Lab Skill Assessment Flashcards
A sterile object remains sterile only when touched by ______.
Sterile objects that touch ____ objects become contaminated
Sterile Objects that touch ____ objects become contaminated
If a tear or break in the covering or packaging of a sterile object is found, the object is considered to be _______________
Sterile
Clean
Contaminated
Contaminated
Only ______ objects may be placed in the sterile field
Sterile
A sterile object or field out of the range of _____ is contaminated. The nurse must never turn their ____ on a sterile tray
Vision
Back
An object held below a persons ______ is contaminated
Waist
A sterile object or field becomes contaminated by prolonged exposure to
air
When a sterile surface comes in contact with a ___ surface the sterile object or field becomes contaminated by capillary action
Wet
If ____ seeps through a sterile packages protective covering, microorganisms travel to the sterile object
Moisture
Fluid flows in the direction of ____
Gravity
The ___ of a sterile field or container are considered to be contaminated because the edge of the drape touches an unsterile surface, a ____ cm border around the drape is considered contaminated and objects placed on the sterile field must be within this border
Edges
2.5cm
How much O2 does a low flow nasal cannula give
1-6L/min
How much O2 does a oxygen conserving nasal cannula
1-15L/min
How much O2 does a high flow nasal cannula
up to 60L / Min
How much O2 does a Simple face mask
5 - 10 L / min
How much O2 does a Face mask with reservoir bag as a non breather give?
what must you ensure has happened before initiating and during the flow of O2?
15 L/ Min
Bag is inflated
How much O2 does a Face mask with reservoir bag as partial nonbreather?
What must you ensure has happened before initiating and during the flow of O2
10-12 L / Min
How much O2 does a Venturi Mask give?
And is it low or high flow?
4 - 12 L / Min
High flow
What mask gives the most control over flow?
Venturi Mask
How much O2 does a face tent giver
8-12 L /min
When is a face tent used for O2
When tight fitting masks are not tolerated and used for humidification
How much O2 does a resuscitation mask give
15 L / Min or wide - open
Describe when resuscitation mask is used?
Non breather in emergency setting
ECT
Describe the process of initiating oxygen and when to start using humidification ?
Start at 1L and titrate from there
Add humidification at 4L
What must be present if oxygen is being used?
A sign on the door
When using oxygen we must never use ____ products why?
Petroleum because it could ignite
What things must documentation include when documentation for oxygen is required
Delivery device
Liter flow (Written as 2L/nasal cannula)
Education provided to patient and family
Patient response to oxygen both pre and post
If people with COPD are having trouble breathing what should a nurse encourage?
Pursed lip breathing
Why is giving lots of oxygen to a person with COPD a bad thing?
If oxygen level is to high the brain thinks it no longer needs to breath
What is the SPO2 level for COPD people
88-92%
Documentation for Eternal Feeding should include what information
Amount and type of feeding
Patients response
Patency of tube
Stoma site
Skin integrity
Side affects if any
Documentation for wound care must include
Wound and periwound tissue appearance, colour and tissue type
Presence and characteristics of exudate
Type and amount of dressing used
Patient tolerance of procedure
Patients level of comfort
Any analgesics provided
Documentation for Urinary Elimination must include
Type and size of catheter used
Amount of fluid used to inflate balloon
Characteristics of urine (colour, clarity, odour)
Reason for catherization
Specimen collection (if required)
Patients response
Patient teaching
In and out record
When checking supplies for the set up of a sterile field what must be check the supplies for
Expiration date
Punctures
Tears
Stains
Evidence of moisture
Whenever pouring a sterile solution into the sterile field we must check what
Verified contents
Expiration date
How do we know what rate the oxygen is set to?
If the line is in the middle of the ball
- watch the ball doesnt fall when u adjust rate
What are three things to make sure to do when preparing for a male catheterization?
Patient in supine
Draped upper and lower, only exposing the private area
Ensure waterproof pad is under
Foreskin must be ____ when inserting a catheter
retracted and put back afterwards
What are three things to do before a female catheterization that is important
Helped patient into dorsal recumbent position
Request patient to relax thigs
Draped upper and lower body
When inserting a female catheter what other position (beside dorsal recumbent) can they be in?
Side-lying
What position must the patient be in for enteral feeding?
Fowlers position
No less than 30
No more than 45
When eternal feeding, formula must be given at what temperature?
Room temperature
When preforming eternal feeding what must be label the bag with?
Tube-feeding formula type
Strength
Amount
Date
Time
Initials
Label “Not for IV use”
When packing a wound we must think
Think fluff not stuff
When dressing a wound we must label the dressing with
Date
Time
Initials
When documenting for Oropharyngeal suctioning we must include
Amount, consistency, colour and odor of secretions
Patients response to procedure
Patients pre and post suctioning status
When documenting for Tracheostomy suctioning and dressing change we must include
Patient response to procedure
Characteristics of sputum
Number of passes
Pre and post suctioning status
Inner cannula care
