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88 Cards in this Set
- Front
- Back
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Code of conduct |
not allowed to: -eat or drink in patient areas -do outside work -use cell phones -use hospital computers for personal use
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Uniform |
-Polo shirt (tucked in at all times) -Khaki pants -ID badge -White tenis shoes -Black pen |
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Assistant Manager |
Kierra Washington |
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Hours and Shift Requirements |
-one 4-hour shift each week in assigned dept. -First rotation:48 hrs. -Second rotation:48 hrs -cannot move onto another dept.or rotation without completing the 48 hrs. -Program completion: 280 hrs. |
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Signing up for Shifts |
-Sign up for the next month's shifts from 1st-25th -Only sign up for one shift per week (until calendar is finalized) -Additions/edits open until 25th-end of the month -finalized calendar posted in binders |
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Changes to Finalized Calendar (a shift can be rescheduled if the CCE emails the department coordinator at least 48 hrs before a scheduled shift with what info?)
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1. Date/time of shift to be rescheduled 2. Valid reason 3. Requested replacement shift date/time
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Missed Shifts (excused and unexcused) |
Excused missed shift (within 48hrs of start of shift) Unexcused missed shift (after shift begins -Call Charge Nurse of the assigned dept. 15 min. after shift start time -email dept. coodinator -valid reason -a new shift date/time |
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Timesheet
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-First and Last thing you do -round to the nearest quarter hour -CCE must take break if working two shifts back to back |
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Practice: Six hours before your scheduled shift, an emergency arises and you will not be able to perform your weekly volunteer duties. You must do which of the following? I. Call Charge nurse of department 15 min. after time of shift II. Email dept. coordinator III. Page the COPE health solutions Manager |
I and II - you must call the Charge Nurse and email department coordinator |
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Code GRAY |
Combative or disruptive person confronting hospital staff -Go to location if in the area -Dial 1111, provide name and location
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code RED |
FIRE -Dial 111, provide name and location -Close all doors to are -Follow instructions from nurse or hospital employee |
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code BLUE |
Adult medical emergency -Dial 111, provide name and location -Follow instruction from nurse or hospital employee |
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code WHITE |
Child/Pediatric CPR (3 months-8 yrs of age) -Dial 1111 to report emergency
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code ORANGE |
Hazardous Material Spill -Dial 111, provide name and location -Do not attempt to clean up manually -Assume hazardous chemical agents -Try to block off area |
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code PURPLE |
Child Abduction -Dial 111, provide name and location -Report to security/ public safety -Look for suspicious situations |
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code YELLOW |
BOMB THREAT -If you receive a call, get as much information as possible -Dial 111, provide name and location -Look for suspicious situations |
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code SILVER |
Person with weapon or hostage situation -Dial 111, provide name and location -DO NOT go to the location -Follow instruction from nurse or hospital employee |
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code PINK |
Infant Abduction -Dial 111, provide name and location -Guard entrance/ exit -Look for suspicious situation -Make sure all visitors have a badge |
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Fire extinguisher |
Pull ring from handle Aim nozzle at base of fire Squeeze handle |
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FIRE code: |
R.A.C.E -rescue the patient -activate the alarm -contain the fire -extinguish |
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Service Recovery |
Complaint >> Assure >> Report >>>Follow up |
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AIDET |
Acknowledge Introduce Duration Explanation Thank You |
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HIPAA |
Health Insurance Portability and Accountability Act -makes it easy for patient to move from one insurance plan to another -makes it illegal for information to be released to inappropriate parties |
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Protected Health Information (PHI) |
-Name -Address -Social Security Number -Birth Date -Names of Relatives |
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Ways to Protect Privacy
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-Close doors and draw curtains during patient care or discussions -make sure discussions about patient conditions cannot be overheard -knock before entering -keep patient records locked and away from public areas -do not give information out to visitors. |
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Patient Identification |
1. Patient's Nurse 2. Main Nurses' station whiteboard 3. Open ended question 4. Patient's wristband 5. Patient's Chart |
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Personal Protective Equipment (PPE) |
-Used to reduce exposure to infectious organisms -includes: gloves, gowns, mask, goggles, face masks |
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Infectious diseases |
Illinois that results from the infection, presence, and growth of one or more pathogenic microbial agents in a host organism |
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Infectious disease transmission |
Contact with infected individuals, through water, food, airborne inhalation, or vector-borne spread |
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Transmission based precautions |
-Contact -Droplet -Airborne |
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Contact Precaution |
-patient, bedding, gown, personal items -gel-in gel-out & use gloves for any patient contact
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Droplet Precaution |
-Allowed in -in close contact through respiratory tract |
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Airborne |
-DO NOT/ NOT ALLOWED IN -Blue sign (negative pressure) |
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PPE Donning (put on) PPE |
sunshine method 1-Gown 2-Mask/ respirator 3-Goggles or face shield 4-Gloves |
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5 moments for hand hygiene |
1. Before touching patient 2. Before clean/aseptic procedure 3. After body fluid exposure risk 4. After toughing patient 5. After toughing patient surroundings |
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PPE removing |
alphabetical 1. Gloves 2. Goggles/ face shield 3. Gloves 4. Mask/ respirator |
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PRACTICE: All transmission-based precautions have the following in common EXCEPT: a-require the use of PPE b-involve preventing the spread of infectious disease c-If followed incorrectly , could potentially cause a patient to develop. d-can be eliminated if strict hand washing were enforces at all times |
D. |
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What to do if you notice you are accidentally in a contact isolation room? |
