Mnemonics - ATL Flashcards
Enter Room: EWIIGG
E - Enter W - Wash Hands I - Introduce Self I - I.D. Pt / Preferred Name G - Gloves G - Give Instruction
Exit Room: SCABS CS
S - Side rails up C - Call bell w/in reach A - Anything else? B - Bed in low/locked position S - Say thank you
C - Clutter free envir.
S - Socks on
Areas of Assessment: SHEEP
S- Supplies -gather-(penlight,stethoscope,gloves,alcohol prep)
H - Hygiene (wash hands)
E - Explain procedure
E - Expose only nec. area (protect privacy)
P - Proper Temp/Envir. (of room/equip.)
Abdominal Assessment: 4Ps LLLFS RR
P - Privacy P - Pee/urinate P - Pain P - Position S - Suction Off L - Leave dressing/binder alone L - Look (appearance/contour) L - Listen F - Feel (tenderness/pain; soft, firm, rigid) S - Suction On
R - Reposition
R - Record
Comfort Mgt: R-A 2ND CHANCER
R-Ready to learn>Edu.>Eval. Learner Understanding.
A - Assess comfort level scale
2 - 2 Comfort Measures
N - Need to Reposition
D - Distract/Relaxation
C - Cold/Heat (when assigned) H - Hygiene A - Arrange linens N - Nsaids/Need meds? C - Comfort Rub E - Environmental Adjustment R - Reassess
Fluid Mgt: CHIPPICOOOWS RR
C - Communicate (Ready to learn>Edu.>Eval. Understanding. H - Hydration Status (turgor, mucous memb.,anterior fontanel). I - IV (rate, amount, type) P - Palpate site (redness/edema?) P - Pump (settings/gtts) I - Inspect Tubing (kinks/bubbles) C- Check Enteral Feed O - Oral Explain O - Other Drains O - Oxygen W - Write it down S - Socks On
R - Reassess
R - Record Pt. Response
Musculoskeletal Mgt: RAMS SAMS PART A
R - Ready to learn>Edu>Evaluate learner understanding.
A - Appearance of extremity
M - Morse fall scale
S - Start implementing fall preventions
S - Strength of extremity
A - Any Devices
M - Mobility
S - Symptoms w/ movement
P - Place barrier
A - Apply heat/cold (when assigned)
R - R.O.M.
T - Traction/therapeutic devices
A - Activities
Neurological Assessment: E-LOGICSS
E - Environment (i.e. Dim lights) L - LOC (person, place, time) O - Observe Pupils (equal, reactive to light) G - Grasp hands bilaterally I - Inspect fontanel C - Check Dorsi/Plantar Flexion S - Stimuli (verbal, tactile, noxious) S - Symmetry of movement
Oxygen Mgt: RT CC SAFE PASSER
[2]
R - Rate (20 min check)
T - Teach pt/assess learner needs + Pt. Edu.
C - Color (nails, lips, mucous mem.)
C - Condition of skin (lips, mucous mem.,skin)-affected by device
S - Sats (1st SpO2)
A - Assess ignition sources
F - Flow of humidity
E - Effort of Resp./Breathing
P - Position Upright A - Activity intolerance S - Skin interventions S - Sats (2nd SpO2) E - Evaluate learner understanding R - Response to interventions
Peripheral Neurovascular Mgt: R PERIPH ME HOT MESSED
[2]
R - Ready to learn + Pt. Edu.
P - Pulses (quality) E - Extremities (compare bilaterally) R - Refill, capillary I - Inspect sensation P - Pale/Pink (color) H - Hot/Cold (temp of extremities)
M - Motor Function
E - Edema
H - Help the perfusion by:
O - Offer blanket
T - Two interventions
M - Movement/Reposition/Elevate extremity
E - Exercise (toe up-point and flex)
S - SCD’s (sequential compression device)
S - Stocking (anti-embolism)
E - Evaluate learner understanding + Response to Interventions
D - Document
Respiratory Mgt: RUBBERSS IDS ROAR
R - Ready to learn/learner needs>Edu.>Eval. understanding.
U - Upright position.
B - Bare skin auscultating lungs (1st time).
B - “Breathe slow + deep - in nose out mouth”.
E - Effort, RR, Depth, Rhythm (1st time).
R - Receptacle for D/B+Cough.
S - SpO2 + O2 Lpm + Delivery method (1st time).
S - Secretions
I - I/S or Pinwheel
D - D/B+Cough
S - Suction
R - Re-assess Lung Sounds (2nd time)
O - Oral hygiene care
A - Assess SpO2 + Resp. Status(2nd time)-Effort, RR, Depth, Rhythm.
R - Record.
Skin Mgt: [B]raden R SKINNED OPARKA
B - Braden Scale (score, risk)
R - Ready to learn + Pt. Edu. + Eval. learner Understanding.
S - Skin color K - Keep warm/dry (assess) I - Integrity intact? N - Note Edema N - Need repositioned E - Eval. Pain D - Do 1 area/Location
O - Observe Temp + Turgor P - Provide Incontinent Care A - Apply/Maintain Devices R - Reposition K - Keep Skin Clean A - Apply Protective Products
Wound Mgt: CIPM WHATS DRAININGLY
[2]
C - Clean table w/purple wipe
I - I.D. Pt.
P - Pain scale method + rating
M - Medicate for pain
W - Where's Location H - How's Appearance A - Any Infection T - Type of wound S - Surrounding tissue (appearance)
D - Drainage
R - Readyto learn + Pt. Edu.
A - Assess learner Understanding
I - Interventions (prep pt. + dressing supplies)
N - Need Barrier
I - Is it Sterile or Clean technique
N - New Dressing
G - Get rid of soiled dressing appropriately
L - Label dressing
Y - you must ensure clothing/linens are clean/dry afterwards.
Medications Mgt: R-MAR DOSAGES
R - Ready to learn/Assess learner needs + Pt. Edu + Learner understanding.
M - MAR check Meds
A - Appropriate dose
R - Recheck MAR to I.D.
D - Do 5 rights (Right - pt.,drug,dose,route,time)
O - Observe Allergies
S - Special Assessment (Bp, pulse, labs, etc.)
A - Ask how pt. takes pills
G - Gather equipment
E - Evaluate + Administer
S - Sign MAR immediately
Drainage / Suction: DRAINAGE MASS ERR
D - Drain/Suction Type R - Response to Drain (from pt.) A - Amount, Type, Color I - Integrity of Skin N - Needs Secured (tubing/apparatus) A - Assess system patency G - Gloves E - Empty
M - Maintain
A - And
S - Stabilize or
S - Secure
E - Empty - measure
R - Remove (d/c when assigned)
R - Record Response
