Exam 2 Flashcards
(255 cards)
1
Q
What are the 6 factors affecting personal hygiene?
A
Culture, Socioeconomic class, spiritual practices, developmental level, health state, & Personal preferences
2
Q
What can hygiene indicate?
A
Overall health status
3
Q
What is the largest organ?
A
Skin
4
Q
What are the 6 questions for skin nursing history?
A
How long? Bothersome? Bothersome how? Itich? What makes it better? What makes it worse?
5
Q
What are the 4 factors to nursing history oral cavity, eyes, ears, and nose?
A
Identify pt.’s normal, identify risk factors, identify prosthetics, & inquire history of problems
6
Q
What can dehydration cause in regards to the skin?
A
Dry skin & lips
7
Q
What is a big risk factor of poor oral health?
A
Cardiac risk factors
8
Q
What are some important aspects to note during a nursing history in regard to hygiene?
A
The pt. normal, history of problems, and preferences
9
Q
Why must a nurse be very careful when caring for a diabetic pt.’s feet (ex. Toenails)?
A
Diabetics have very poor wound healing
10
Q
When it comes to hair, what can bad circulation cause?
A
No hair growth
11
Q
When it comes to hair, what can bad diet cause?
A
Poor hair health ie. Hair loss & slow growth
12
Q
When should you incorporate the assessment of the skin when assessing the pt.?
A
Incorporate assessment of the skin during the assessment of other body systems
13
Q
When assessing the skin, what should the nurse do regarding the light?
A
insure they are using a good light source, preferably daylight
14
Q
When assessing bilateral parts of the body, what should a nurse compare?
A
Compare the bilateral parts for symmetry
15
Q
What type of terminology should be used when reporting on the assessment of the skin?
A
Use standard terminology to report and record findings
16
Q
What should a nurse allow to direct the skin assessment?
A
Data from the nursing history
17
Q
What should be identified during the assessment of the skin?
A
Any variables known to cause skin problems
18
Q
What is assessed during the assessment of the oral cavity (7)?
A
Lips, Buccal mucosa, Color & surface of gums, Teeth, Tongue, Hard and soft palates, & Oropharynx
19
Q
What does the suffix -itis mean?
A
Inflamed
20
Q
What is Cheilosis?
A
Cracking of the corners of the mouth
21
Q
What causes Cheilosis?
A
Vitamin B deficiency
22
Q
What is halitosis?
A
Bad breath
23
Q
What is tartar?
A
Hardened dental plaque
24
Q
What is cerumen?
A
Ear wax
25
What is pediculosis?
Head lice
26
What is important to look for when inspecting the fingers?
Clubbing, spoon shape, and any other abnormalities
27
What accommodations would a nurse make for thick toenails, and why must they be made?
Since capillary refill is not an option, the nurse could push on skin, check pulses, or check the temperature
28
Why must a nurse be sure to avoid skin on skin folds for their pts.?
It can cause chafing, skin irritation, inflammation, infection, and skin break down
29
When does early morning hygiene care occur?
Before breakfast
30
What 4 steps make up early morning hygiene?
Assist pt. with toileting, provide comfort measures, wash face and hands, and provide mouth care
31
When does morning care occur?
After breakfast
32
What does morning care encompass (11)?
Toileting, oral care, bathing, back massage, special skin measures, hair care, cosmetics, dressing, positioning for comfort, refreshing/changing bed lines, & tidying up bedside
33
When does afternoon care occur?
After lunch
34
What does afternoon care encompass?
Offer assistance with toileting, handwashing, & oral care, straighten bed lines, & help pt. with mobility to reposition self
35
When does hour of sleep care occur?
Before patient retires to bed (goes to sleep)
36
What does hour of sleep care encompass(7)?
Offer assistance with toileting, washing, & oral care, offer back massage, change soiled bed linens/clothing, position pt. comfortably, ensure call light and other objects are within reach
37
How often should a nurse provide oral care to a pt. who can not eat or drink?
Every couple hours
38
Why should a nurse provide dental care to an intubated pt. so often?
To avoid lung infections
39
What are some purposes to bathing a pt in the hospital?
Promotes circulation, promotes comfort, reduce infection, strengthens nurse-pt. relationship, etc.
40
What kind of touch does a bath provide the pt.?
Therapeutic touch
41
How should a nurse assist a pt. who is able to do some bathing actions?
Let them do as much as they can by themselves
42
What are the 4 factors of providing perineal & vaginal care?
