SAMPLE
Focus on your successes encouraging yourself to greater achievements in the future and Forget your past
mistakes.
Always do your best so you can be proud that you gave it your best shot.
Focus on your ach
...
SAMPLE
Focus on your successes encouraging yourself to greater achievements in the future and Forget your past
mistakes.
Always do your best so you can be proud that you gave it your best shot.
Focus on your achievements rather than your failures. If you do find yourself thinking about how you
failed then look at what you managed to do right and how you could correct what you did next time.
A mind that is troubled with doubt won't be able to focus on the victory to be had.
Take time for yourself. A fried mind can't focus or learn.
Look carefully when you have no idea. In a word like rhabdomyosarcoma you can easily ascertain it has
something to do with muscle (myo) cancer (sarcoma). The same thing goes for drug names. For
example, if it ends in –ide it’s probably a diuretic, as in Furosemide, and Amyloride.
When getting down to two answers, choose the assessment answer (assess, collect, auscultation,
monitor, palpate) over the intervention except in an emergency or distress situation. If one answer has
an absolute, discard it. Give priority to answers that deal directly to the patient’s body, not the
machines/equipments.
Key words are very important. Avoid answers with absolutes for example: always, never, must, etc.
When choosing an answer, think in this manner… if you can only do ONLY one thing to help this patient
what would it be? Pick the most important intervention.
If two of the answers are the exact opposite, like bradycardia or tachycardia... one is probably the
answer.
If two or three answers are similar or are alike, none is correct.
When asking patients’ questions NEVER use “why” questions. Eliminate all “why?” answer options.
If you have never heard of it… please don’t pick it!
Never release traction UNLESS you have an order from the MD to do so
Always deal with actual problems or harm before potential problems
Always select a “patient focused” answer.
An answer option that states "reassess in 15 minutes" is probably wrong.
An answer that delays care or treatment is ALWAYS wrong
DO NOT delegate what you can EAT! or PACET
P – Planning
A – Assess (Primary/Initial)
C – Collaboration (with RT, OT, PT, ETC)
E – Evaluate (for trends)
T – Teach
* Assessment, teaching, i.v. meds, evaluation, unstable patient cannot be delegated to an Unlicensed
Assistive Personnel.
* LVN/LPN cannot handle blood.
Vit K is to coumadin as Protamine Sulfate is to Heparin as Ca Glu is to MgSo4 as Mucomyst is to
Acetominophen as Amicar is to TPA…get it? Antidotes/treatments for overdose
REVERSE AGENTS FOR TOXICITY
ammonia= lactulose acetaminophen= n-Acetylcysteine. Iron= deferoxamine, Digitoxin/digoxin= digibind.
Alcohol withdraw= Librium.
- methadone is an opioid analgesic used to detoxify/treat pain in narcotic addicts.
- Potassium potentiates dig toxicity.
Order of assessment: Inspection, Palpation, Percussion and Ausculation. EXCEPT with abdomen cuz you don’t
wanna mess with the bowels and their sounds so you Inspect, Auscultate, Percuss then Palpate (same with
kids, I suppose since you wanna go from least invasive to most invasive since they will cry! Gotta love them
kids!)
No Pee, no K (do not give potassium without adequate urine output)EleVate Veins; dAngle Arteries for better perfusion
For PVD remember DAVE (Legs are Dependent for Arterial & for Venous Elevated)
Arterial – PPP, Pain, paller, pulselessness. Stand up to reduce pain
Each worth 2 points: >8 no interventions, 4-7 stimulate/rub back/give O2/rescore, 0-3 Full CPR/Rescore
Points: 2 ↘ 1 ↘ 0
A= appearance {skin colour} (color all pink ↘ pink and blue ↘ blue [pale])
P= pulse {HR} (>100 ↘ < 100 ↘ absent)
G= grimace {reflex irritability} (cough/pulls away ↘ facial movement/grimace only with stimulation ↘ no response)
A= activity {muscle tone} (spontaneous activity ↘ arms/legs flexed with little movement ↘ limp/floppy tone)
R= respirations {effort} (30-60 bpm/strong cry ↘ irregular/slow breathing/weak cry ↘ absent)
TRANSMISSION-BASED PRECAUTIONS:
AIRBORNE - Private Room - negative pressure with 6-12 air exchanges/hr, Mask, N95 for TB
My - Measles
Chicken - Chicken Pox/Varicella
Hez - Herpez Zoster/Shingles
TB
or remember... MTV=Airborne
Measles
TB Varicella-Chicken Pox/Herpes ZosterShingles
DROPLET - Private Room or cohort Mask
think of SPIDERMAN!
S – sepsis, S - scarlet fever, S - streptococcal pharyngitis
P - parvovirus B19, P - pneumonia P - pertussis
I - influenza
D - diptheria (pharyngeal)
E - epiglottitis
R - rubella
M – mumps, M – meningitis, M - mycoplasma or meningeal pneumonia
An - Adenovirus
CONTACT PRECAUTION
MRS.WEE
M - multidrug resistant organism
R - respiratory infection
S - skin infections *
W - wound infxn
E - enteric infxn - clostridium difficile
E - eye infxn - conjunctivitis
SKIN INFECTIONS
VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simplex
I - impetigo
P - pediculosis
S - scabies
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of
impending doom) → turn pt to left side and lower the head of the bed.
2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc) →
turn on left side (and give O2, stop Pitocin, increase IV fluids)
3. Tube Feeding w/ Decreased LOC → position pt on right side (promotes emptying of the stomach) with
the HOB elevated (to prevent aspiration)
4. During Epidural Puncture → side-lying5. After Lumbar Puncture (and also oil-based Myelogram)→ pt lies in flat supine (to prevent headache
[Show More]
