NG insertion.
o Document – assessment prior to insertion, date, time, reason, size, type, tolerance, amount, color, consistency, clarity
- I&O Cath with specimen collection
o Document – amount, color, consistency or drainage. Abdominal assessment, drainage assessment, removal of NGT and tolerance.
- NG removal –