Assess for problems and related treatments, perform physical assessment, perform perineal care, & cleanse vaginal area with plain soap & water
43
How should a nurse perform perineal & vaginal care?
In matter-of-fact & dignified manner according to procedure
44
What does administering oral hygiene encompass?
Moistening & cleaning the mouth, caring for dentures, toothbrushing, flossing, & using mouthwashes
45
Should toothpaste be used on dentures?
No, may crack the dentures
46
How often should a nurse use artificial tears if blink reflex is absent?
Every 4 hours
47
What should you do after taking a pt.'s hearing aid out?
Open the battery pack
48
What is one of the most important things for a nurse to do when providing hair care?
Ask the pt. how they want the care done and preform it how the pt. wants to the best of their ability
49
What should you check for before shaving a pt.?
Check if the pt. is on anticoagulant
50
If the pt. is on anticoagulants, what accommodation for shaving should be made?
Use an electric razor
51
What should be done for a diabetic pt. everyday, in regards of nail & foot care?
Wash, lotion, and inspect them every day
52
What are some ways a nurse ensure bedside safety?
Bed low and locked, call light and controls in reach, side rails up, & pt. in safe comfortable position
53
When do most falls happen?
At night on the way to the bathroom
54
When educating the pt., how often should the nurse tell the pt. to use sunscreen?
Everyday
55
What are some potential problems caused by poor oral hygiene?
Includes dental caries, gingivitis, periodontitis, halitosis, and cheilosis.
56
What is excoriation?
A condition that appears as a popped blister, often associated with rashes
57
What is the Patient Outcome Achievement for hygiene?
Focuses on patient participation and management of hygiene and skin treatment.
58
What are the functions of the skin (8)?
Protection, temperature regulation, psychosocial, sensation, Vit. D production, immunologic, absorption, elimination
59
What is the body's first line of defense against infection?
The skin
60
What factors of skin define against harmful agents?
Unbroken & healthy skin and mucous membranes
61
What affects the skin's resistance to injury?
Ages, amount of underlying tissue, and illness
62
What type of body cells are resistant to injury?
Adequately nourished & hydrated cells
63
What is necessary to maintain cell life?
Adequate circulation
64
What is a pressure injury?
A condition that increases the risk of infection and is exacerbated by prolonged pressure on the skin.
65
What is risk of infection?
An elevated likelihood of contracting an infection due to factors such as pressure injuries.
66
What is gravity effect?
The force that causes the body's weight to compress the skin against surfaces like a bed, contributing to pressure injuries.
67
What is capillary breakdown?
The failure of capillaries that can lead to insufficient blood flow and skin death.
68
What are pressure points, in regards to pressure injuries?
Specific areas of the body that are more susceptible to pressure injuries
69
What are some common pressure injury sites?
Sacrum, heels, back of the head, shoulders, elbows, inner knees, and hips
70
What are some negative factors that come with pressure injuries?
Increased risk of infections, increased hospital stay, lack of insurance reimbursement, capillary breakdown, and cell death
71
What is the best way to prevent a pt. from acquiring a pressure injury?
Turn the pt. at least every 2 hr.
72
What are the 4 phases of wound healing?
Hemostasis, Inflammatory, Proliferation, & Maturation
73
When does the hemostasis phase begin?
Immediately after the initial injury
74
What do the blood vessels do in the hemostasis phase?
Blood vessels constrict to begin blood clotting
75
Exudate is formed during hemostasis, what is it and what does it cause?
Cells, such as plasma, platelets, & protein, rushing to the site of injury. It causes swelling & pain
76
During the hemostasis phase, what does increased perfusion result in?
Heat and redness
77
What do the platelets do during hemostasis?
Stimulate other cells to migrate to the injury to participate in other phases
78
When does the inflammatory phase begin and about how long does it last?
After hemostasis and lasts about 2-3 days
79
What moves to the wound during the inflammatory phase?
White blood cells, predominantly leukocytes and macrophages
80
What role do the WBCs play in the inflammatory phase?
The cleaners
81
What do the WBCs do during the inflammatory phases?
Ingest debris & bacteria & release growth factors that attract fibroblasts to fill the wound
82
What happens to the WBC count during the inflammatory phase?
It increases
83
What kind of generalized body response occurs during inflammatory?
Pain, fever, etc.
84
How long does the proliferation phase last?
Several weeks
85
The proliferation phases is also known as what?
The regeneration phase
86
What starts to form new tissue in the wound space during proliferation?
Fibroblasts
87
What happens during the proliferation phase?
