Hondros Nurse 150 Final | 100% Correct Answers | Verified | Latest 2024 Version

What are the Hospital National Patient Safety Goals - 1. Identify pt's correctly 2. Improve staff communication 3. Use Meds safely 4. Use alarms safely 5. Prevent Infection 6. ID pt safety risks 7. Prevent mistakes in Surgery What are the Long Term Care National Patient Safety Goals - 1. ID Residents correctly 2. Use meds safely 3. Prevent Infection 3. Prevent residents from falling 4. Prevent bed sores Procedure for fecal Impaction Removal - 1. Verify physician written order, Introduce self, hand hygiene, ID patient, explain procedure and provide privacy. Fecal impaction cont'd...after explaining procedure, what's next? - Raise bed and lower side rail, position pt to Sim's position Fecal impaction cont'd...after putting pt in Sim's, what do you do next? - Drape pt's trunk and lower extremities with bath blankets, put waterproof pad under buttocks/hips. Place bedpan next to pt. Fecal Impaction cont'd...after placing bedpan next to pt, what is next? - Hand hygiene and don clean gloves, lubricate gloved index finger and middle finger of dominant hand and tell pt to take deep, slow breaths, in and out during procedure. Fecal impaction cont'd... after instructing pt to breathe deeply, what is the next step? - Insert gloved index finger, gradually and gently, feel anus relax and insert middle finger. Move fingers gradually towards wall of rectum towards umbilicus and loosen mass by moving fingers in a scissor like motion. Work stool downward and remove small pieces of feces into bedpan. Fecal impaction cont'd....what signs to observe during removal - Pt response, heart rate, dyspnea or heart palpitations