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18 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Enter |
EWIIG Enter Wash Hands IDx2 Introduce and ask how to address Gloves
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EWIIG |
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20 Min
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CHIPPICOOOWS Communicate Hydration Status IV (rate, amt, type) Palpate site (red, edema) Pump (settings/drops) Inspect tubing Check Enteral Feed Oral explain (intake & output) Other drains O2 Write Socks
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CHIPPICOOOWS |
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Abd Assessment
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PPPP SODA SP CARTS Privacy Pee Position (supine, knees bent) Pain Suction off Observe contour and appearance Don gloves Auscultate Suction on Palpate (Chart:) Contour Appearance Resistance Tenderness/Pain Sounds x 4
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4P's SODA SP CARTS
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Comfort Mgmt
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AIRDARRPS Assess (scales/needs/preferences) Intervene x 2 and educate Reassess Distraction Apply heat/cold Relax Reposition Provide Comfort object Swaddle infant
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AIRDARRPS |
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Fluid Mgmt
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HAIR Hydration status x 2 (mucous mem, skin turgor, fontanel) Assess and teach Intervene (upright to eat or drink) Reassess
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HAIR |
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Enteral Feeding/Bolus
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FFLOW STOMACH RT Feeding type Flow rate Low fowlers Orient pt Whole system check/patent Select device Total amt On time (30 min window) Monitor Feed Assess skin Check residual-reinstill? Have baby burp Response Time
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FFLOW STOMACH RT
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DC IV
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CCNN Cannula intact Cover/pressure No active bleeding No complaints
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CCNN |
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Parenteral |
TTTRAPSS Tubing Type Time Rate Amount Palpate Skin/site Secure tubing/dressing intact
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TTTRAPSS |
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Output |
TACT Type Amount (during implementation/amt collected) Color Time
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TACT |
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Medications |
MAR DOSAGES MAR check meds Appropriate dose & label Recheck MAR IDx2 Do 5 rights Observe Allergies Special Assessments (BP, pulse, labs, IV, pain) Assess site (before & after) Gather equip Educate & admin Sign MAR immediately
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MAR DOSAGES
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Neuro Mgmt
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LOGICAM LOC (person, place, time) Observe pupils (equal, reactive, brisk/sluggish) Grasp hands bilaterally Inspect fontanel (anterior & upright) Compare dorsi & plantar bilat Arousal (verbal/tactile/noxious (nail beds) stimuli) Movement & symmetry (child)
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LOGICAM |
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Perip Neurovascular
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TEMPPS Temp (bilat, most distal) Edema Motor (wiggle fingers & toes) Pulse quailty & Location (bilateral, distal) Perfusion CCC (color, cap refill, clubbing) Sensation (closed eyes, what toe am I touching?)
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PET PMS
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Trach suction
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ESOPH PODS Explain Sterile O2 sat Pressure Hyperoxygenate Patency Oral hygiene Deep breaths Suction 15 sec |
ESOPH PODS |
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Skin Mgmt
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TT MICE BRED Temp Turgor Moisture Integrity/intact (lesion, rash, sore, tear) Color (blanchable/nonelblachable) Edema Braden scale Reposition Eval pain Do 1 area
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TT MICE BRED
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Drainage |
SPLATD Sterile Pain Location Appearance Type Drainage (type, amt, consistency)
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SPLATD |
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Musculoskeletal |
AARRMMS Appearance Abnormalities ROM Risk falls Morse Mobility Symptoms Strength |
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O2 Mgmt |
UNSHOTS Upright Nails Skin Humidity O2 Tolerance SOB/effort |
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Respiratory Mgmt |
UDROOLS Upright Deep/Shallow Reg/Irregular RR O2 Oral care Labored/unlabored Secretions |
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