-Notify the Charge nurse that you did not wear the appropriate PPE -Thoroughly was hands with soap and water -Examine clothing to make sure there was not contact with patient's body fluids -Notify program manager |
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Number to COPE |
(888) 248- 2914 |
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Traditional Vital signs |
-temperature -pulse (heart rate) -blood pressure -respiratory Rate -oxygen Saturation -pain level |
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Why are vitals important? |
-sudden changes in values can indicate problems -prolonged abnormal values can indicate chronic disease states -rapid method for determining severity of illness and how effectively the body is coping |
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Methods of measuring temperature |
-Oral (mouth) -Axillary (under arm) -Tympanic (ear drum) -Rectal (rectum) -Temporal (across forehead)
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Temp.: Most convenient |
Oral
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Temp: Longest and least accurate |
Axillary
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Temp: Most accurate |
Rectal |
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Pulse (heart rate) Measurement |
-Carotid (lateral to trachea) -Femoral (in groin) -Posterior Tibial (behind ankle) -Brachial (above bend in elbow) -Popliteal (behind knee) -Dorsal Pedis (top of foot) |
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Normal O2 levels |
report below 90 although 98 is normal |
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Normal breathing rates:
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Adult: 12-20 Children: 15-30 Newborns: 30-60 |
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Normal resting heart rate: |
Adults: 60-100 bpm Children: 80-100 bpm Toddlers: 100-120 bpm Infants: 120-160 bpm |
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Axillary temp |
Under the arm and used only when all other methods don't work |
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What are the six vital signs and their ranges? |
1) Pulse/HR: 60-100 2)Blood Pressure: Systolic/Diastolic Systolic 100-140, Diastolic 60-90 3) Temp: within one degree of 98.6 4) Pain: on a scale of 0-10, 0 being no pain, 10 being worst pain you've ever felt. REPORT after 7 5) Ox Rate: red light on finger nail 6) Respiration Rate, 12-20 per minute
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What is HIPAA |
Health insurance portability and accountability act |
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Stuff you can do on a shift |
-restock -talk to patients -help nurses and CNAs update staff names on patient whiteboards after shift changes -assisting in room turnover -breaking down binders -filling out patient ambassador forms
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Get permission from nurse before doing the following: |
Giving water Giving food Bringing a blanket Walking a patient to bathroom
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Neonates |
Age: newborns to one month
Risk: Aspiration and suffocation
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Infants |
Age: one month to one year
Risk: aspiration, suffocation and falls |
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Todlers |
Age: 1 to 3 years
Risk: choking, injury, and infection |
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Preschool to school age |
Age: 4-12
Risk: injury related to falls/ bodily damage, trauma due to abuse, asthma, and fluid/ electrolyte imbalance |
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adolescents |
Age: 13-18
Risk: substance abuse, depression/ suicide, and sexually transmitted diseases |
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Young adults |
Age:18-40 Risk: substance abuse, increased stress, midlife crisis, and quarter life crisis |
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middle adults |
Age: 40-64
Risk: hearing and eyesight decline, bone ad joint pain, and late middle life crisis with an inability to cop |
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older adults
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Age: 65+
Risk: decreased skin integrity, aspiration, sleep pattern disturbances and risk for falls, sensory and perceptual alterations
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5 identifiers |
1)Ask open ender question 2) Wristband 3)Whiteboard 4)Chart 5)Ask Nurse |
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Inpatient |
Administered to hospital overnight stay |
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Outpatient |
Patient checks into the hospital and leaves the same day |
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Sign vs. symptom |
Signs are objective and detected by physicians (not nurses)
Symptoms are subjective and reported my patients |
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Eccymosis |
bruise
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Chambers of the heart What is the pathway of blood? |
Right and left atrium Right and left ventricle deoxygenated blood moves from right atrium to right ventricle right ventricle pumps blood to the lungs where it becomes oxygenated newly oxygenated blood returns to left atrium it is then pumped into left ventricle
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Blood path |
Left ventricle>> Aorta>> Arteries>>Arterioles>> Capillaries>> Venules>> Veins>> Vena Cava>> right ventricle |
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MI |
Myocardial infraction loss of blood supply to the heart
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CHF |
Congestive heart failure failure of heart to pump blood effectively |
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Stroke |
Loss of blood to the brain A "brain attack" |
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Shock |
decreased perfusion of blood to body tissue |
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Atherolerosis |
disease in which fatty material is deposited in the walls of arteries |
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PR |
per rectum |
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PO |
per os-nothing by mouth, must withhold all oral food and liquid rom patient |
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KVO/TKO |
Keep Vein Open:
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CBC |
Complete blood count |
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BM |
bowl movement |
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CT |
computerizedAxial Tomography
used to determine soft tissues like liver brain or pancreas |
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MRI |
Magnetic Resonance Imaging
used to create cross sectional images of head/ body
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Anatomical position |
Patient's body is erect
Head eyes toes and palms are directed forward with limbs at sides of body |
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ANterior v. Psterior |
Anterior: Face or front side
Posterior: Back side (dorsal) |
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Medial s. Lateral |
Medial: toward the midline of the body
Lateral: away from the midline of the body |
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Proximal v. Distal |
Proximal: close to the midline of body
Distal: away from midline of body, away from torso |
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Cranial v. Caudal |
Cranial: towards the top of head
Caudal: towards the hind parts or tail |
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Flexion v. extention |
Flexion: closing of a joint
Extension: Opening of a joint |
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Supination: Palm of hands faces forward
Pronation: palm of hand faces backward
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Supination v. Pronation |
