
Respiratory
o Interventions to thin secretions
 Push/drink fluids
 Encourage coughing and sit up to get fluid up
o Know O2 delivery methods and precautions especially with COPD patients
 Nasal cannula 1-6L;
 can still eat and drink
 Simple face mask – 5-8L; contra to COPD pts
 Venturi – 4-12L; most precise; used most with COPD
 Partial rebreather 6-15L
 Nonrebreather – 10-15L
o O2 safety and teaching patients about safe home o2 use
 Kept away from other flammable things
 no smoking in the house
 keep them full
 keep them up right
 make sure they are full
o TB- how to administer Mantoux test and read results
 Interdermal – 10-30 degree angle
 0.1mL
 Make a little wheal
 Immunocomp, people in jail, nursing homes, and immigrants- >5mm
 Healthy ppl - >10mm
o Teaching patient to use incentive spirometer
 Blow out for as long as you can; within a certain range
 Used to open up their lungs
o Teaching patient to use metered dose inhaler
 Big Inhale and hold breathe for 5-10 seconds

Mobility
o Assistive devices
o Preventing DVTS
 Lovenox (heparin)
 Ted hose
 Scd
 Pointing and flexing feet
o Sequential Compression Device use and contraindications
 Having a clot

Safe medication administration
o 6 Medication rights and 3 checks
o How to waste narcotics / controlled substances
o Know how to administer meds, including injections (SQ, intradermal and IM etc.)

Documentation and communication
o
o
o
SBAR
Abbreviation use (know the “do not use” list)
Interpreter use

Nutrition
o Types of diets
o Know how to calculate I&O
o Remember how ice is measured ?? half the amount! 100 ml of ice = 50 ml, 1 cup of
ice = 120ml
o NGT (how to measure and verify placement)
 Know gold standard – cannot use ngt until chest x ray is done
o TPN know potential complications and interventions
 Hyperglycemia
 Over feeding and having them aspirate

Wound care
o Be able to assess and stage pressure injuries

GU
o
o
Urinary tract infections- risk factors, s/s, prevention
Collecting urine specimen from Foley

Pain management
o Side effects of narcotics
o PCA (patient education and safety)

Culture and spirituality, death and dying
o Jehovah witness

Blood and blood transfusions
o Joint commission requires spiritual assessment- but healthcare facility determines how to
assess this
o Complicated VS Anticipatory grief

Culture and food preferences
o Kosher Diet:
 Prohibit: Pork, shellfish, rare meat
o Islamic:
 Prohibit: Pork, Alcohol
o Mormon:
 Avoid Alcohol, Tobacco, Caffeine
o Buddhist
 Follow vegetarian diet
o Jewish



Mixtures of milk and meat are forbidden
Ethics
o Autonomy
o Beneficence
o Nonmaleficence
o Fidelity
o Veracity
o Justice
Perioperative Care
o Informed consent and the nurse’s role
o Malignant hyperthermia
 Reaction to anesthia
o Pre-op checklist
o Pre and post op teaching
o Latex sensitivity/allergy
o Surgical Time out
o Dehiscence/Evisceration
o Post op care and Pain management