TMC Sticky Notes

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  1. Direct admission ER fee
    None
  2. How will you page an AP after admission of patient?
    You will not page the AP
  3. RIC can give telephone orders.

    True or False
    False
  4. Visiting time
    0700 - 2200
  5. How many meals are normally given to a patient?
    3 meals and two snacks
  6. What will you offer after the patient is admitted?
    Sponge bath
  7. Bed tagging is done when?
    When the patient is immediately out of the room
  8. Watcher quantity

    Private

    Ward
    Private = 2

    Ward = 1
  9. 3 requirements for psych admission
    Written consent AND waiver form

    24 hr competent watcher

    Written order from AP
  10. Lowest floor for psych patients
    4th floor
  11. Occupied room price calculation
    Original room price per day + Special area room price per day + 100% original room price per day markup
  12. Last resort if the patient insists on using brought-in meds
    Talk to the AP
  13. Braden scale highest score
    23
  14. Braden Scale Scores

    Low risk

    Moderate risk

    High risk
    >16 = low risk

    13 - 15 = moderate risk

    <12 = high risk
  15. ADLs score

    Independent

    Dependent
    Independent - 6pts

    Dependent = 0 - 5
  16. Assessment time of high risk for falls patients
    Daily at 8am
  17. No / low risk assessment time
    If there is a change in condition

    Transfer of unit
  18. Braden Scale assessment

    Low / moderate risk

    High risk
    Low / moderate - weekly @ initial assessment time

    High - daily at 8am
  19. Paedia fall risk assessment
    Every shift
  20. Cases indicated for a (+) pressure room
    Cancer

    <2 absolute neutrogenic value

    Febrile

    Lung and kidney transplant patients

    Post icu patient without complications

    Stem cell treatment
  21. Cases indicated for a (-) pressure room
    MTB patients

    Cancer patients with infectious diseases

    Hemodialysis patients
  22. NICU level 1
    Newborn
  23. NICU level 2
    Stabilized from level 3

    Without oxygen support or ventilation

    Stable term
  24. NICU level 3
    Infectious

    Acute surgical

    Cp patients

    Surgery

    Anomalies
  25. Red ink
    BT entries

    Allergies

    Patient's death

    Discontinued meds, dose changes, held dose, start / end doses, PRN
  26. Duration of level 1 NICU stay
    6 hours
  27. IV site / tubings duration
    72 - 96 hours
  28. Unit to unit transfer
    SBAR + passport
  29. ER duration of stay
    2 hours
  30. Bed capacity of TMC
    522 beds
  31. 5 C's
    Competence

    Conscience

    Confidence

    Committed

    Compassion
  32. Insulin patency : # of days
    28
  33. Where will you store insulin?

    Opened

    Not yet opened
    Ref - not yet opened

    Room temperature - opened
  34. Standard temperature of medicine ref
    2 - 8 C
  35. Adjustment mode % for TPM
    30%
  36. PINCH
    • Potassium
    • Insulin
    • Narcotics
    • Chemotherapeutics
    • Heparin
  37. License needed for the pharmacy to sell narcotics
    S3
  38. # of copies of SARF and SERF
    2
  39. Where will the copies of SARF and SERF go to?
    • 1 copy - NSD
    • 1 copy - pharmacy
  40. Cold chain arrangement
    • Top - blood bag
    • Middle - paper
    • Bottom - ice
  41. Medication reconciliation schedules
    Admission day

    Room transfer

    Day 7 of admission if 1 AP

    Day 3 if >2 AP
  42. Fourth generation antibiotics will be prescribed by?
    Infection control consultant / on deck
  43. # of copies of yellow rx
    3
  44. # copies of iv electrolyte incorporation
    2 (carbonized)
  45. Chemotherapeutics will be prescribed by?
    Hematologist / oncologist
  46. ICC form number of copies
    Duplicate
  47. ICC form without signature problem
    Pharmacy will dispense a single dose
  48. If order if tablet and only a half of that is needed
    Carbonize
  49. RH normal value
    30 - 60%
  50. Room temperature
    22 - 25 C
  51. Liquid optic drops
    Look up and blink
  52. Ointment optic meds
    Look up and roll eyeballs
  53. Intervention after otic medication
    Side lying up to 5 minutes
  54. Intervention after seretide diskus
    Gargle after use
  55. Interval between two MDI's
    2 minutes
  56. Admin of rapid acting insulin
    Before the patient eats
  57. Diet change for diabetic patients
    Inform RIC / AP
  58. Test dose formulation
    Diluted normal dose / 4 = test dose
  59. Test dose procedure
    1st dose: test dose + 30-50 mL NSS for 15 minutes

    2nd dose: test dose + 30-50 mL NSS for 15 minutes

    3rd dose: remaining dose + 30-50 mL NSS for 30 minutes
  60. Regular dose procedure
    Dose + 50 - 100 mL for 30 minutes
  61. IV line and tubings replacement
    After 7 days
  62. AZIthromycin infusion
    4.8 mL dilution + 250 mL NSS for 1 hour
  63. VANCOmycin infusion
    20 mL dilution + 250 mL NSS for 2-4 hours
  64. Levofloxacin infusion
    90 minute infusion
  65. IVF swirling and checking
    Q1
  66. Drop factors TMC

