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Rn ATI capstone Fundamentals Focused Review
Management Care (1)
-Integumentary and Peripheral Vascular Systems: Identifying Skin Lesions (Active Learning
Template - Basic Concept, RM FUND 9.0 Ch 30)
-Equipment used to assess
-adequate lighting, gloves, flexible ruler/tape measure, gown or drape to cover pt
-Vascular Lesions
-Spider Angioma- red center with radiating red legs, up to 2 cm, possibly raised
-cherry Angioma- red 1 to 3cm, round and possibly raised
-spider vein- bluish, spider shaped or linear up to several inches in size
-petechiae/purpura- deep reddish/purple flat petechiae 1-3mm, purpura > 3mm
-ecchymosis- purple fading to green or yellow over time, variable in size, flat
-hematoma- raised ecchymosis
Safety & Infection control (4)
-Client Safety: Priority Action in a Fire Emergency (Active Learning Template - Basic Concept, RM
FUND 9.0 Ch 12)
-Know the location of exits, alarms, fire extinguishers, and oxygen shut-off valves.
-Make sure equipment does not block fire doors.
-Know the evacuation plan for the unit and the facility.
R: Rescue and protect clients in close proximity to the fire by moving them to a safer
location. Clients who are ambulatory may walk independently to a safe location.
A: Alarm: Activate the facility’s alarm system and then report the fire’s details and
location.
C: Contain/Confine the fire by closing doors and windows and turning off any sources of
oxygen and any electrical devices. Ventilate clients who are on life support with a
bag-valve mask.
E: Extinguish the fire if possible using the appropriate fire extinguisher
-Home Safety: Teaching About Wound Care (Active Learning Template - Basic Concept, RM
FUND 9.0 Ch 13)
Burns
-Test the temperature of formula and bath water.
-Place pots on back burner and turn handle away from front of stove.
-Supervise the use of faucets.
-Keep matches and lighters out of reach.
-Cover electrical outlets
Play Injury
-Teach to not run with candy or objects in mouth.
-Remove doors from refrigerators or other potentially confining structures.
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-Ensure that bikes are the appropriate size for child.
-Teach playground safety.
-Teach to play in safe areas, and avoid heavy machinery, railroad tracks, excavation areas,
quarries, trunks, and vacant buildings.
-Teach to never swim alone and to wear a life jacket in boats.
-Wear protective helmets and knee and elbow pads, when needed.
-Teach to avoid strangers and keep parents informed of strangers.
-Medical and Surgical Asepsis: Maintaining Surgical Asepsis While Performing a Sterile Dressing
Change (Active Learning T-template - Nursing Skill, RM FUND 9.0 Ch 10)
-The outer wrappings and 1-inch edges of packaging that contains sterile items are not sterile.
---The inner surface of the sterile drape or kit, except for that 1-inch border around the edges, is
the sterile field to which other sterile items may be added.
-To position the field on the table surface, grasp the 1-inch border before donning sterile gloves.
Discard any object that comes into contact with the 1-inch border.
-Touch sterile materials only with sterile gloves.
-Consider any object held below the waist or above the chest contaminated.
-Sterile materials may touch other sterile surfaces or materials; however, contact with nonsterile
materials at any time contaminates a sterile area, no matter how short the contact.
-Mobility and Immobility: Teaching Correct Use of a Cane (Active Learning Template - Nursing
Skill, RM FUND 9.0 Ch 40)
-Maintain two points of support on the ground at all times.
-Keep the cane on the stronger side of the body.
-Support body weight on both legs.
-Move the cane forward 15 to cm (6 to 10 inches).
-Then move the weaker leg forward toward the cane.
-Next, advance the stronger leg past the can
Health Promotion and Maintenance - (5)
-Health Promotion and Disease Prevention: Teaching About Tertiary Prevention Programs
(Active Learning Template - Basic Concept, RM FUND 9.0 Ch 16)
-Tertiary prevention aims to prevent the long-term consequences of a chronic illness or
disability and to support optimal functioning.