New tissue is built in the wound space, capillaries grow across the wound, a thin layer of epithelial cells forms across the wound, and granulation tissue forms a foundation for scar tissue to develop
88
When does the maturation phase begin?
About 3 weeks after the injury
89
How long can the maturation phase last?
Possibly months or years
90
What happens durng the maturation phase?
Collagen is remodeled, new collagen tissue is deposited, & scar becomes a flat, thin, white line
91
The maturation phase is also known as what?
The remolding phase
92
What type of people are more susceptible to skin injury?
Very thin & very obese
93
What are some potential causes of skin alterations?
Fluid loss (skin appears loose & flabby), Excessive perspiration, Jaundice, & Skin diseases (ex. Eczema & psoriasis)
94
What are the 8 factors affecting pressure injury development?
Aging skin, Chronic illnesses, Immobility, Malnutrition, Fecal & urinary incontinence, Altered level of consciousness, Spinal cord & brain injuries, & neuromuscular disorders
95
What happens when a pt. lacks protein?
They have decreased healing
96
Why does fecal cause fast skin breakdown?
Fecal is very acidic
97
What is friction?
Two surfaces rubbing together
98
What is shearing?
One surface sliding over another (pull pt. across bed)
99
What are the 6 points of pressure injury assessment?
Risk assessment, Mobility, Nutritional status, Moisture & incontinence, Appearance of existing pressure injury, & Pain assessment
100
What is the Braden scale?
Risk assessment scale for pressure injury
101
If a pt. has a history of skin breakdown & wounds, what are they at higher risk for?
Pressure injury
102
What are the 6 factors of the Braden scale?
Sensory perception, Moisture, Activity, Mobility, Nutrition, & Friction & Shear
103
What are the 8 topics for home health care teaching?
Supplies (which ones, where to get them), Infection prevention (wash hands, S&S of infection), Wound healing (better? worse? same?), Appearance, activity/mobility, nutrition (enough protein), pain, & elimination
104
What are the 4 types of wound complications?
Infection, Hemorrhage, Dehiscence & evisceration, & fistula formation
105
What are some signs of wound infection?
Foul odor, purulent drainage, redness, hot, etc
106
What is a wet-to-dry dressing?
A type of wound dressing that involves applying a wet material to the wound and allowing it to dry, helping to debris necrotic tissue.
107
When should wound dressing be changed?
As directed, when wet, and when soiled
108
What is dehiscence?
An abdominal wound that opens down the middle, exposing the wound bed.
109
What is evisceration?
An abdominal wound with organs protruding outside the body
110
What is a fistula?
Tunneling inside the body from an organ to the outside
111
What is necroses?
Dying flesh impacting wound healing
112
What are some the things immobility can cause?
Muscle atrophy, weakness, poor circulation, increased skin breakdown, & overall poor health
113
What is muscle atrophy?
the reduction in size and strength of muscle tissue due to lack of use or a disease
114
What role does the skeletal system play in movement?
Support, Protect, Surfaces for the attachments, Provides storage, & Produce blood cells
115
What are the 4 important functions of muscles?
Motion, Maintenance of posture, Support (Abdomen), & Heat Production (increase metabolism)
116
What are the 7 factors influencing mobility?
Developmental considerations, physical health, mental health, lifestyle, attitude & values, fatigue & stress, & external factors
117
What are the factors of physical health that influence mobility?
Muscular, Skeletal or Nervous system problems & problems involving other body systems
118
What are 3 types of exercises?
Isotonic, Isometric, & Isokinetic
119
What is isotonic exercise? Examples?
Muscle shortening & active movement. Ex: running, swimming, & activities of daily living (ADLs)
120
What is isometric exercise? Examples?
Muscle contraction without shortening. Ex: yoga, stretching, & planking.
121
What is isokinetic exercise? Examples?
Muscle contraction with resistance. Ex: weight lifting
122
What are some protective positioning?
Fowler's, Protective supine, Protective side-lying or lateral, Protective Sims', & Protective prone
123
Where are pillows placed in protective positioning?
Under key bony prominences (heels, sacrum, & elbows)
124
What does Fowler's position look like?
Head of the bed is elevated 45-60 degrees, semi-sitting position
125
What does protective Lateral position look like?
Pt. lies on the side with a pillow bt legs, weight on lateral aspect of lower scapula and lower ilium
126
What does protective Sims position look like?
Pt. lies on the side with a pillow bt legs, lower arm is behind pt and upper arm is flex at both the shoulder & elbow
127
What does Prone position look like?
