Download Miscellaneous Clinical Information

Miscellaneous Clinical
Information
NURSING STUDENTS
1
Assessing and Managing Pain
• The following pain assessment tools are
utilized at PSMH for all types of patients
– Numeric Pain Intensity Scale (NPIS)
– Visual Pain Analogue (VPA/faces)
– Pain Assessment in Advanced Dementia(PAINAD)
– FLACC (face, legs, activity, cry and consolability)
for non-verbal infant and pediatrics
– Neonatal Intensity Pain Scale (NIPS) for neonates
2
Pain Assessment
• A comprehensive pain assessment is initiated
on admission/arrival
• Patients will be reassessed after
administration of pain medications within a
time consistent with the anticipated onset of
effect of the specific medication administered.
3
Team Communication
• Students and Instructors must communicate
care, progress and changes in patient
conditions to the primary nurse with a
frequency sufficient to support the patients
plan of care
• The ISBARQ communication tool is utilized for
communication between members of the
health care team
4
ISBARQ
• ISBARQ will be the format utilized in all hand
off communication
– I- Introduction
– S- Situation
– B- Background
– A- Assessment
– R- Recommendation
– Q- Questions
5
Palliative Care
• PSMH employees and students will work
collaboratively to ensure respectful and
responsive care of the dying patient.
• Needs of the dying patient will include
psychological, social, emotional and spiritual
support. Students will work collaboratively
with nurses and instructors to provide this
need for patients, families and friends.
6
Color Coded Arm Bands
• The following color coded arm bands are utilized at
PSMH
–
–
–
–
WHITE- patient identification
RED- allergies
YELLOW- fall risk
PINK-----no blood pressure, lab sticks, IVs, or injections to
that extremity for any reason (lymphedema, dialysis site,
mastectomy, etc.)
– PURPLE- Do Not Resuscitate
– GREEN- Blood Bank
7