OBRA(Omnibus Budget Reconciliation Act) - ANSWER long term care
The Joint Commission (TJC) - ANSWER A private, not-for-profit organization that evaluates
and accredits hospitals and other healthcare organizations on the basis of predefined perfor-
mance standards.
OSHA - ANSWER focuses on worker safety, material safety data sheets- has info on all
chemicals.
CLIA - ANSWER Clinical Laboratory Improvement Amendments. creates lab standards.
Dressing/undressing patient - ANSWER Dress weak side first
Undress weak side last
Privacy
Proper body mechanics - ANSWER Keep back straight, bend at knees, keep wide stance,
and keep objects close to body, do not twist to pick up.
occlusive dressing - ANSWER An airtight dressing that protects a wound from air and bac-
teria
semi-occlusive dressing - ANSWER permits oxygen but not air to pass
how long can a patient wear restraints - ANSWER 2 hours
1
,devices to prevent pressure ulcers - ANSWER pillows, wedge pillows, air mattress , heel
flotation
serous drainage - ANSWER clear, watery fluid
sanguineous drainage - ANSWER bright red fluid, along with active bleeding
purulent fluid - ANSWER thick, yellow, green, tan, or brown
serosanguineous drainage - ANSWER thin, watery drainage that is blood-tinged
apical pulse - ANSWER located at 5th intercostal space
Nodes - ANSWER SA node, AV node, bundle of his, purkinje fibers
rhythms that have to be shocked - ANSWER vtach and vfib
U waves - ANSWER are not normal , indicates decreased potassium
which lead can you mirror - ANSWER V3
when performing ekg and pt reports chest pains - ANSWER call provider
Rotavirus - ANSWER contact precautions
flu - ANSWER droplet precaution
2
,mislabeling blood bank tube - ANSWER could lead to wring transfusion
urine analysis - ANSWER need atleast 30 ml to test
dermal sample - ANSWER lavender first
24 hour urine - ANSWER ask pt to void, discard it and start time.
keep ALL urine for 24 hours , keep it on ice
start over if urine is missed
should have between 750-2000ml out in 24 hours
guaiac stool/ occult blood testing - ANSWER first test window, if control solution does not
turn window blue do not use test
if the card turns blood when stool is introduced then blood is present.
false test can be caused by heavy red meat consumption.
stool sample - ANSWER label side of cup
Bilirubin - ANSWER green tube
abbreviations that arent approved - ANSWER U IU MgS04 q.d q.o.d and trailing zero
CHF (congestive heart failure) - ANSWER right side - swelling in legs and adbomen
left- shortness of breath
hyperglycemia - ANSWER frequent urination, weight loss
3
, TED hose - ANSWER remove once a shift , toes open . do not roll
Jewish death rituals - ANSWER members will wash the body someone will stay with the
body until burried - autopsy is usually apposed
Muslim Death Ritual - ANSWER apposed to cremation , and autopsy
stages of grief - ANSWER 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
doesnt have to be in order
how to move dead body - ANSWER use draw sheets
urinary catheter - ANSWER secure bag to non movable bed part
keep below bladder
prevent skin breakdown - ANSWER barrier cream
from bed to stretcher - ANSWER they should be the same height
Non-weight bearing (NWB) - ANSWER lock bed and wheel chair
greater risk of fall - ANSWER elderly
4
The Joint Commission (TJC) - ANSWER A private, not-for-profit organization that evaluates
and accredits hospitals and other healthcare organizations on the basis of predefined perfor-
mance standards.
OSHA - ANSWER focuses on worker safety, material safety data sheets- has info on all
chemicals.
CLIA - ANSWER Clinical Laboratory Improvement Amendments. creates lab standards.
Dressing/undressing patient - ANSWER Dress weak side first
Undress weak side last
Privacy
Proper body mechanics - ANSWER Keep back straight, bend at knees, keep wide stance,
and keep objects close to body, do not twist to pick up.
occlusive dressing - ANSWER An airtight dressing that protects a wound from air and bac-
teria
semi-occlusive dressing - ANSWER permits oxygen but not air to pass
how long can a patient wear restraints - ANSWER 2 hours
1
,devices to prevent pressure ulcers - ANSWER pillows, wedge pillows, air mattress , heel
flotation
serous drainage - ANSWER clear, watery fluid
sanguineous drainage - ANSWER bright red fluid, along with active bleeding
purulent fluid - ANSWER thick, yellow, green, tan, or brown
serosanguineous drainage - ANSWER thin, watery drainage that is blood-tinged
apical pulse - ANSWER located at 5th intercostal space
Nodes - ANSWER SA node, AV node, bundle of his, purkinje fibers
rhythms that have to be shocked - ANSWER vtach and vfib
U waves - ANSWER are not normal , indicates decreased potassium
which lead can you mirror - ANSWER V3
when performing ekg and pt reports chest pains - ANSWER call provider
Rotavirus - ANSWER contact precautions
flu - ANSWER droplet precaution
2
,mislabeling blood bank tube - ANSWER could lead to wring transfusion
urine analysis - ANSWER need atleast 30 ml to test
dermal sample - ANSWER lavender first
24 hour urine - ANSWER ask pt to void, discard it and start time.
keep ALL urine for 24 hours , keep it on ice
start over if urine is missed
should have between 750-2000ml out in 24 hours
guaiac stool/ occult blood testing - ANSWER first test window, if control solution does not
turn window blue do not use test
if the card turns blood when stool is introduced then blood is present.
false test can be caused by heavy red meat consumption.
stool sample - ANSWER label side of cup
Bilirubin - ANSWER green tube
abbreviations that arent approved - ANSWER U IU MgS04 q.d q.o.d and trailing zero
CHF (congestive heart failure) - ANSWER right side - swelling in legs and adbomen
left- shortness of breath
hyperglycemia - ANSWER frequent urination, weight loss
3
, TED hose - ANSWER remove once a shift , toes open . do not roll
Jewish death rituals - ANSWER members will wash the body someone will stay with the
body until burried - autopsy is usually apposed
Muslim Death Ritual - ANSWER apposed to cremation , and autopsy
stages of grief - ANSWER 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
doesnt have to be in order
how to move dead body - ANSWER use draw sheets
urinary catheter - ANSWER secure bag to non movable bed part
keep below bladder
prevent skin breakdown - ANSWER barrier cream
from bed to stretcher - ANSWER they should be the same height
Non-weight bearing (NWB) - ANSWER lock bed and wheel chair
greater risk of fall - ANSWER elderly
4
