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Skills lab notes Fire/ Blood borne
Test 2 Fundamentals
68
Nursing
Undergraduate 1
09/06/2010

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Cards

Term
What are the 2 most important blood bugs/ blood borne pathogen?
Definition
hep b and HIV
Term
A person HIV could be asymptomatic for years what are 3 early symptoms
Definition
Fever, fatigue, diarhea
Term
Hep B infects how many and kills how many per year in health care workers
Definition
infects 9000 and kills 200 per year
Term
How is HIV and hep B spread
Definition
By contact and by blood
Term
Blood borne pathogens can enter through__, __, ___, always wash hands immediately after removing gloves
Definition
eyes, mouth, and nose
Term
What is the 1st protective barrier that eliminates hazards at the source
Definition
engineering controls
Term
Even in an emergency avoid giving unprotected____________
Definition
mouth to mouth
Term
HBV can survive at room temperature dried for how long
Definition
1 week
Term
What is the risk in percent of a healthcare worker of getting HBV
Definition
30%
Term
What is the risk of infection % for a healthcare worker to contract HIV
Definition
0.4 %
Term
What are the 4 things needed to create a fire
Definition
1. fuel
2. O2
3. heat
4. chemical reaction
Term
What percent of O2 in the atmosphere does fire need to survive
Definition
16%
Term
What are the 4 classes of fires and their descriptions?
Definition
A = ordinary combustables
B = gases and liquids
C = electrical equipment
D = metals
Term
What are the 4 classes of fires and their descriptions?
Definition
A = ordinary combustables
B = gases and liquids
C = electrical equipment
D = metals
Term
What classes of fires are the pose the greatest risk in healthcare
Definition
Classes A, B, and C
Term
Where should smoking occur?
Definition
only in designated areas
Term
Class B fire extinguishers should be stored ___________
Definition
away from patients
Term
Which type of fire is the most common in healthcare?
Definition
An electrical fire
Term
Extension cords should not exceed________ft and should not be kept _____
Definition
Extension cords should not exceed 6 ft and should not be kept under carpet or intact in the wall
Term
What does RACE stand for
Definition
R= Rescue
A= Sound Alarm
C= Confine Blaze
E= Extinguish or Evacuate
Term
What is the percent of deaths caused by carbon monoxide poisoning
Definition
75%
Term
What does PASS stand for
Definition
P= Pull
A= Aim
S= Squeeze
S= Sweep
Term
In case of a fire what patients are evacuated first
Definition
Ambulatory patients
Term
Which pattern should patients be evacuated in when there is a fire
Definition
horizontally and then vertically
Term
What should never be used in the case of an evacuation
Definition
the elevator
Term
Who is a top priority in the case of a fire
Definition
Anyone in immediate danger
Term
What are some examples of combustables
Definition
wood, cloth, paper, plastics, and rubber
Term
Most facilities have one fire extinguisher that incorporates what classes?
Definition
A B and C
Term
What are some examples of gases and liquids that a class B fire extinguisher would put out?
Definition
greases, paints, and laquers
Term
What are some things that need to be assessed when doing oral care for a patient?
Definition
1. Assess how much they can do for themselves
2. Assess or notice if they have a special practice
3. Assess whether they have cognitive function and ability to swallow
4. Assess if they have any mucous membrane or oral cavity problems
5. Assess any meds that may cause dry mouoth
Term
When doing oral care the nurse should plan do what?
Definition
1. assist the patient prn
2. offer encouragement
3. possibly demo the correct procedure
Term
In oral care the nurse should implement what?
Definition
1. promote wellness
2. allow privacy
Term
When should oral care be done?
Definition
1. AM
2. PM
3. After Meals
4. PRN
Term
When would the patient need more oral care?
Definition
If they use oxygen or are mouth breathers
Term
Why should oral care be done?
Definition
to prevent infection and tooth decay. Also it is a comfort technique and increases circulation to the gums
Term
If the patient can what should you have them do 1st with oral care
Definition
Rinse mouth 1st
Term
Before doing oral care what should the nurse do?
Definition
gather supplies, wash hands, and glove
Term
How often should oral care be done for a patient that is unconcious?
Definition
every 2 hours
Term
How should a patient be lying if oral care is being done and they are unconcious and in what position should the bed be in?
Definition
the side rail should be down. The patient should be on their side. The lips should be lubricated and a swab should be used to cleanse the mouth.
Term
If doing oral care for a patient that has dentures what should always be done?
Definition
the sink should always be lined with papertowels
Term
What temp of water should be used to clean dentures
Definition
luke warm
Term
What are some reasons why I & O is important?
Definition
1. patient could be on meds or diuretic
2. dehydration
3. lets us know how the kidneys are doing
Term
What is the minimum amount of urine output per hour
Definition
30 ml
Term
What constitutes intake?
Definition
1. fluids
2. IV fluids
3. food that turns liquid at room temp
ice cream or jello
Term
What constitutes output?
Definition
1. emisis
2. urine
3. drainage from wound
4. liquid stool
5. wound vac sucction
6. perspiration
7. blood
8. respiration
Term
If the patient sweats excessively and is on I & O what may need to be done?
Definition
May need to weigh pads or sheets
Term
What should be placed in the toilet to measure I & O
Definition
a hat
Term
What accurately measures urine output
Definition
Urometer
Term
When measuring urine output why is it important to specify equipment?
Definition
Because the output from the graduated cylinder and urinal differ
Term
Why is the creatine container a brown color
Definition
it protects from the sunlight. This container with its contents should also remain cold
Term
If you have a patient on 24 hour urine what should you do?
Definition
Put a note on the door
Term
What do hospitals use to catch kidney stones
Definition
strainers
Term
Jello and Ice Cream cup is usually how many ml
Definition
120ml
Term
4 oz =_________ml
Definition
120 ml
Term
6 oz =_______ml
Definition
180 ml
Term
A standard water pitcher is ______ml
Definition
500ml
Term
When assessing urine what should you look at
Definition
1. color
2. odor
3. turbid
4. concentration
5. foreign matter
Term
What are ice chips usually recorded at
Definition
1/2 the volume example 120 ml cup ice chips is recorded at 60 ml
Term
how often should a patient be toileted
Definition
at least every 2 hours
Term
What kind of bed pan is used on an orthopedic patient
Definition
a fracture bed pan
Term
What position should you try to have the patient in if they are using a bed pan
Definition
in the upright position
Term
What should never be put in the bed pan
Definition
toilet tissue
Term
What does TED in reference to TED hose stand for
Definition
Thrombo
Embolytic
Device
Term
The bottom of the TED hose should be exposed this allows what
Definition
the nurse to notice color, capillary refill, odor and assess for diabetics
Term
SCD stands for
Definition
Sequential
Compression
Device
Term
What does SCD do and how often
Definition
SCD compresses and fills the chamber with air and then releases it. it goes around the leg. It compresses for 10-15 seconds and prevents blood clots
Term
Why should you bathe your patient.
Definition
1. Assess skin
2. increase circluation
3. cleanliness
4. provide emotional support because good timeto interact with patient
5. always offer the patient to go the RR before bath
Term
What does SCD do and how often
Definition
SCD compresses and fills the chamber with air and then releases it. it goes around the leg. It compresses for 10-15 seconds and prevents blood clots
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