leadership 1 exam Flashcards by britt rank

5 important things to remeber with stadard precautions

hand hygine 
mask and face shields when spashing of bodily fluids 
gloves 
moisture resistant bags 
dispose of sharps properly

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4 steps for Confronting the Chemically Impaired Employee

Gather all evidence

Immediately remove the employee from the work environment

Drug/alcohol testing

Outline the organization’s plan or expectations for the employee in overcoming the chemical impairment

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8 infections associated with contact precautions

impetigo
scabies
schigello
MRSA
herpes
c.diff 
RSV
wound infections

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med admin 
enteral feedings 
catheter insertion
 trach care 
reinforce patient teching 
suctioning 
NG tube patency

can all be delegated to

LPN

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unexpected occurence that results in patient death or serious injury

sentinel event

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simple dressing change
suction established trach

can be done by

CNA

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–Occurs when an issue could not be settled using the formal grievance process

–A mediator is selected

Arbitration

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5 things to do for a patient during a seizure

lower patient to floor or bed 
turn patient to side 
loosen restrictive clothing 
nothing in mouth
note onset and duration

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in case of chemical exposure, do what 3 things

undress patient
irrigate patient perfusly
locate safety data sheet

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with restraints:

must get a prescription within \_\_\_\_ hours 
orders can be writen up to \_\_hours 
remove 1 at a time ever \_\_ hours 
\_\_ fingers can fit between 
\_\_\_\_\_\_\_ knot 
belt restraints \_\_\_\_\_ gown

must get a prescription within 1 hour 
orders can be writen up to 4 hours 
remove 1 at a time ever 2 hours 
2 fingers can fit between 
quick release knot on bed frame
belt restraints over gown

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3 things to remeber for patients with contact precaution

private room or same infection
glove
gowns

keep equipment in room

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3 interventions for herpes zoster (shingles)

isolate patient until veicles have crusted over
avoid individuals who have not had chickenpox
antiviral meds

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type of tort that incudes negligance

forgot to set a bed alarm and the patient fell

unintenttional tort

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no conflict occured yet but high likeylhood that it will occur

latent conflict

stage one

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Outlines the important general values, duties, and responsibilities that flow from the specific role of being a nurse

Established by the American Nurses Association in 1950 to support the ethical obligation of nursing

Code of Ethics for Nurses

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request from a provider to another physican or resource who can provide expert advice or services

consult

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assist the patient with issues regarding speech, language and swallowing

speech language pathologist

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use of oxygen at home:

place ______ sign at front door
_______ equipment grounded
_______ fabrics and not synthetic or wool

place no smoking sign at front door
electrical equipment grounded
cotton fabrics and not synthetic or wool

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if you suspect a coworker is imapired you must report to ____

charge nurse

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help patient to reain ability to perform ADLs

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both parties are aware of conflict and

resolution is being made

manifest conflict

stage 4

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older than 65
recieved disibility for at leasr 2 years
endstnge renal disease with dialisis or als

medicare

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what are the 2 main parts of an advance directive

living will- patients wishes if incapacitated

DPOA- someone that the pateint designated to makes medical decisions for the person

DNR and AND can also be included

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2 interventions for frostbit

98.6- 108 water

tetnaus vacciene

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end result of care what results occured from specifc internevention of the nurse (mortality, morbidity, length of hospital stay)

outcome audits

2 things needed before entering a room for a patient wih dropet precautions

private room or same infection roommate | mask

RACE acronym with fire safety

rescue - move patients to safer location (horizontal) Alarm- activate alarm contain - close doors and windows Extingush- fire extingusisher

PASS acronym with fire safety

Pull pin Aim at base of fire squeeze handle sweep from side to side

with tornados, what 3 things should the nurse do

close shades move patients away from windows place blankets over patiens who are bed bound

what 6 things need to be included with discharge paperwork

diet and activity restrictions detailed instructions for procedures at home (dressing changes) list of medications, when to take and precautions signs and symptoms of complications and when to seek medical attention followup appointment information names and number for providers