The person lies on the abdomen with head turned to the side, the bed is flat
128
What does Supine (dorsal recumbent) position look like?
The pt. lies flat on the back with head & shoulders slightly elevated w/pillow
129
What are some benefits of exercise to the Musculoskeletal system (4)?
Increased muscle efficiency & flexibility, increased coordination, reduced bone loss, increased efficiency of nerve impulse transmission
130
What are some benefits of exercise to respiratory system(3)?
Improved alveolar ventilation, Decreased work of breathing, & Improved diaphragmatic excursion
131
What effect can exercise have on the diaphragm?
Allows diaphragm to get stronger
132
What are some benefits of exercise to the cardiovascular system(5)?
Increased heart efficiency, decreased HR & BP, increased blood flow, increased venous return, & increased circulating fibrinolysin
133
What is fibrinolysin?
A substance that breaks up small clots
134
What does PRN order mean?
Give as needed
135
What does a STAT order mean?
Give immediately (within 30 min)
136
What are time meds?
Medications given at a specific time
137
How would an order for a medication given every 6 hours be written?
q6h
138
What does a daily order mean?
Give every day at the same time
139
What does AC mean?
Before Meals (ex. Insulin)
140
What does PC mean?
After Meals
141
What does HS mean?
Hour of sleep (Insulin)
142
What does BID mean?
Twice a day (q12h)
143
What does TID mean?
Three times a day (q8h)
144
What does QID mean?
Four times a day (q6h)
145
What are the 7 parts of a medication order?
Pt.'s name & identifier, Date & time, Name of drug, Dosage, Route, Frequency, & Signature of Prescriber
146
What are the Three Checks of Medication Administration?
Reach for Medication, When actually in Hand, & At Pt. Bedside
147
What are the 11 Rights of Medication
Right pt., Right medication, Right dose, Right route, Right time, Right documentation, Right reason, Right response, Right education, Right assessment data, & Right to refuse
148
What is the barrel of a syringe?
The part of the syringe that holds the fluid.
149
What is the plunger of the syringe?
The part of the syringe that is pushed to draw or expel fluid.
150
What is the Bevel of a needle?
The slanted edge on the tip of a needle that helps in penetration. (Always pointed up when giving a shot)
151
What is the needle length for an intramuscular injection into Vastus Lateralis?
5/8 to 1 inch
152
What is the needle length for an intramuscular injection into the Deltoid?
Child: 5/8 to 1 inch Adult: 5/8 to 1.5 inch
153
What is the needle length for an intramuscular injection into Ventrogluteal?
1 to 1.5 inch (Adult only)
154
What is the needle gauge range for intramuscular injections?
Oil-based: 18-25 gauge. Aqueous-Based: 20-25 gauge
155
What is the medication amount for intramuscular?
Standard: 1-5ml Poorly developed muscle: 1-2ml
156
How do you find the ventrogluteal injection site?
With thumb pointed in the direction of pt. nose, place index finger toward anterior iliac spine, place middle finger toward the iliac crest, and place palm on the greater trochanter. Inject at the bottom of the V.
157
How do you find the vastus lateralus injection site?
Dived the thigh into thirds diagonally, and then again horizontally. Inject in the middle outer third.
158
What is the automical landmark for finding the deltoid injection site?
Acromion process
159
What is the injection angle for intramuscular injections?
90°
160
What is the Z track method?
a technique used for intramuscular injections to prevent medication from leaking back into the subcutaneous tissue.
161
What do the orange caps indcate?
Insulin (Marked in Units)
162
What do the grey caps indicate?
Used for Heparin and TB test (Marked in ml)
163
What is the needle length for subcutaneous injections?
3/8 - 5/8 & up to 1 in
164
What is the needle gauge range for subcutaneous injections?
25-30 gauge
165
What are the sites for subcutaneous injection?
Upper outer arm, Abdomen (2in from umbilicus), Top of thigh, Upper back, & Upper ventrogluteal
166
What is the injection angle for subcutaneous injections?
45°(thin pt. & longer needle) -90° (thicker pt. & shorter needle)
167
What is the order for two insulins in one syringe?
Cloudy, Clear, Clear, Cloudy
168
What is the difference between NPH Insulin & Regular Insulin?
NPH is long-acting & Regular is short-acting
169
What is the needle length for an intradermal injection?
1/4- 1/2 inch
170
What is the needle gauge range for intradermal injection?
25-27 gauge
171
What is the injection site for intradermal injections?
