Annual Education Policy/Procedure/Protocol review. Nursing staff must complete and obtain a minimum score of 90.
When death is imminent.
When death is likely in 3 to 4 days.
At least 6 hours after death has occured.
Twenty-four hours before death is to occur.
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Notify physician.
Notify blood bank
Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.
Label the tubes as immediate.
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300 in a purple cap vial
400 in a green cap vial
300 in a purple cap vial
400 in a green cap vial
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T4
T5
T6
T7
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A. Sit patient upright
B. Take patient's B/P
C. Seek to eliminate the cause
A, B, & C
Only A & C
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Fever
Flushing of skin
Chills
Dizzness
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TPN
Heparin
Chemotherapy IV drugs
Insulin
Hypertensive drugs
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One 7 ml lavender top blood tube with a yellow armband sticker
One 7 ml green top blood tube with a yellow armband sticker
One 7 ml yellow top blood tube with a yellow armband sticker
One 7 ml brown top blood tube with a yellow armband sticker
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Repositioning every 2 hours
Encourage activity
Use of over the bed trapeze
Weight shifting if applicable
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Diuretics
Opioids
Antidiabetic
Antihistamines
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True
False
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Amoxil
Macrodantin
Celexa
Cipro
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ROM
Neuro checks
Report to the Patient Safety Hotline
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Yes
No
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CPRS general note
CPRS 24 hours assessment note
CPRS hypoglycemia /hyperglycemia protocol note
CPRS addendum to the 24 hrs. assessment note
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True
False
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Stat EKG and have physician evaluate
CT scan with contrast
Neuro checks every 30 minutes
Start oxygen to keep SpO2 > 95%
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Level of sedation
Pain intensity score
Respiratory rate
Number of PCA attempts
Length of time on PCA pain medication
Number of PCA does delivered
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