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Adult Med Surg Nurse Exercise Booklet NEW

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Adult Med Surg Nurse Exercise Booklet Log in and sign in.................................................................................................................................................. ...... 4 Begin your shift....................................................................................................................................................... 4 Get report ........................................................................................................................................................... 4 Review notes....................................................................................................................................................... 5 Add a custom task to the Brain........................................................................................................................... 6 Document vitals and assessments.......................................................................................................................... 6 Document vitals.................................................................................................................................................. 6 Correct your documentation .............................................................................................................................. 7 Document assessments...................................................................................................................................... 8 Documenting Provider Notification.................................................................................................................... 8 Document daily cares ......................................................................................................................................... 9 Find Additional Flowsheets: Restraints .............................................................................................................. 9 Document restraints............................................................................................................................................... 9 Document restraints......................................................................................................................................... 10 Admit a patient from the ED................................................................................................................................. 11 Complete the admit.......................................................................................................................................... 12 Take over patient assignments......................................................................................................................... 12 Release signed & held orders ........................................................................................................................... 12 Document admission details............................................................................................................................. 13 Patient Belongings ............................................................................................................................................ 13 Document the Belongings............................................................................................................................. 13 Document Patient Belongings in Flowsheets ................................................................................................... 14 Completing the Form.................................................................................................................................... 15 Customize the Care Plan at Admission ............................................................................................................. 16 Document Interventions............................................................................................................................... 17 Document Education Assessment and Add Topics....................................................................................... 17 Administer medications........................................................................................................................................ 18 Administer simple meds ................................................................................................................................... 18 Send a message to the pharmacy..................................................................................................................... 19 Administer IV meds............................................................................................................................................... 20 Start an IV med ................................................................................................................................................. 20 2 Stop an IV med.................................................................................................................................................. 21 Edit an administration....................................................................................................................................... 21 Administer another IV med .............................................................................................................................. 22 Blood administration ............................................................................................................................................ 22 Release a unit of blood ..................................................................................................................................... 22 Start the first transfusion.................................................................................................................................. 23 Finish the first transfusion and begin the second ............................................................................................ 23 Stop the transfusion and document a reaction................................................................................................ 24 Document override pulls ...................................................................................................................................... 25 Document override pulls for a medication not ordered in the system............................................................ 25 Document a code.................................................................................................................................................. 26 Document a code.............................................................................................................................................. 26 Discharge Patients ................................................................................................................................................ 28 Discharging an Admitted Patient...................................................................................................................... 28 Discharging a Patient as Deceased ................................................................................................................... 29 Receive a transfer patient..................................................................................................................................... 30 Complete the transfer....................................................................................................................................... 30 Take over patient assignments......................................................................................................................... 31 Release signed & held orders ........................................................................................................................... 31 Additional exercises.............................................................................................................................................. 32 Document vitals and assessments.................................................................................................................... 32 Administer a med with a ranged dose.............................................................................................................. 33 Document override pulls for a medication not verified by pharmacy ............................................................. 34 Collect a lab....................................................................................................................................................... 34 Assess, remove, and add a line......................................................................................................................... 35 Document a PCA ............................................................................................................................................... 35 Navigator Practice: Use the Preprocedure Navigator to Prep a Patient for Surgery ........................................... 36 Using Care Everywhere......................................................................................................................................... 37 Using Care Everywhere..................................................................................................................................... 37 Place Orders.......................................................................................................................................................... 40 Enter different types of Orders......................................................................................................................... 40 End your shift........................................................................................................................................................ 40 Document care plan progress........................................................................................................................... 40 Document patient education............................................................................................................................ 42 Document shift I/O ........................................................................................................................................... 43 Find and complete required documentation ................................................................................................... 43 3 Sign out ............................................................................................................................................................. 44 4 Log in and sign in  DEPARTMENT: UH HT 12 MSU  PATIENTS:  GeorgeTwo, 60 year old  Kingsley, 24 year old Begin your shift Patient:  Patient: Kingsley, 25 years old  Problem: Sepsis Get report Scenario: The previous nurse is just finishing the night shift and giving report to the nurse who is coming on shift. Try it out:  Current Nurse: "How'd things go on your shift? What do I need to know?"  Previous Nurse: "There are a few things. Let's take a look at the chart."  Go to the Professional Exchange report.  Current Nurse: "I see the principal problem is: _________________."  Previous Nurse: "Yes. The other hospital problems are:"  List the other problems being addressed during admission:  Previous Nurse: "Let's see if they have any results for lab or imaging."  Note: Not all training patients will have lab or imaging results.  Current Nurse: "How about IVs and meds?"  Previous Nurse: "Sure, let's take a look at current IVs." 5  Find the Lines, Drains, and Airways section. How many peripheral IVs are currently active?  Current Nurse: "What are the current medications?"  Current Nurse: "When are the next meds due?"  Hint: Use the Report link in the Medications section. [Show More]

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