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7 Cards in this Set
- Front
- Back
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Respiratory Management
RIR |
PALS
Receptacle or tissue for secretions Interventions (hygiene activities) performed from kardex Reassess PALS How tolerated? Effectiveness? |
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Musculoskeletal Management
Joints ER Remember AIR |
Joint/extremity level of movement
Observe SAP (strength, abnormalties & pain) Implement AROM/PROM if ordered Notice any supportive devices Treatment of heat/cold if ordered Specific traction Record |
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Traction
WORCAS |
Weights hang free
Order (make sure it is correct) Ropes hang free Counter traction Alignment Skin check |
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Oxygen Management
AIR No Co2 Remember AIR |
Always in Fowlers
Inspect equipment/spark/safety Record flow/route (cannula, mask etc) Note humidity (chamber 1/2 full) Observe skin of ears/nares Capillary refill, clubbing O2 sat if assigned 2 responses (1-to O2 therapy 2-after activity) |
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Wounded Management
LTAD Remember AIR |
Location
Type Appearance Discharge (COCA) Order from kardex Patient tolerated |
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Comfort or Pain Management
Percocet or Demerol Really Rule Comfort 3 / Pain 2 |
Pain scale (as ordered)
Observe (grimacing, moaning) Do 3 interventions if comfort management, 2 if pain mngmt. Reassess (30 min if med) Record |
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Comfort or Pain Interventions
My Mothers Back & Legs Really Do Hurt Wally |
Meds (if ordered)
Mouth care Back rub Linens Relaxation/ Reposition Distraction Heat/cold (if ordered) Wash hands / face |
