Miscellaneous Clinical Information

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Miscellaneous Clinical Information

• NURSING STUDENTS

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Assessing and Managing Pain

• The following pain assessment tools are utilized
  at PSMH for all types of patients
• Numeric Pain Intensity Scale (NPIS)
• Visual Pain Analogue (VPA/faces)
• Pain Assessment in Advanced Dementia(PAINAD)
• FLACC (face, legs, activity, cry and
  consolability) for non-verbal infant and
  pediatrics
• Neonatal Intensity Pain Scale (NIPS) for neonates

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Pain Assessment

• A comprehensive pain assessment is initiated on
  admission/arrival
• Patients will be reassessed after administration
  of pain medications within a time consistent with
  the anticipated onset of effect of the specific
  medication administered.

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Team Communication

• Students and Instructors must communicate care,
  progress and changes in patient conditions to the
  primary nurse with a frequency sufficient to
  support the patients plan of care
• The ISBARQ communication tool is utilized for
  communication between members of the health care
  team

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ISBARQ

• ISBARQ will be the format utilized in all hand
  off communication
• I- Introduction
• S- Situation
• B- Background
• A- Assessment
• R- Recommendation
• Q- Questions

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Palliative Care

• PSMH employees and students will work
  collaboratively to ensure respectful and
  responsive care of the dying patient.
• Needs of the dying patient will include
  psychological, social, emotional and spiritual
  support. Students will work collaboratively with
  nurses and instructors to provide this need for
  patients, families and friends.

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Color Coded Arm Bands

• The following color coded arm bands are utilized
  at PSMH
• WHITE- patient identification
• RED- allergies
• YELLOW- fall risk
• PINK-----no blood pressure, lab sticks, IVs, or
  injections to that extremity for any reason
  (lymphedema, dialysis site, mastectomy, etc.)
• PURPLE- Do Not Resuscitate
• GREEN- Blood Bank