1. Restraints are used to prevent injury to the patient or others when less restrictive measures and alternatives have failed.
2. Some alternatives to restraint use Include which of the following:
A restraint order is time limited and must be obtained every 24 hours.
All staff involved in the application and removal of restraints should receive appropriate training prior to Implementation
Common sites for Pressure Ulcer development are not:
Pressure Ulcers are either Partial Thickness or Full thickness wounds?
When measuring Pressure Ulcers you should:
Wounds with eschar and slough are Stage I wounds.
When a Rapid Response Team is notified they must respond within 5 minutes of the notification.
When notifying the physician of a Rapid Response you should use the SBAR format.
Debriefing should occur after a Code Blue.
When Planning a Transfer or Lift, you should:
The patient should be instructed to help as much as possible during the lift/transfer if they are capable.
When you are turning a patient raise the head of the bed and lower the bed to the floor.
Lifting devices Include the following:
When a patient is on a monitor someone competent in Cardiac monitoring should be observing the monitor at all times.
A patient with a regular rhythm with a heart rate of 110 is in:
A patient with a rhythm resembling a straight line is in:
When the monitor alarm sounds, the following should happen except:
Care at the End Of Life may include:
Factors Affecting End of Life include:
After death the body should be made to look as natural as possible, (remove lines, lay flat in bed, patient o. back, place a pillow under head, close eyelids and mouth, wash soiled areas； change gown) and make environment clean, neat and uncluttered (remove equipment from room).
A patient is assessed for pain upon admission and every time you enter the room.
Pain is measured on a Scale of 1-10. If a patient is non-verbal you should use the Song- Maker scale.