Term
| Side effect vs. toxic effect |
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Definition
| Side effects are outcomes that are not desired; toxic effects are outcomes occurring due to accumulation of the drug (too much) |
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Term
| Patient's right to refuse |
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Definition
| Right to refuse and to know the sequelae of the refusal |
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Term
| Patient assessment for safe medication administration |
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Definition
Vital signs
Height/weight
Allergies
Complaints
Evidence of side effects/reaction
Lab values/critical values
Compatability |
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Term
|
Definition
1-2 inches
1-2 mL volume
21-23 gauge
90 degree angle, Z track |
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Term
|
Definition
5/8 inch
27, 29, 31 gauge
Insulin ONLY given w/ insulin syringe at 90 degree angle
Heparin at 45 degrees
Lovenox lateral abdomen |
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Term
| Which medications can you never crush? |
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Definition
Extended release
Enteric coated
Gelatin capsule |
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Term
| What must you check before administering medications to a patient with an NG/OG/PEG/Dobhoff tube? |
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Definition
Check residual
Make sure you're not giving any bulk forming agents |
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Term
| Things to KNOW before administering medications |
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Definition
Drug name
Drug action
What you need to monitor
Appropriate dosage and levels
Drug preparation
Techniques for administration
Food, drug interactions
Labs that will be affected
Patient allergies |
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Term
| Things to THINK CRITICALLY about before administering meds |
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Definition
Does this medication make sense for THIS patient at THIS time?
Do I need other info before I give this?
Have I used the 7 rights and 3 checks?
Is this a safe dose? Standard vs. loading?
Have I double checked the patient's allergies?
What teaching is important when giving this drug?
When was the last dose? |
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Term
| What are the 2 subgoals under Goal 1: Improve the accuracy of patient identification? |
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Definition
1. Use at least 2 identifiers when providing care, treatment, services
2. Eliminate transfusion errors related to patient misidentification |
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Term
| What is the subgoal of Goal 2: Improve the effectiveness of communication among caregivers? |
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Definition
| Report critical results of tests and diagnostic procedures on a timely basis |
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Term
| What are the 3 subgoals of Goal 3: Improve the safety of using medications? |
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Definition
1. Label all meds, containers, and other solutions on and off the sterile field in perioperative and other procedural settings
2. Reduce the likelihood of patient harm associated with the use of anticoagulant therapy
3. Maintain and communicate accurate patient med information |
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Term
| What is the subgoal for Goal 6: Reduce the harm associated with clinical alarm systems? |
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Definition
| 1. Improve the safety of clinical alarm systems |
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Term
| 5 subgoals for Goal 7: Reduce the risk of health care associated infections |
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Definition
1. Comply with either CDC or WHO hand hygiene guidelines
2. Implement EBP's to prevent health care associated infections due to MDROs in acute care hospitals
3. Implement EBPs to prevent central line associated bloodstream infections
4. Implement EBPs for preventing surgical site infections
5. Implement EBPs for preventing indwelling catheter-associated UTIs |
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Term
| 5 subgoals for Goal 15: Organization identifies safety risks inherent in its patient population |
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Definition
1. Identify patients at risk for suicide
2. Identify risks associated with home oxygen therapy (i.e. fires)
3. Conduct a preprocedure verification process
4. Mark the procedure site
5. A time-out is performed before the procedure |
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Term
| Highest possible primary infusion rate? |
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Definition
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|
Term
| Types of central intravenous devices |
|
Definition
Central Venous Catheter (5-7 days)
PICC (up to 1 year)
Port-a-cath
Groshong
Hickman
Quinton
Permacath
Vascath |
|
|
Term
| Indications for central venous catheters |
|
Definition
Maintain fluid balance in acutely ill patients by monitoring central venous pressure
Long-term IV antibiotics
Long-term TPN
Long-term pain meds
Chemo
Drugs that cause phlebitis in peripheral veins
Frequent blood draws
Frequent/persistent requirement for IV access
Peripheral is impossible but they absolutely need IV therapy
Dialysis
Plasmapheresis |
|
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Term
| Drugs that are caustic and prone to cause phlebitis in peripheral veins |
|
Definition
Calcium
Chemo
Hypertonic salin
K
Amiodarone
Dilantin
Vasopressors
Levophed
Dopamine
Dobutamine
Phenylephrine
Erythromycin |
|
|
Term
| Which central venous catheters are tunneled (surgically inserted, surgically removed) |
|
Definition
Hickman and Groshong
Port-a-caths are surgically implanted |
|
|
Term
| Which central venous catheters are not tunneled (not surgically inserted & removed) |
|
Definition
Quinton
Permacath
Vascath
PICC |
|
|
Term
| What is the only needle used to access a port? |
|
Definition
Huber needles; one size does not fit all
You feel the needle hit the back of the port when inserted completely |
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Term
| Peripheral IV's: site care and line maintenance |
|
Definition
Standard precautions
Flush with 1-3 mL NS q8h
Rotation every 4 days and prn |
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|
Term
| Central IV's: site care and line maintenance |
|
Definition
Standard precautions
Blood return must be present
Flush 10 mL NS q8h
Dressing changes every week and prn |
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Term
| Which 7 fluids/drugs should ALWAYS be infused ALONE? |
|
Definition
PPN
Aminophylline
Dopamine
Blood products
Heparin
Insulin
Nipride |
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|
Term
|
Definition
|
|
Term
|
Definition
| Situation: what is happening right now? |
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|
Term
|
Definition
| BAckground: What are the circumstances that led up tot his situation? |
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|
Term
|
Definition
| Assessment: What do I think the problem is? |
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|
Term
|
Definition
| Response: What should we do to correct this problem? |
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