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Instructions for Side by Side Printing
  1. Print the notecards
  2. Fold each page in half along the solid vertical line
  3. Cut out the notecards by cutting along each horizontal dotted line
  4. Optional: Glue, tape or staple the ends of each notecard together
  1. Verify Front of pages is selected for Viewing and print the front of the notecards
  2. Select Back of pages for Viewing and print the back of the notecards
    NOTE: Since the back of the pages are printed in reverse order (last page is printed first), keep the pages in the same order as they were after Step 1. Also, be sure to feed the pages in the same direction as you did in Step 1.
  3. Cut out the notecards by cutting along each horizontal and vertical dotted line
To print: Ctrl+PPrint as a list

39 notecards = 10 pages (4 cards per page)

Viewing:

safety, moving and positioning exam

front 1

National patient safety goal

back 1

requirements to meet each goal are established by the committee

ex: identify patient using 2 identifiers -most common

-full name and DOB

front 2

factors contributing to an unsafe patient environment

back 2

  • everything changes
  • unfamiliar setting
  • loss of privacy
  • age &ability to understand
  • impaired mobility
  • communication
  • pain& discomfort
  • delayed assistance
  • equipment being used

front 3

promoting patient safety

back 3

you must constantly monitoring the patient and the surrounding environment

ex: preventing falls

front 4

MORSE FALL SCALE

back 4

a fall assessment rating scale (rating scale commonly used in acute care setting)

front 5

consists of 6 categories:

back 5

no data

front 6

morse scale levels

back 6

no data

front 7

restraint alternatives

back 7

not true restraints

-they are less restrictive

ex: monitors: bed alarm, chair alarms, personal alarm, and leg monitor

front 8

types of restraints

back 8

  • vests
  • waist
  • extremity
  • mitt

front 9

Race acronym

back 9

  • rescue- remove patients from immediate danger
  • Alarm- sound fire alarm or dial extension
  • confine- confine the fire to one room, close the door
  • extinguisher- only attempt to extinguish a small fire with a fire extinguisher

front 10

full code

back 10

everything!

ex: CPR, inhibition, AED, etc.

front 11

limited code

back 11

when they don't want something

ex: no intubation- no blood transfusion

front 12

DNR

back 12

DO NOT RESUSITATE

front 13

osteoporosis

back 13

loss of bone minerals

front 14

footdrop

back 14

  • occurs when toes are allowed to fall toward the foot of the bed
  • supine position- ankles should be flexed approximately 90 degree dorsiflexion

front 15

preventing musculoskeletal complications

back 15

correct Body alignment should be maintained while the patient is supine, Side-lying positions and even when sitting

front 16

ROM

back 16

range of motion

front 17

nursing actions to prevent contractures and osteoporosis

back 17

  • perform ROM exercises every 8 hours
  • assist with ambulation as soon as orders permit

front 18

footboard

back 18

  • board placed at a 90 degree angle to the foot of the bed
  • patients feet will be supported in a normal flexed position to prevent foot drop

front 19

pneumonia

back 19

  • inflammation of lung tissue
  • causes- bacterial, viral, fungal, aspiration, immobility

front 20

hypostatic pneumonia

back 20

lung infection occurring from immobility

front 21

pulmonary embolus (pe)

back 21

a blockage in the pulmonary artery, which supplies blood to the lungs

front 22

S/S of pulmonary embolus

back 22

  • sudden shortness of breath
  • sudden chest pain
  • cough
  • diaphoretic
  • tachycardia
  • tachypnea

front 23

atelectasis

back 23

lung collapse

shallow respirations

secretions blocking airways

patients who smoke

front 24

PASS acronym

back 24

pull-aim-squeeze-sweep

front 25

muscle atrophy

back 25

  • muscle decreases in size, tone, and strength
  • ligaments and tendons

front 26

supportive devices

back 26

foot-boot, gloves, wedges, pillows, (keeping someone on their side)

front 27

movement is considered an order

back 27

true

front 28

ROM exercises

back 28

  • active- patient performs independently
  • passive- you perform ROM for patient

front 29

degree for dorsiflex ?

back 29

90 degree angle

front 30

immobility cardiovascular system

bedrest

back 30

50% reduction of blood flow to the legs

(blood flow to the legs is venous return)

front 31

medical term for a blood clot

back 31

deep vein thrombosis

also known as a DVT

front 32

Embolus

back 32

clot becomes mobile-dislodges-moves through bloodstream

front 33

S/S OF DVT

back 33

  • swelling
  • pain
  • redness
  • increased warmth
  • mayo only have 1 of the s/s
  • asses/report/document

front 34

prevent DVT formation

back 34

  • encourage movement of extremities -active or passive ROM exercise -leg excersies
  • use devices to prevent pooling of blood in lower extremities

front 35

Anti-TED'S and anti-ems stockings

back 35

  • need order (dependent intervention)
  • make sure you can put 2 fingers in between
  • checking circulation while they are on

front 36

anti-em guidlines

back 36

  • wrinkles in stocking- can breakdown skin
  • neurovascular- checking color of skin, warmth, and edema
  • constant wetness against skin can cause breakdown (MAsculation)
  • make Sure skin is dry before applying

front 37

intermittent sequential compression device (ISCD'S)

AKA- pneumonic air stockings

back 37

used for venous return, they are meant only for bed

front 38

ISCD purpose

back 38

  • venous return of blood to the heart
  • USE ONLY IN BED- remove for OOB activities

front 39

orthostatic hypotension

back 39

  • decrease in BP when patient changes position
  • form lying to sitting
  • from sitting to standing