Forearm (TB test)
172
What is the bubble formed in a TB test called?
Wheal
173
What is the degree for intradermal injections?
5°-15°
174
What is reconstitution?
the process of adding a suitable diluent to a powdered drug to prepare it for administration.
175
What are controlled substances?
drugs that are regulated by law due to their potential for abuse and addiction
176
What is a standing order?
An order with no specific time to be given, with & without termination
177
What is the chemical name of a drug?
The name that reflects the chemical structure of a drug.
178
What form of drug administration has the fastest absorption rate?
Injectable
179
What are the 3 types of drug preparations?
Oral, Topical, & Injectable
180
What is always true about parenteral route drugs?
They are always given by injection
181
What are some of the types of enteral routes?
Oral, Sublingual, & Rectum
182
How are sublingual drugs given?
Under the tongue
183
What are SubQ injections injected into (layer)?
Adipose subcutaneous tissue (fat)
184
What are intrathecal injections injected into?
The spine
185
What are the 2 types of drug classifications?
Pharmaceutical & Therapeutic
186
What are pharmaceutical classification based on?
How the drug works in the body (ex. Beta-blocker)
187
What are therapeutic classification based on?
What the drug is treating (ex. Antibiotic)
188
What are the 6 factors affecting absorption of medication?
Route of administration, Lipid solubility, pH, Blood flow, Local conditions at the site of administration, & Drug dosage
189
What is the first pass effect?
The process where a drug is metabolized in the liver before reaching systemic circulation.
190
What does liquid solubility mean?
The capability of a drug to dissolve in liquid, facilitating its passage through cell membranes.
191
What is an emergency anaphylactic reaction?
Angioedema (Tongue swelling)
192
What is an antagonisitc adverse effects?
When one drug decreases or counteracts the effect of another drug
193
What is a synergistic adverse effects?
When two drugs work together to produce a greater effect than either drug alone
194
What is an idiosyncratic adverse effect?
An unusual or atypical reaction to a drug or treatment that is specific to an individual.
195
What are the 8 factors affecting drug action?
Developmental considerations, weight, gender, genetic & cultural factors, psychological factors, pathology, environment, & timing of administration
196
What is therapeutic range?
The range of drug concentrations in the bloodstream that achieves the desired effect without toxicity.
197
What is trough level?
The lowest concentration of a drug in the bloodstream before the next dose is administered.
198
What is half-life?
The time it takes for the concentration of a drug in the bloodstream to reduce by half.
199
What are some types of medication errors?
Inappropriate prescribing, wrong dose, wrong pt., wrong route, not within prescribed time, incorrect preparation, improper technique, & deteriorated
200
What are the 4 steps to reduce medication errors?
Read labels carefully, question admin of multiple, take caution, & use notification system
201
What are the 4 safety measures for medication admin.?
Double check decimal points, Question abrupt increase or decrease, Check resources, & Do not try to decipher illegible writing
202
What are the 4 steps to take after a medication error?
Check pt. condition, Notify pcp & nurse manager, write documentation, & Complete form
203
What should be included in medical record medication documentation?
Name of med, Dosage, Route & time, Name of administer, Site used, Omitted drugs, refused drugs, & Medication errors
204
What is the overall purpose of patient records?
To provide a comprehensive and accurate documentation of a patient's medical history and care.
205
What are the 8 characteristics of effective documentation?
Consistency, Complete, Accurate, Concise, Factual, Organized & Timely, Legally Prudent, & Confidential
206
When should a nurse document in patients' records?
Throughout their shift
207
What are the 5 elements of documentation?
Content, Timing, Format, Accountability, & Confidentiality
208
What should you never document in a patient's records?
Your opinion & an action you have not done yet
209
How should you sign a documentation?
First initial, Last name, & Title (always date & time)
210
What is HIPAA?
Health Insurance Portability and Accountability Act, a US law that mandates the protection of patient health information.
211
How should a nurse document time in patient records?
Using military time
212
What is confidential?
All information about pts. (name, address, treatments, etc.)
213
T/F A nurse who fails to log off a computer after documenting patient care has breached patient confidentiality.
True (A nurse who fails to log off a computer after documenting patient care has breached patient confidentiality.)
214
What is a breach?
An incident where patient information is disclosed improperly.
215
What is informed consent?
The process of obtaining permission from a patient before sharing their information.
216
T/F A patient has the right to obtain, review, and revise the patient information in his or her health record.
False (A patient has the right to obtain and review, but not revise the patient information in his or her health record.)
