Demron Hospital Name Explained for Students (Easy Guide)

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its for Demron Hospital Name:________________________ Date: ________________________ DIRECTIONS: Please answer each question below. Upon completion, return the test to your facilitator. Be sure to review your answers and make corrections as necessary. All questions are worth one point each. To pass the test, you need to get an 80% or higher, which means you cannot miss more than 6 questions. – Emergency codes are used to alert staff to potential emergencies. Which of the following emergency codes is correct? a- Code Triage = Emergency Alert/Internal or External b- Code Red = Fire c- Code Orange = Hazardous Material Spill d- All of the above – The general guideline for pain reassessment after any intervention is: a. Assess for pain scale rating at 2-3 hours after oral medications given. b. Full detailed pain assessment should be done immediately following all interventions. c. Reassessment is ongoing, according to pain needs of the patient but should be done within 15-60 minutes following intervention (depending on expected onset to peak of action), and not later than the next scheduled routine assessment (vital signs). d. Reassessment is not required for non-verbal adults – All healthcare workers are mandated by law as well as our hospital policy to look for, recognize potential abuse, and report it: a. After doing some research to be sure it is abuse happening. b. Only if there are physical signs. c. Whether suspected or actual confirmed abuse. d. Only for children or elders Deaths are reported to Donor Network West (1-800-55DONOR): a. After determining the donor is suitable. b. Within 1 hour of identifying clinical cues of death, and/or asystole. c. Prior to discussing donation discussion with family. d. At the first indication that the patient has suffered a non-recoverable illness/injury. e. B,C,andD A patient begins having symptoms about 3 days after Roux-en-Y procedure consisting of: pain in the abdomen or chest, fever (over 101o F), and a HR > 120 for 4 hours. This likely represents: a. Infection at the incision sites. b. Dumping Syndrome c. Intra-abdominal bleeding d. Anastomotic Leak and sepsis Code Silver is for a person with a weapon, and Code Gray is for an abusive or combative person. a. True b. False Code _______ overhead page means that an adult patient has a medical emergency. a. White b. Blue c. Green d. Red Staff should pull the fire alarm and call 111 in the Hospital to report a suspected or real fire to the operator and the fire department. a. True b. False Alcohol based hand rubs are not effective cleaning agents if hands are visibly soiled or after care with a known or suspected Clostridium difficile patient. a. True b. False When giving a High Alert Medication using an infusion pump, the first nurse verifies and prepares the drug and tubing, verifies the patient, route, frequency and programs the pump independently, and then the second nurse verifies the settings, drug, patient, route, frequency and then starts the infusion. a. True b. False Rev 20200311 88 Blood products are delivered to the patient floors by a. Robot courier b. Computerized Tube System c. Runner from Blood Bank d. Runner from Nursing Unit e. BandD Assume that all patients are potentially infected or colonized with an organism that could be transmitted in a healthcare setting. PPE must be used when a. A patient is in isolation, use items noted on door signage. b. A patient in contact isolation is being suctioned, you should wear gloves only. c. A patient not in isolation when bathing the patient. d. When cleaning and disinfecting patient care equipment and devices. e. A,C,D… To prevent SSIs, prophylactic antibiotics are given within 1 hour of the initial surgical incision, so the floor RN should start the antibiotics at the scheduled OR time. a. True b. False If a patient has not voided for six hours post catheter removal, the patient needs to be assessed (using a bladder scanner) for urinary retention. If assessment findings indicate the patient has more than 400 mL urinary retention, straight cath is indicated. a. True b. False Swab Caps (alcohol impregnated caps) are to be placed on all unused ports of both peripheral and central lines (excluding dialysis lines). a. True b. False What is the acceptable size syringe to use when flushing a central line? a. 3mL b. 5mL c. 10mL d. None of the above For patients with ischemic strokes who meet criteria, Alteplase should be given within 2 hours. a. True b. False Serum lactate that is initially > 2 in a sepsis patient must be repeated within 2 hours. a. True b. False Patient who screens positive for Severe Sepsis should receive a. 30 ml/kg of 0.9% NaCl administered over 30 minutes b. Antibiotics within One Hour c. Blood Cultures verified as drawn prior to administration of antibiotics d. Repeat serum lactate after fluid bolus e. All of the above Who can call a Code Neuro? a. Only Physicians b. Only the RRT c. Primary RN or Triage RN d. Any staff member after seeing the MD order The magnet is on during an MRI but is shut down between scans. a. True b. False MRI Zone IV is for the following: General Public Unscreened MRI Patients and Personnel Screened MRI Patients and Hospital Badged Personnel Screened MRI Patients Under Direct Supervision and trained MRI Personnel Any member of the hospital staff can call the Rapid Response Team, by dialing 111, based on the clinical signs/symptoms of a patient’s deteriorating status. True False Badges must be worn: clipped on to the uniform top or pants while on the clock above the waist, at any time the staff member is on Dameron Campus when in restricted areas only One of the most important things we do for patient safety is Time Out Hand Hygiene Hourly Rounds Use of Bed Alarms You may work with a fever so long as you wear a mask. a. True b. False Safe Patient Handling is to protect patients and staff. a. True b. False 28. The warning signs of Stroke are: PASS – Persistent weakness, Arm drop, Slurred Speech FAST – Face droop, Arm weakness, Speech difficulty and Time to call HELP – Hearing loss, Elevated heart rate, Low temperature, Pink gums CLOT – Cholesterol high, Low heart rate, Obese, Taking Risks 29. Tips for achieving “Cultural Competence” include: Being self-aware and how your views and behavior are affected by cultures. Appreciate the dynamics of cultural differences to anticipate miscommunications. Try to understand patients’ cultural and religious beliefs and values. All of the above. 30. The term patients say is most preferred when speaking about excess weight is: Obese Morbidly Obese Unhealthy Weight Fat

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