Grid Boxes Flashcards
Grid box #1
1st things you do when you get to patients room:
Enter Wash hands Introduce self and CE ID patient Gloves (so you have them if you need them)
Grid box #2
20 Minute Check:
Hydration status IV (rate, amount, type) Palpate IV site (wear gloves!) Pump (check settings, drops, right med) Inspect IV tubing Check enteral feeds Oral fluids (explain I&Os) Write down findings
Grid box #3
Vital Signs (only what’s assigned)
Must declare 1 complete set to CE before PCS is over
Temp Pulse Respirations Blood pressure Weight O2 sats (only if assigned) Pain (check what scale you need to use) Compare both sets
Document your findings
Grid Box #4
Pick a mnemonic for mobility assessment and put it grid box #4
Medications
Grid Box #5
MAR DOSAGES
MAR check meds Appropriate dose Recheck MAR to ID Do 5 rights Observe allergies Special assessments for meds (BP, pulse) Ask how patient takes pills (one at a time or all at once) Gather equipment Evaluate and administer Sign MAR
Grid Box #6
Abdominal Assessment
Pick any abdominal assessment mnemonic and put it in grid box #6
Grid Box #7
Respiratory Assessment
Pick any respiratory assessment mnemonic and put it in grid box #7
Grid Box #8
Neurological Assessment
Pick any neurological or peripheral neurovascular mnemonic and put it in grid box #8
Grid Box #9
Patient Teaching
Pick any mnemonic for patient teaching and put it in grid box #9
Grid Box #10
Oxygen Management
Pick any oxygen management mnemonic and put it in grid box #10
Grid Box #11
Safety/Exit
SPELLS MNEMONIC
Side rails up Phone/call light within reach Everything ok? Locked and low bed Lights on/off Say thank you
Grid Box #12
This is an empty box to be used for any notes to be included in narrative note charting/evaluation