217
What are the 5 patient rights in documentation?
See & Copy records, Update (biographical info), Get Disclosure List, Request Restriction, & Choose How to Receive Info
218
What is a way for a nurse to verify the accuracy of an order?
Read back the order
219
When calling a physician for a telephone order, what are the first steps a nurse needs to take?
Identify self, report concisely & factually, report what has been done, & provide current vitals & clinical symptoms
220
What should a nurse be sure to have in front of them when receiving a telephone order?
The pt.'s records
221
T/F One of the purposes of creating a patient record is to evaluate the quality of care patients have received and the competence of the nurses providing that care.
True (One of the purposes of creating a patient record is to evaluate the quality of care patients have received and the competence of the nurses providing that care.)
222
What are the four purposes of recording data?
Facilitate quality, evidence-based pt. care, financial & legal record, Clinical research, & Support decision analysis
223
What are the 2 types of personal health records (PHRs)?
Standalone & Tethered
224
What are standalone personal health records?
Records filled in by pt. in their own words
225
What are tethered/connected personal health records?
Records linked to a specific facility (review of labs and other values)
226
What is the source-oriented records method?
A method of documentation where information is organized according to the source of the information.
227
What is the Problem-oriented medical records method?
A documentation system that organizes patient data around specific problems instead of sources.
228
What is the PIE charting documenting method?
A documentation method that includes Problem, Intervention, and Evaluation.
229
What is the Focus charting documentation method?
A documentation approach that emphasizes the patient's specific problems and needs.
230
What is the Charting by exception method?
A streamlined documentation method that records only deviations from established norms.
231
What is the Case management model?
A documentation framework that integrates care coordination for complex patient needs.
232
What is the Computerized documentation method?
The use of electronic systems to record and manage patient health information.
233
What are Electronic health records (EHRs)?
Digital versions of patients' paper charts that provide comprehensive patient data.
234
Which method of documentation is unique in that it does not develop a separate care plan but instead incorporates the care plan into the progress notes?
PIE
235
What are the 5 major components of Problem-oriented medical records?
Defined database, Problem list, Care plans, Progress notes, & SOAP format
236
What is the Care Plan?
The plan of action
237
What are the progress notes?
What you have done to reach the care plan goal
238
What are the 4 categories of a SOAP note?
Subjective data, Objective data, Assessment data, & Plan
239
What are flow sheets and graphic records?
Forms used to record ongoing patient data such as vital signs, intake/output, and other assessments.
240
What are acuity records?
documentation that measures and records the patient's needs and necessary time for their care. (How much time that pt. takes)
241
What are the 5 types of flow sheets?
Graphic records, 24-hr fluid balance record, Medication administration record, 24-hr patient care record, & acuity records
242
What are the four basic components of Resident Assessment Tool?
Minimum Date Set, Triggers, Resident Assessment Protocols, & Utilization Guidelines
243
What is the minimum data set (Resident Assessment Tool)?
A core component of the Resident Assessment Tool that indicates how well the patient can care for themselves.
244
What are the triggers (Resident Assessment Tool)?
Alerts staff to risk factors that may affect patient care.
245
What are the resident assessment protocols (Resident Assessment Tool)?
Protocols that help identify psychologic, social, or medical problems the patient may have.
246
What are the Utilization guidelines (Resident Assessment Tool)?
Guidelines provided by Medicare that outline the appropriate use of services.
247
What are the 4 benefits of Resident Assessment Tool?
Individualized care, Effective communication, Increase involvement, & Clearer documentation
248
What should be included in a hand-off report?
Basic identifying information, Current appraisal(health status), Current orders, Abnormalities, Unfilled orders, Pt./Family questions & concerns, & Reports on transfers/dischargers
249
What does ISBARR stand for?
Identify/introduce, Situation, Background, Assessment, Recommendation, Read back/response
250
When is ISBARR used?
When calling the physician
251
What does SBAR stand for?
Situation, Background, Assessment, & Recommendation
252
What are purposeful rounds?
Rounds performed every hour that improve overall pt. satisfactory scores
253
What are the 8 behaviors of purposeful rounding?
Use opening key words, Accomplish scheduled tasks, Address 4 P's, Address additional needs, Conduct environmental assessment, Ask "anything else", Tell pt. when you'll be back, & document round
254
What are the 4 P's of purposeful rounding?
Pain, Potty, Position, and Possessions
255
What is a buccal medication?
A form of medication that is placed between the gums and the inner lining of the cheek for absorption into the bloodstream.
