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18 Cards in this Set

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Enter

EWIIG


Enter


Wash Hands


IDx2


Introduce and ask how to address


Gloves


EWIIG

20 Min


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




CHIPPICOOOWS

Abd Assessment


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



4P's SODA SP CARTS


Comfort Mgmt


AIRDARRPS


Assess (scales/needs/preferences)


Intervene x 2 and educate


Reassess


Distraction


Apply heat/cold


Relax


Reposition


Provide Comfort object


Swaddle infant


AIRDARRPS

Fluid Mgmt


HAIR


Hydration status x 2 (mucous mem, skin turgor, fontanel)


Assess and teach


Intervene (upright to eat or drink)


Reassess


HAIR

Enteral Feeding/Bolus


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


FFLOW STOMACH RT


DC IV


CCNN


Cannula intact


Cover/pressure


No active bleeding


No complaints


CCNN

Parenteral

TTTRAPSS


Tubing


Type


Time


Rate


Amount


Palpate


Skin/site


Secure tubing/dressing intact


TTTRAPSS

Output

TACT


Type


Amount (during implementation/amt collected)


Color


Time


TACT

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


MAR DOSAGES


Neuro Mgmt


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)


LOGICAM

Perip Neurovascular


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?)



PET PMS


Trach suction


ESOPH PODS


Explain


Sterile


O2 sat


Pressure


Hyperoxygenate


Patency


Oral hygiene


Deep breaths


Suction 15 sec

ESOPH PODS

Skin Mgmt


TT MICE BRED


Temp


Turgor


Moisture


Integrity/intact (lesion, rash, sore, tear)


Color (blanchable/nonelblachable)


Edema


Braden scale


Reposition


Eval pain


Do 1 area


TT MICE BRED


Drainage

SPLATD


Sterile


Pain


Location


Appearance


Type


Drainage (type, amt, consistency)


SPLATD

Musculoskeletal

AARRMMS


Appearance


Abnormalities


ROM


Risk falls


Morse


Mobility


Symptoms


Strength

O2 Mgmt

UNSHOTS


Upright


Nails


Skin


Humidity


O2


Tolerance


SOB/effort

Respiratory Mgmt

UDROOLS


Upright


Deep/Shallow


Reg/Irregular


RR


O2


Oral care


Labored/unlabored


Secretions