NUR 1600 Exam 5
- What are critical indicators?
safety measures that every healthcare provider should perform every time with every patient
2. HI I CARE
H- Hand Hygiene
I- Introduce Self / Role / Purpose I- Identify patient C- Confidentiality and Privacy A- Assess patient and envirement R- Raise / return bed E- Explain, educate, evaluate, exit
- Blood Pressure
the pressure that is exerted by the blood against the walls of blood vessels Concept Perfusion
- Respirations
Measurement of inhalation and exhalation Concept
Gas Exchange
- Pulse
The rhythmic expansion and recoil of arteries resulting from heart contraction; can be felt from the outside of the body. 1 / 3
Concept
Perfusion
- Temperature
Measurement of an individual body temperature Concept
Thermoregulation
- pulse oximetry
noninvasive technique that measures the oxygen saturation (SaO2) of arterial blood Concept
Gas Exchange
- Elevated BP
120-129/<80
- Stage 1 hypertension
130-139/80-89
- Stage 2 hypertension
>140/>90
- Numeric pain scale
0-10 2 / 3
- FACES pain scale
Child as young as 3 can use. Six cartoon faces range smile- cry child chooses face that best describes how they feel .
- FPS-R (Faces Pain Scale - Revised)
Young children in parallel with numerical self-rating scales (0-10). Patients choose the depiction of a facial expression that best corresponds with their pain.
- Ouchers
combines both the FACES and numeric pain scale. It allows pediatric patients to indicate how much pain they are in by selecting a number or a corre- sponding face
- Neonatal Infant Pain Scale (NIPS)
Evaluates procedural pain in preterm and full-term neonates up to 6 weeks after birth. The neonate's facial expression, cry quality, breathing patterns, arm and leg position, and state of arousal are observed.
- CRIES pain scale
Tool used to assess postoperative pain in preterm or term neonates. It measures physiologic and behavioral indicators.
- FLACC pain scale
People with dementia become less able to identify and describe pain over time, although pain is still present. PAINAD scale measures 5 common behaviors breathing, vocalization, facial expression, body language, consolability.
- Standard Precautions
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