Two things dictated by mandatory reporting
Any abuse, sexually communicable disease
Three varieties of advanced directives
Living will, DPOA and DNR
Three provider responsibilities for procedure
Purpose, risk, options
Two responsibilities of RN for informed consent procedure
Patient signs, patient is informed
What does fidelity mean?
Keep promises
Two Unintentional Torts
negligence and malpractice
Three intentional torts
assault, battery, false imprisonment
Should an incident report be referred to in the patients medical record?
No
How soon after a telephone order does a provider have to sign a prescription?
24 hours
Three things RN cannot delegate
Assessment, blood tranfusion, patient education
What kind of patient education is alright to delegate to LPN?
Enforcing of existing patient education
What kind of patients can a CNA not feed?
Those with swallowing precautions
,What should you always do before taking action?
Assess
5 rights of delegation
Right - task, circumstance, person, direction, supervision
What should you do prior to letting a patient eat or drink?
Assess swallowing issues
When does discharge planning start?
At admission
What acronym should you use when giving a patient transfer report?
SBAR
Where does the sterile field end?
W/in one inch of the edge of the dressing
When are you allowed to turn your back on a sterile field?
Never
What kind of immune protection is skin and stomach acid?
Nonspecific innate immunity
What kind of immunity are B and T lymphocytes?
Specific Adaptive immunity
What kind of immunity when the body is exposed to live pathogen?
Active natural immunity
What kind of immunity when the body is exposed to vaccine?
Active artificial immunity
Antibodies passed through breastmilk or placenta
Passive natural immunity
Immunity through Ig administered after exposure to a pathogen
Passive artificial immunity
,Time from pathogen enters to when symptoms start
Incubation
Time from general symptoms to specific symptoms
Prodromal stage
Stage of infection with specific symptoms
Illness stage
Stage of infection between when specific symptoms disappear to recovery
Convalescence stage
definition of virulence factor
ability of a pathogen to produce disease
WBC count that indicates infection
10,000 or higher
CRP above what indicates infection
three (3)
When should you get a culture?
Before starting antibiotics
How long should you isolate herpes zoster?
Until vesicles have crusted over
At what age should adults get the shingles vaccine?
60
How many bed rails should you put up to prevent falls?
Less than 4
How soon after putting a patient in emergency restraints does a nurse need an order?
One hour
How long can adult restraint orders be written for?
Four hours
, How should you position patient having a seizure?
Turn to the side
How should the patient be restrained during a seizure?
They shouldn't
How old should kids be before they face the front?
2 years
When should a child be in a booster seat
Under 40 lbs or under 4'9"
What maximum temperature should the water heater be set for children?
120 degrees F
What kind of bedding material should be used with oxygen?
Cotton, not synthetics
Three symptoms of carbon monoxide poisoning
N/v, headache, LOC
What vaccine should you administer after frostbite?
Tetanus vaccine
Patient position for enema
Sims
Patient position with HOB lower than foot of bed
Trendelenburg
Position to encourage gastric emptying and prevent reflux
Reverse tendelenburg
Position with legs above heart to combat hypovolemia
Modified trendelenburg
Degrees for semi-fowlers
15-45 (mostly 30)