Accident/Error/Injury Prevention - (1)

o Spinal Cord Injury: Care of a Client who has a Halo Device (Active Learning Template - Therapeutic Procedure, RM

AMS RN 10.0 Chp 16)

o The purpose is to provide traction and/or immobilize the spinal column

▪ Do not use the halo device to turn or move a client

▪ If the client goes home with a halo fixation device on, provide instruction on pin and vest care.

▪ Teach the client signs of infection and skin breakdown.

▪ Maintain body alignment and ensure cervical tong weights hang freely.

▪ Monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest as

appropriate.

• Standard Precautions/Transmission-Based Precautions/Surgical Asepsis - (1)

o Bacterial, Viral, Fungal, and Parasitic Infections: Isolation Precautions for Client Who Has Influenza (Active Learning

Template - Basic Concept, RM FUND RN 9.0 Ch 56)

▪ Contact: Clostridium difficile, herpes simplex virus, impetigo, methicillin‑resistant

Staphylococcus aureus (MRSA), vancomycin‑resistant Staphylococcus aureus (VRSA)

▪ Airborne: Measles, varicella, tuberculosis

▪ Droplet (3-6 ft): Haemophilus influenzae type B (Hib), pertussis, mumps, rubella, plague,

streptococcal pneumonia, meningococcal pneumonia

• Tuberculosis: Priority Action for a Client in the Emergency Department (Active Learning Template - System

Disorder, RM AMS RN 10.0 Chp 23)

▪ Administer heated and humidified oxygen therapy as prescribed

▪ The client should be transported using the shortest and least busy route

▪ cough and expectorate sputum into tissues that are disposed of by the client into provided plastic

bags or no‑touch receptacles

▪ Clients are no longer considered infectious after three consecutive negative sputum cultures

• Adverse Effects/Contraindications/Side Effects/Interactions - (1)

o Electrolyte Imbalances: Manifestations of Hypokalemia (Active Learning Template - Medication, RM

AMS RN 10.0 Chp 44)

▪ VITAL SIGNS:

▪ Decreased blood pressure, thready weak pulse, orthostatic hypotension

▪ NEUROLOGIC:

▪ Altered mental status, anxiety, and lethargy that progresses to acute confusion and coma

▪ ECG:

▪ Flattened T wave, prominent U waves, ST depression, prolonged PR interval

▪ GASTROINTESTINAL:

▪ Hypoactive bowel sounds, nausea, vomiting, constipation, abdominal distention.

Paralytic ileus can develop.

▪ MUSCULAR:

▪ Weakness. Deep‑tendon reflexes can be reduced.

▪ RESPIRATORY: Shallow breathing

• Blood and Blood Products - (1)

o Blood and Blood Product Transfusions: Steps to Administer a Blood Transfusion (Active Learning

Med surg

Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40)

● Verify the prescription for a specific blood product.

● Obtain consent for procedure if required.