2 things needed before entering a room with a patient with airbourne precautions

private room with negative airflow | N95 mask

3 things to remeber with sealed radiation implant

wear an apron facing radiation site visitor stand 6 feeet away or more visitors can only stay for 30 mins or less

during a mass casualty situations, Patients are assessed for:

Respiration Perfusion Mental status

does not provide direct patient care act as a care coordinator from acute care from home or skilled nursing facility

case manager

mass casualty event where ``` must be treated in 1 hour life threatening conditions resp >30 cap refill > 2 seconds mental status change ```

red emergent class 1

for safe wheelchair use what 3 techniques

stand between the wheelchai and the bottom of incline when moving down a ramp lock brakes on both sides and raise foot plates when transfering back patint into elevator

type of tort that incudes assult - threatening violence Battery- inflicting violence on a patient false imprisonment- inappropriate restraint

intentional tort

individual has emeotional response to conflict

felt conflict | stage 3

measure process of care or how care wa carreid out task oriented relationship between quality of nure and care provided

process audits

3 things to do after a needle sick injury

notify supervisior right awa y patient and nurse will need to be tested for blood bourne illnesses incidnet report created

in mass casualty situation: If no radial pulse or capillary refill greater than 2 seconds, prioritize ______

red/ emergent

7 infections that require droplet precautions

``` influenza pnemonia mumps pertussis sepsis rubella bacterial meningitis ```

low socioeconomic status

medicaid

3 things you need to do for AMA

notify provider discuss risks of AMA sign AMA form if no sign document

fridge perishible foods within __ hours or __ hours if it is 90 degrees out or more

2 hours 1 hour

6 transfer dos

``` immediate needs and priority alllergies advanced directives diet and activity restriction recent changes time of patients last dose of pain ```

monitor structure or setting in which patient care occurs medical records, building, finanaces, environment relation ship between quality care and appropriate structures

structure audit

created when an acident or an unusal event happens in hospital should be created within 24 hours

incident report

in mass casualty situation: If victim does not follow command, is unconscious or disoriented, prioritize ______

red/ emergent

individual believes that a problem exist but the other party is not aware of it

percieved conflict | stage two

conflict is resolved with either positive or negative

conflict aftermath | stage 5

caused by reactivtion of the chickenpox virus non communicible painful unilateral rash low grade rash paraesthesia can vaccinate for

herepes zoster (shingles)

3 things to remeber for patients with contact precaution

private room or dame infection glove gowns keep equipment in room

conflict between 2 people

Interpersonal Conflict

3 infetions that are associated with airbourne

measles varicella (chickenpox) TB

conflict between 2 groups

Intergroup Conflict

used to promote cost effective care by standardizeing care with a specific diagnosis time bound activities, interventions and outcomes

critical pathway

when provider request management of one or more of the patients concerns to another provider orsupport services churches, meal transportation, transportation services

refferal

in mass casualty situation: If radial pulse is present or capillary refill is less than 2 seconds go to _________ assessment

If radial pulse is present or capillary refill is less than 2 seconds go to MENTAL STATUS assessment

can feeding patient with swallowing issues be delegated to a CNA

keeping your promises

fidelity

injury prevention for school age kid use a car booster seat until over __ lbs or __ foot __ inches stay in back seat until __ years old

use a car booster seat until over 40 lbs or 4 foot 9 inches stay in back seat until 12 years old

3 types who arent considered competent to refuse treatment

dementia under the unfluence > 0.08% alcohol schizophrenic with command hallucinations

individuals internal struggle

Intrapersonal Conflict

START Acronym

simple triage and rapid treatment

on telephone orders, you should do what 4 things

have second nurse listen in repeat order back have provider sign within 24 hours question orders that don't seem correct

4 signs of carbon monoxide poision

nausea vomiting headache losss of consciousness

4 appropriate patient identifier

photo ID hospital band birthday medical record number

copis of med record should not be made unless ____

change of care facility

3 transfer donts

routein care visitor info subjective comments

with informed consent the nurse is responsible for what 3 things

make sure provider gave the patient the information make sure the patient is compitent sign the consent document