    Adult

    Pedia
    • Adult = 20 gtt/mL
    • Paedia = 60 gtt/mL
  67. Orange cover for IV tubings
    Chemo
  68. Forms needed for BT
    Written consent

    Blood request form

    Blood release form
  69. # of blood release forms

    Whole blood / PRBC

    FFP / Platelets
    Whole blood / PRBC - depends on the number of bags to be administered

    FFP / Plasma - 1
  70. Crossmatching : blood bag
    1:1
  71. > 3 units of PRBC infused
    Ask for Ca gluconate
  72. Interventions if transfusion rxn occurs
    Stop infusion

    NSS at KVO

    Refer

    Obtain urine sample
  73. OPC 109-A
    Brought in medications
  74. Insistence of brought in meds
    AP will write to MSG and PSG
  75. Important to ask before CBG
    Time of previous meal
  76. Discontinuation of clinical pathways
    Whenever

    Primary Dx changes

    Pt worsens

    Fails outcomes after 24-48 hrs
  77. Infant switching / patient abduction
    Core pink
  78. Workplace violence
    Code violet
  79. Chemical spill
    Code orange
  80. Unstable
    Code white
  81. No breathing or no pulse
    Code blue
  82. # for codes
    88
  83. Areas without code pharmacists / code white
    CCU

    ER

    Surgery suite

    Cath Lab
  84. Switching of compresion and ventilation
    Adult - after 5 cycles

    Paedia - after 10 cycles
  85. 5 traits of high quality CPR
    100 / min compression rate

    Depth : adult - at leaset 2 inches

    Child = 2 inches

    Infant - 1.5 inches

    Complete chest recoil

    Minimize intereuptions (5-10 sec only)

    Avoid excessive ventilation
  86. Bright red / pink stoma
    Normal
  87. Black stoma
    Refer to surgeon
  88. Time to replace colostomy bag
    When there is leak
  89. Best time to change a bag
    Early morning and no breakfast
  90. Mirror with ostomy care
    Let them accept the stoma
  91. 2 piece ostomy system
    5-7 days
  92. 1 piece ostomy
    Good for 2-3 days
  93. Wash stoma

    Saline

    Tap water + soap
    Tap water + soap
  94. Suspected deep tissue injury
    No skin injury, fluid underneath
  95. Common site for suspected deep tissue injury
    Heel
  96. Request time for clinical abstract for patient transfer
    Immediately after the relative aigna the consent
  97. Fx of nurse with transfers
    Coordination of care
  98. Preparation of transfer documents
    1 hour before time of transfer
  99. Units with exclusive universal checklist
    Cath lab, OR, DR
  100. Ward ⏩ ICU

    Wheelchair or stretcher
    Stretcher
  101. Critical, unstable, bed ridden patients

    WC or Stretcher
    S
  102. Ward ⏩ ICU
    RIC + intern + NIC + aux
  103. Paedia patient

    Critical

    Stable
    Critical - NIC + aux

    Stable - Aux
  104. Vancomycin + blood infusing before transfer
    2 things
    Finish infusion 1st

    Assess at least 45 minutes after infusion
  105. Communicable pts

    OR

    What precautions

    What kind of room

    Elevator
    Last OR sched

    Airborne, hepa, hiv, immunocompromised

    Negative pressure (14th and 3rd)

    Express (no companions)
  106. 1st thing to do before transferring to ICU
    Call admittin office
  107. Best time to Reserve ICU room
    During intubation (before consent of relatives)
  108. When receiving pts from ICU, excess meds
    Do not receive meds beyond shift

    Let ICU nurse CM the meds
  109. Units without hospital passport
    DS

    Cath lab

    Surgery suite
  110. Location of hospital passport inside chart
    Last part
  111. Best time to accomplish pre op checklist
    1 hour before endorsement to OR
  112. VS pre op
    30 min - 1 hour before teansfer
  113. Who will reserve a room in the receiving hospital
    Relative
  114. Docs prepared before ambulance transfer
    Clinical abstract

    DAMA if indicated

    DO

    Slot in ambulance

    All labs + plates
  115. Best time to request for clinical abstract
    When relative signs the consent
  116. Number of cadaver stay inside the room
    2 hours
  117. Forms to preent to request for medical information
    Patient data sheet

    Request for medical info form
  118. Slip given by billing office for discharge
    Appointment slip
  119. Slip when patient has settled bill
    Clearance slip 3plicate
  120. The patient vacates room within ___
    30 minutes
  121. Half day cut off
    11am
  122. Early dischage time
    6pm
  123. Depts needed to be notified for out on pass patients
    Billing

    Admitting

    Dietary

    Pharmacy
  124. When absconence happens, who will you notify
    Nursing supervisor

    Security office
  125. Time to be considered as absconded
    3 hours
  126. Notify AP and nursing supervisor for this document when patient expires
    Cadaver release form
  127. You need to remove this when transporting the cadaver
    Mattress
  128. International Patient Safety Goals
    Identify patient correctly

    improve effective Communication

    improve Safety of high alert medications

    ensure Correct site, Correct procedure, Correct surgery

    reduce Risk of healthcare related infections

    reduce risk of patient harm resulting from Falls
  129. Closed suction tubings replacement
    3-7 days

Card Set Information

Author:
FranziusRN
ID:
318402
Filename:
TMC Sticky Notes
Updated:
2016-04-04 15:05:06
Tags:
medical
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Description:
Notes from NTAP
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