Skills Check Off

Question 1

What 7 things do you do when you first come into the patients room?

Answer 1

• Check the MAR to the physicians order
• Wash hands
• Check patients identity
• Ask about allergies and their reaction
• Ask if they have any pain, use scale of 1-10
• Go through the medications with them
• Wash hands and exit room to go call physicain

Question 2

When speaking to the physician, what do you do if he gives you a new order?

Answer 2

Write it down and repeat it back to the physician to make sure it is correct.

Question 3

When you do just before entering the patients room?

Answer 3

-Check the meds against the physicians order

Question 4

What do you do upon entering the room of the patient after speaking to the physician?

Answer 4

• Raise bed and Wash hands
• Check the patients identity.
• Put on gloves
• Go through each med with patient and identify what each medication is for.
• Administer each medication
• Lower bed and put up rails.
• wash hands and exit room

Question 5

Otic?

Answer 5

• Warm the solution
• Gently shake the bottle
• Put patient in Simms position
• Cleanse the external ear with a cotton tipped applicator
• Pull the pinna up and back.
• Shake the pinna in between drops and when done.
• Tell patient to remain on their side for 5-10 minutes.
• Place cotton loosely in the ear.

Question 6

Opthalmic drops?

Answer 6

• Cleanse the edges of the eyelid from the inner to the outer canthus.
• Holding eye dropper, rest dominant hand on forehead
• Pull down the lower eyelid with the non-dominant hand
• Ask patient to look up
• Place drops in the conjunctiva sac.
• Ask the patient to close eyes and move eyes around
• press gently against the side of the nose.

Question 7

Inhaler?

Answer 7

• Have patient rinse mouth out.
• Explain how its going to work
• administer med
• have patient rinse mouth out and spit out the water.

Question 8

With an inhaler, how long do you wait in between puffs?

Answer 8

1 minutes.

Question 9

Rectal?

Answer 9

• Ask patient if they need to defecate
• Put in Simms position
• Put on gloves
• Remove suppository wrapper and lubricate the smooth end and the tip of the gloved finger.
• Say “you will feel some pressure.”
• Use nondominate hand to separate cheeks.
• Ask patient to take a deep breaths in and out.
• Push it in about 3 inches. (0.5-1 inch in infants)
• Wipe the anus clean with a toilet tissue
• Ask patient to stay on side for 5-10 minutes.
• Ask them to hold in for 30 minutes.
• Leave bedpan within reach if it was a suppository.

Question 10

Vaginal?

Answer 10

• Ask if patient needs to void
• Put them into the Simms position
• Don gloves
• Remove wrapper from suppository and place it loosely in wrapper container.
• Clean the vigina
• Separate labia with non-dominate hand.
• Tell them they may feel some pressure
• Push in the suppository about 3 inches.
• Ask the patient to stay on their side for 5-15 minutes.