Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
- 3rd side (hint)
ABDOMINAL ASSESSMENT
|
4P'S LLF 4'R
|
PRIVACY
PEE PAIN POSITION SUCTION OFF LOOK LISTEN FEEL REPOSITION RESONSE RECORD SUCTION ON |
|
NEUROLOGICAL ASSESSMENT
|
LAMPN4NR
|
LOC ORIENTED X 3
ASSESS FONTANEL <1 MOVEMENT GRASP AND PLANTAR FLEXION AGAINST RESISTANCE PERL NOXIOUS STIMULI 4 NONRESPOSIVE R/R |
|
PERIPHERAL VASCULAR ASSESSMENT
|
PERIPH
|
PULSES
EDEMA REFILL CAPILLARY INSPECT SENSATION/MOVEMENT PALE/PINK HOT/COLD |
|
RESPIRATORY ASSESSMENT
|
BREATHE
|
BREATHING PATTERN LABORED/UNLABORED
RHYTHM AND RATE EXPLAIN PROCEDURE AND EQUIPMENT ACCESSORY MUSCLES USED? TELL TO TAKE SLOW DEEP BREATHES HEAR IN FOUR SPOTS POSTERIOR EVALUATE 02 AND RECORD INCLUDE RESPONSE |
|
SKIN ASSESSMENT
|
SKINNED
|
SKIN COLOR
KEEP W/D INTREGRITY NOTE EDEMA NEED TO REPOSITION EVALUATE PAIN DO 2 AREAS R/R RESPONSE AND RECORD |
|
SKIN ASSESSMENT AREA
|
A SHEET O
|
ANAL
SACRAL HEELS EARS ELBOWS TROCHANTER OTHER |
|
MUSCULOSKELETAL MGMT
|
MAD TRAP
|
MOBILITY LEVEL
ABNORMALITIES-PTSDB DEVICES APPLIED TRACTION ROM IN AB/ADDUCTION OR FLEX/EXT IF ASSIGNED APPLY HEAT COLD IF ASSIGNED PAIN WITH MOVEMENT R/R |
|
MUSCULOSKELETAL
|
PTSDB
|
POSTURE
TREMORS STEADY DIZZY BALANCE |
|
OXYGEN MANAGEMENT
|
A SHORT AIR
|
ASSESS NAIL COLOR/CLUBBING/CAP REFILL
SATS HUMIDITY IF ASSIGNED OBSERVE SKIN CONTACT POINTS REPOSITION UP TOLERANCE TO ACTIVITY AMOUNT OF 02 RATE AND DELIVERY METHOD IGNITION SOURCES RESPONSE TO REPOSITIONING/ACTIVITY R/R |
|
COMFORT MANAGEMENT
|
A 3RD CHANCER
|
ASSESS COMFORT LEVEL
3 COMFORT MEASURES REPOSITION DENTAL HYGIENE COLD/HEAT HYGIENE FACE/HAND ARRANGE LINENS NSAIDS, NARCOTICS COMFORT RUB ENVIRONMENTAL ADJUSTMENTS RECORD EVAL/MEASURES/RE-EVAL |
|
PAIN MANAGMENT
|
PAIN MGMTT
|
PAIN SCALE
ASSESS LOCATION OF PAIN INTENSITY AND DESCRIPTION NEED TO REASSESS 20-30 MIN AFTER MASSAGE GUIDE DISTRACT MEDICATION TURN (REPOSITION) TEMP HEAT/COLD PICK 3 |
|
RESPIRATORY MANAGEMENT
|
BREATHE EASIER
|
BREATHING PATTERN LABORED/ UNLABORED
RHYTHM AND RATE EXPLAIN PROC AND GET EQUIP ACCESSORY MUSCLES USED? TELL TO TOAKE SLOW DEEP BREATHS HEAR IN 4 SPOSTS POSTERIOR EVAL 02 AND COMFORT EMESIS BASIN AND TISSUE WITH GLOVES ASSESS BREATHING SUCTION IF ASSIGNED INCENTIVE, DB & COUGH PERCUSSION IF ASSIGNED EVALUATE AGAIN R/R |
|
WOUND MANAGEMENT
|
WOUNDED
|
WOUND LOCATION AND TYPE
OBSERVE DRAINAGE (COCA) UNIQUE IRRIGATION AND SUPPLIES NEED CLEAN OR STERILE? DRESSING CHANGE EVAL PAIN AND TOLERANCE DOCUMENT WHAT YOU DID FINDINGS AND TOLERANCE |
|
IRRIGATION
|
STOP FLOW
|
SOLUTION TYPE AND AMOUNT
TEMPERATURE WARM OTHER EQUIPMENT (CHUCKS RECEPTICLE GLOVES) POSITION FOR DRAINAGE FLOW RATE SLOW AND EASY OBSERVE RESPONSE WRITE IT DOWN |
|
MEDICATIONS
|
MAR DOSAGES
|
MAR MATH MED
APPROPRIATE DOSE RECHECK MAR TO ID DO 5 RIGHTS OBSERVE ALLERGIES SPECIAL ASSESSMENT ASK HOW THEY TAKE RX GATHER EQUIPMENT EVALUATE AND ADMINISTER SIGN MAR |
|
ENTERNAL FEEDING
|
FLOW STOMACH
|
FEEDING TYPE AND STRENGTH
LOW FLOWLERS MINIMUM ORIENT PT WARMTH (ROOM TEMP) SELECT DEVISES TOTAL AMT ON TIME MEASURE PLACEMENT AIR/ASPIRATE CHECK RESIDUAL HAVE BABY BURP R/R |
|
DRAINAGE SPECIMEN
|
SPE (COCA) CIAL
|
SPECIMEN COLLECTED
PLACE TUBE OR VERITY PLACEMENT EXAMINE (COCA) CLEAN SURROUNDING AREA I/O IF ASSIGNED ASSESS SITE LABEL AND SEND TO LAB R/R |
|
PATIENT TEACHING
|
LEARN
|
LEARNING READINESS
EVALUATE KNOWLEDGE ACT OF LEARNING REASSESS UNDERSTANDING NEED TO RECORD |
|
SAFETY
|
SCABIES
|
SIDE RAILS UP
CALL LIGHT IN REACH ANY QUESTIONS BED LOW AND LOCKED I/O'S EXPRESS GRATITUDE SANITIZE HANDS |
|
ASK NURSE
|
OPALS
|
OUT OF BED RECENT?
PAIN MEDS ANY REFUSALS LUNG SOUNDS STABILITY SINCE ADMIT |
|
1ST THING IN ROOM
|
EWIGG
|
ENTER
WASH HANDS INTRODUCE SELF/CE ID PATIENT GLOVE |
|
20 MINUTE CHECK
|
HIPPICOW
|
HYDRATION STATUS
IV RATE AMT TYPE PALPATE SITE- GLOVE PUMP - SETTING DROPS INSPECT IV TUBING CHECK ENTERAL FEEDING ORAL FLUID EXPLAIN WRITE DOWN FINDING SOCKS |
|
SPECIMEN COLLECTION
|
COLD TACT
|
COLLECT
OBSERVE COCA LABEL- INITIAL DATE TIME DOCUMENT TYPE AMOUNT COLOR TOLERANCE |