-Begins after an injury or illness
-Prevention of pressure ulcers after spinal cord injury
-Promoting independence after traumatic brain injury
-Referrals to support groups
-Rehabilitation center
Rn ATI capstone Fundamentals Focused Review
Management Care (1)
-Integumentary and Peripheral Vascular Systems: Identifying Skin Lesions (Active Learning
Template - Basic Concept, RM FUND 9.0 Ch 30)
-Equipment used to assess
-adequate lighting, gloves, flexible ruler/tape measure, gown or drape to cover pt
-Vascular Lesions
-Spider Angioma- red center with radiating red legs, up to 2 cm, possibly raised
-cherry Angioma- red 1 to 3cm, round and possibly raised
-spider vein- bluish, spider shaped or linear up to several inches in size
-petechiae/purpura- deep reddish/purple flat petechiae 1-3mm, purpura > 3mm
-ecchymosis- purple fading to green or yellow over time, variable in size, flat
-hematoma- raised ecchymosis
Safety & Infection control (4)
-Client Safety: Priority Action in a Fire Emergency (Active Learning Template - Basic Concept, RM
FUND 9.0 Ch 12)
-Know the location of exits, alarms, fire extinguishers, and oxygen shut-off valves.
-Make sure equipment does not block fire doors.
-Know the evacuation plan for the unit and the facility.
R: Rescue and protect clients in close proximity to the fire by moving them to a safer
location. Clients who are ambulatory may walk independently to a safe location.
A: Alarm: Activate the facility’s alarm system and then report the fire’s details and
location.
C: Contain/Confine the fire by closing doors and windows and turning off any sources of
oxygen and any electrical devices. Ventilate clients who are on life support with a
bag-valve mask.
E: Extinguish the fire if possible using the appropriate fire extinguisher
-Home Safety: Teaching About Wound Care (Active Learning Template - Basic Concept, RM
FUND 9.0 Ch 13)
Burns
-Test the temperature of formula and bath water.
-Place pots on back burner and turn handle away from front of stove.
-Supervise the use of faucets.
-Keep matches and lighters out of reach.
-Cover electrical outlets
Play Injury
-Teach to not run with candy or objects in mouth.
-Remove doors from refrigerators or other potentially confining structures.
, 2
-Ensure that bikes are the appropriate size for child.
-Teach playground safety.
-Teach to play in safe areas, and avoid heavy machinery, railroad tracks, excavation areas,
quarries, trunks, and vacant buildings.
-Teach to never swim alone and to wear a life jacket in boats.
-Wear protective helmets and knee and elbow pads, when needed.
-Teach to avoid strangers and keep parents informed of strangers.
-Medical and Surgical Asepsis: Maintaining Surgical Asepsis While Performing a Sterile Dressing
Change (Active Learning T-template - Nursing Skill, RM FUND 9.0 Ch 10)
-The outer wrappings and 1-inch edges of packaging that contains sterile items are not sterile.
---The inner surface of the sterile drape or kit, except for that 1-inch border around the edges, is
the sterile field to which other sterile items may be added.
-To position the field on the table surface, grasp the 1-inch border before donning sterile gloves.
Discard any object that comes into contact with the 1-inch border.
-Touch sterile materials only with sterile gloves.
-Consider any object held below the waist or above the chest contaminated.
-Sterile materials may touch other sterile surfaces or materials; however, contact with nonsterile
materials at any time contaminates a sterile area, no matter how short the contact.
-Mobility and Immobility: Teaching Correct Use of a Cane (Active Learning Template - Nursing
Skill, RM FUND 9.0 Ch 40)
-Maintain two points of support on the ground at all times.
-Keep the cane on the stronger side of the body.
-Support body weight on both legs.
-Move the cane forward 15 to cm (6 to 10 inches).
-Then move the weaker leg forward toward the cane.
-Next, advance the stronger leg past the can
Health Promotion and Maintenance - (5)
-Health Promotion and Disease Prevention: Teaching About Tertiary Prevention Programs
(Active Learning Template - Basic Concept, RM FUND 9.0 Ch 16)
-Tertiary prevention aims to prevent the long-term consequences of a chronic illness or
disability and to support optimal functioning.
-Begins after an injury or illness
-Prevention of pressure ulcers after spinal cord injury
-Promoting independence after traumatic brain injury
-Referrals to support groups
-Rehabilitation center
