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5 Cards in this Set

  • Front
  • Back
Drainage & Specimen Collection

I SPECIAL
ID Patient before
Specimen collected
Place tube properly
Examine color, odor, consistency, amount (coca)
Clean surrounding skin (if ordered)
I & O recorded for drains (if assigned or dc'd)
Assess patency of tubes
Label and send specimen (if ordered)
Enteral Feeding

FEEDING
10 ml / 5 ml air bolus
Feed (NG, GT , bottle,etc)
Examine name/strength and rate
Expiration date check
Do bed at 30 degrees
Inspect placement of tube
Need to document feeding/rate in 20 min check if cont.
Give feed and burp if <6 months old
Irrigation

IRRIGA P
Inspect/verify tube placement
Right solution & temp
Reposition patient
Instill at correct flow rate/force
Good return flow ensured
Amount/solution used recorded
Patient response to tx.
Medications

WATCH MARS
Wash hands (clean area)
Acquire meds using 5 rights
Take meds & mar to room
Clean hands again
Have gloves as needed
MAR CHECK TO ID BAND!!!
Assess IV site again or check vs parameter (B/P AP)
Re-check MAR with meds & open at bedside
Sign MAR
Patient Teaching

LEARN
Level of readiness/barriers
Eval pt knowledge/needs
Act of teaching (5 min)
Reassess pt. understanding
Need pt response to information taught