283 ALL Comps Review .. THIS IS Everything ( Golden)
2025/2026
Downloaded by Morris Muthii ()
, 283 COMP REVIEW
PRIORITY PATIENTS REQUIRING FOLLOW-UP
- New, developed, becomes
- BP change of 20mmHg
- Glucose < 70
- Post-procedures
o ***VERIFY PATIENT ID WHEN COMING BACK FROM PACU!!!***
- Patient who hasn’t been to doctor in years
- ***BURN PATIENT WITH LOW O2!!!***
SCOPE OF PRACTICE
- UAP:
o Transport
o I+O collection & documentation
o Feedings
o Ambulation
o Positioning
o Vitals AFTER the RN does first set
o Remind but not reteach or demonstrate
- LPN:
o Reinforce teaching
o Reassessments
o ***OBTAIN PAST MEDICAL HX!!!***
o Accuchecks
o Wound vacs
o Dressing changes
o Trach care
- RN:
o Initial assessments (admission, post-op)
o Initial teaching
o Planning of care
o Discharges
o Anything IV
o Blood Products
o ***RN MUST BE THE FIRST PERSON TO GET THE PATIENT UP
AFTER ANY SEDATION TO ENSURE THEY CAN BEAR WEIGHT!!!***
PALLIATIVE CARE
- Symptom management
- Improving quality of care
HOSPICE CARE
- ***NO ANTIBIOTICS!!!***
Downloaded by Morris Muthii ()
, ***GRIEF STAGES!!!***
- Bargaining: “I just want to see my son graduate.”
- Acceptance: “I’ve lived a good life.”
LEGAL/ETHICS
- Battery: physical harm
- Defamation: damaging someone’s reputation
o Slander: spoken defamation
o Libel: written defamation
INCIDENT REPORTS
***DO NOT GO IN PATIENT CHARTS!!!***
- Complete for:
o ***MEDICATION ERRORS!!!***
o Adverse reactions
o Falls/injuries
o Lost/stolen items
INFORMED CONSENT
***MUST BE SIGNED BEFORE GIVING ANY MIND-ALTERING MEDICATIONS!!!***
- Before signing, patient ***MUST BE INFORMED OF:
o Risks vs benefits
o Alternative treatments
o Procedures
o Plan of care in layman’s terms
- ***PATIENT CAN CHANGE MIND AT ANY TIME!!!***
- ***DOES NOT MEAN THE PATIENT UNDERSTANDS THE PROCEDURE!!!***
o Gives approval to have body touched by specific individual and to have a
specific procedure performed
ADVANCED DIRECTIVES
- ***ON ADMISSION, THE NURSE MUST ASK ABOUT THE STATUS AND
PLACE A COPY IN THE MEDICAL RECORD!!!***
- Provides guidance on healthcare-related decisions if the patient is unable to do
so for themselves
LIVE VACCINES
- MMR
- Varicella
- Flumist
- Rotavirus
***CONTRAINDICATION: LOW WBCs!!!***
Downloaded by Morris Muthii ()
2025/2026
Downloaded by Morris Muthii ()
, 283 COMP REVIEW
PRIORITY PATIENTS REQUIRING FOLLOW-UP
- New, developed, becomes
- BP change of 20mmHg
- Glucose < 70
- Post-procedures
o ***VERIFY PATIENT ID WHEN COMING BACK FROM PACU!!!***
- Patient who hasn’t been to doctor in years
- ***BURN PATIENT WITH LOW O2!!!***
SCOPE OF PRACTICE
- UAP:
o Transport
o I+O collection & documentation
o Feedings
o Ambulation
o Positioning
o Vitals AFTER the RN does first set
o Remind but not reteach or demonstrate
- LPN:
o Reinforce teaching
o Reassessments
o ***OBTAIN PAST MEDICAL HX!!!***
o Accuchecks
o Wound vacs
o Dressing changes
o Trach care
- RN:
o Initial assessments (admission, post-op)
o Initial teaching
o Planning of care
o Discharges
o Anything IV
o Blood Products
o ***RN MUST BE THE FIRST PERSON TO GET THE PATIENT UP
AFTER ANY SEDATION TO ENSURE THEY CAN BEAR WEIGHT!!!***
PALLIATIVE CARE
- Symptom management
- Improving quality of care
HOSPICE CARE
- ***NO ANTIBIOTICS!!!***
Downloaded by Morris Muthii ()
, ***GRIEF STAGES!!!***
- Bargaining: “I just want to see my son graduate.”
- Acceptance: “I’ve lived a good life.”
LEGAL/ETHICS
- Battery: physical harm
- Defamation: damaging someone’s reputation
o Slander: spoken defamation
o Libel: written defamation
INCIDENT REPORTS
***DO NOT GO IN PATIENT CHARTS!!!***
- Complete for:
o ***MEDICATION ERRORS!!!***
o Adverse reactions
o Falls/injuries
o Lost/stolen items
INFORMED CONSENT
***MUST BE SIGNED BEFORE GIVING ANY MIND-ALTERING MEDICATIONS!!!***
- Before signing, patient ***MUST BE INFORMED OF:
o Risks vs benefits
o Alternative treatments
o Procedures
o Plan of care in layman’s terms
- ***PATIENT CAN CHANGE MIND AT ANY TIME!!!***
- ***DOES NOT MEAN THE PATIENT UNDERSTANDS THE PROCEDURE!!!***
o Gives approval to have body touched by specific individual and to have a
specific procedure performed
ADVANCED DIRECTIVES
- ***ON ADMISSION, THE NURSE MUST ASK ABOUT THE STATUS AND
PLACE A COPY IN THE MEDICAL RECORD!!!***
- Provides guidance on healthcare-related decisions if the patient is unable to do
so for themselves
LIVE VACCINES
- MMR
- Varicella
- Flumist
- Rotavirus
***CONTRAINDICATION: LOW WBCs!!!***
Downloaded by Morris Muthii ()
