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19 Cards in this Set

  • Front
  • Back
HIPPI
H-handwash
I-Intro
P-Patient's ID
P-Put on gloves
IV (COW PTSD)
C-check site
O-off gloves
W-wash hands
P-Pinch (Tur)/Palpate (Font)
T-Tubing
S-solution
D-Drop count/ICD setting
Mobility
NEST-To Do
WABLER-To Chart
N-nonskid
E-Equipment
S-Supp devices
T-tolerate

W-what did
A-Assist devices
B-balance
L-level of mobility
E-extraneous movement
R-response of pt
Neurological Assessment
COPS
C for infants < 1 only
C-check fontanel while upright
O-orientation
-PPT-person, place, time
-VAT-Visual, auditory,
tactile
P-pupils
PERRL-pupils equal, round,
reactive to light
S-strength bilaterally (extremity)
Abdominal Assessement
4 Ps PPPP SODA POP
P-privacy
P-pee
P-position
P-pain
S-suction off
O-observe (distention, cont)
D-don gloves
A-auscultate-4 quadrants
P-palpate 1-2 cms
O-on suction
P-per order, measue girth
Peripheral Vascular Assessment
GET P PMS (Get past PMS!)
G-glove only if open sores
E-Edema (compare visually)
T- temp
P-pulses
P-perfusion
CCC- color, cap refill,
clubbing
M-motor
S-sensation
Oxygen Management

FAN SHOP
F-flow rate
A-activity
N-nose
S-safety
H-humidification
O-02 status
CCCO-color, cap refill,
clubbing, 02 sat
P-position
Comfort Management

AIR (MD BMW CAR)
A-assess
I-intervene
MD BMW CAR
M-medicate
D-distract/Relax
B-backrub
M-mouth care
W-wash face
C-change/straighten linen
A-apply heat/cold
R-reposition

R-response
Pain Management
AIR (MR BIRD)
A-assess
I-intervene
MR BIRD
M-medicate
R-reassess pain level
B-back rub
I-instill heat/cold
R-reposition
D-distract/relax

R-reassess
Skin Assessment
SEPTIC M MOBS
A-assess
SEPTICM-skin edema,
pressure, ulcer risk
score, temp, integrity,
color, moisture
I-intervene (not needed)
MOBS
M-moisture reduction
O-offer food/fluid
B-bony prominences
S-shearing skin prevent
R-response
Wound Management (Man)
AIR

TALL-type
CALIPPP
Assess
TALL
T-type
Contusion, abrasion, laceration, incision, puncture, penetrating, pressure ulcer)
A-appearance, L-location, L-look for drainage
I-intervene
R-response
IRRIGATION (Management)
AIR
A-assess
I-Intervene
STRIP- solution,temp, receptacle, irrigate (amount, return fluid)
protect
Dressing Change (DRDCALL)
R-response
Drainage & Specimen Collection
DACT
SOLD
DACT
D-drainage
A-assess
C-cleanse
T-tube
SOLD
S-specimen collection
O-obtain
L-label
D-designated container/place
Patient Teaching (Man)
AIR
A-assess (readiness to learn, learning needs or barriers to learning)
I-intervene (provide info)
R-reassess (ask questions to find out if patient learned new information)
Respiratory Assessment

EPS SALT (Epsom salt)
E-elevate HOB of not contraindicated
P-pattern + rate
S-shallow

S-sounds
A-accessory muscles
L-labored/Un
T-tolerated assessment?
Respiratory Management:

GRAPES then AIR
G-gloves on
R-receptacle
A-arrange tissue
P-position pt
E-elevate HOB up if no contrain
S-splint with pillow

A-assess EPS SALT
I-intervene
DB/DB&C/CP/
Suction-SIRP
Bulb syringe-DIA
R-REASSESS EPS SALT
Muscular Skeletal Managemt

AIR
A-assess
JAM-Joint and Muscle
Sugar-strength
Free-flexibility
I-Intervene HATS
H-heat/cold
A-active/passive ROM
T-traction
S-supportive devices
R-response
Safety

CABS
C-call light
A-apply brakes
B-bed in low position
S-siderails up
Any time you step away from pt. OR step out of the room.

Remember to SWIM
S-safety (CABS)
W-wash hands
I-inscribe/record/write N/A where needed especially for 20 min check
M-must tell RN