Fundamentals - Week 1 Tips Flashcards
Order of Assessment
Inspection
Palpation
Percussion
Aucultation
Order of Assessment EXCEPTION
On abdomen
Inspect
Auscultate
Percuss
Palpate
Cane Walk Order
COAL
Cane
Opposite/Affected
Leg
Crutch Stairs Order
Up to Heaven/Down to Hell
Good leg
Crutches
Bad leg
UP (backwards down)
Delegation Rules
RN’s DO NOT delegate what they can EAT
Evaluate
Assess
Teach
Isolation Precautions
AIRBORNE
“My Chicken Hez TB”
Measles
Chicken Pox
Herpes Zoster
TB
AIRBORNE Precautions Management
Negative pressure room
Private Room
Mask
N-95 if TB
Isolation Precautions
DROPLET
“SPIDERMAN”
Sepsis, Scarlet Fever, Strep Pertussis, Pneumonia, Parvovirus Influenza, Diptheria Epiglottitis Rubella Mumps Adenovirus
DROPLET Precautions Management
Private Room/Mask
Isolation Precautions
CONTACT
“MRS WHEE”
MRSA RSV Skin Infections Herpes Simplex Wound infections Enteric Infections (C-Diff) Eye infections (Conjunctivitis)
CONTACT Precaution Management
Gown, gloves, goggles, private room
VRSA - +Contact/Airborne (private room, door closed, negative pressure)
What LPNs can Do (9)
Review, Tubes, Med Admin, Cath
RRM TS EM C
Reinforcement of teaching Reviewing patency/placement of NG tube Monitoring manifestations AFTER initial RN assessment Trache care Suctioning Enteral feeding adminstration Medication Admin (EXCEPT IV) Catheter insertion
What APs can Do (4)
ASIV
ADL assist
Specimen Collection
I/O’s
Vital Signs (STABLE only)
Gastric Lavage
Position
mL and type of fluid
Lay on left side
200 - 300 mL sterile, tap, or NSS
ICP head elevation
no more than 30º
