medical surgical remediation virtual ati| medical surgical remediation
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Rasmussen College
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Medical Surgical Remediation
Safety and Infection Control (4 items)
Accident/Error/Injury Prevention (2 items)
Meningitis: Clarify Prescription With Provider (RN QSEN - Safety, Active Learning Template -
Basic Concept, RM AMS RN 10.0 Chp 5)
Repeat prescription back to the provider clearly
Handling Hazardous and Infectious Materials (1 item)
Cancer Treatment Options: Interventions for Internal Radiation Therapy (RN QSEN - Safety ,
Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 91)
Place the client in a private room. Keep door closed
Place a sign on the door warning of the radiation source
Wear a dosimeter film badge that records personal amount of radiation exposure
Limit visitors to 30-min and 6 feet
No visitors under 18yrs or who are pregnant
Have a lead apron
Health Promotion and Maintenance (2 items)
Health Promotion/Disease Prevention (1 item)
Osteoporosis: Promoting Musculoskeletal Health (Active Learning Template - System Disorder,
RM AMS RN 10.0 Chp 70)
Ensure the clients diet has calcium and vitamin D together
Limit carbonated beverages, which contain phosphates and can cause calcium loss
Encourage client to expose area of skin to sun 5-30 minutes twice a week.
Encourage female clients to discuss the pros and cons of hormone replacement therapy
postmenopausal
Encourage weight-bearing exercises
Basic Care and Comfort (6 items)
Mobility/Immobility (2 items)
Musculoskeletal Trauma: Caring for a Client in Continuous Buck’s Traction (Active Learning
Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 71)
Assess neurovascular status of the affected part every hour for 24hr and every 4hr after
that
Maintain body alignment and realign if the client seems uncomfortable or reports pain
Avoid lifting or removing weights
Osteoarthritis and Low-Back Pain: Potential Contraindications to Chondroitin and Glucosamine
(RN QSEN - Safety, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 72)
Question concurrent use of chondroitin with NSAIDs, heparin, and warfarin
Nutrition and Oral Hydration (3 items)
Peptic Ulcer Disease: Complications of Dumping Syndrome (RN QSEN - Safety, Active
Learning Template - System Disorder, RM AMS RN 10.0 Chp 49)
Client can report full sensation, weakness, diaphoresis, palpitations, dizziness, and
diarrhea
Late symps: rapid release of glucose, followed by an increase in insulin production
resulting in hypoglycemia
Blood and Blood Product Transfusions: Manifestation of Allergic Transfusion Reaction (RN
QSEN – Safety, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40)
Itching, urticaria, and flushing
Anaphylactic transfusion resulting in bronchospasm, laryngeal edema, and shock
Medications Affecting Coagulation: Medication Interactions With Warfarin (RN QSEN - Safety,
Active Learning Template - Medication, RM Pharm RN 7.0 Chp 25)
Increases effects: heparin, aspirin, acetaminophen, glucocorticoids, sulfonamides, and
parenteral cephalosporins
Decreases effects: phenobarbital, carbamazepine, phenytoin, oral contraceptives, and
vitamin K
Skin Disorders: Teaching About Adverse Effects of Topical Glucocorticoid Therapy (RN QSEN
- Safety, Active Learning Template - Medication, RM AMS RN 10.0 Chp 74)
Avoid use if infection is present
Discontinue use when rash clears
Avoid direct sunlight and the use of tanning beds
Blood and Blood Products (2 items)
Blood and Blood Product Transfusions: Monitoring a Client Receiving a Blood Transfusion (RN
QSEN - Safety, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40)
Explain the procedure
Assess vital signs and temp prior to transfusion
Remain with client in initial 15-30 min of the transfusion
An 18 or 20 gauge
Y-tubing with a filter
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