Clinical Assessment Preparation

CPNE Study Guide

5. Implement nursing intervention(s) without delay to address a change in the patient’s current clinical condition. 6. Communicate with assigned nurse without delay when a patient condition warrants immediate attention. 7. Respond promptly to clinical alarm systems by notifying assigned nurse or CE. 8. Use proper technique to perform interventions. 9. Act in a manner that prevents patient harm (e.g., not leaving medications unattended). Maintain a safe physical environment throughout the entire PCS: 1. Involves anything that you do or do not do for the patient that would threaten their physical well-being. 2. The clinical examiner monitors that you are maintaining a safe physical environment throughout the entire process of the PCS. 3. Keep floor dry and clear of clutter. 4. Maintain bed in low position when patient is unattended. 5. Keep call bell in patient’s reach. 6. Elevate bed rails when indicated. 7. Lock wheeled furniture when stationary. 8. Keep crib rails up at all times when not providing patient care. 9. Keep infants/children within reach during care when side rail is down. 10. Keep infants/children within visual line of sight during care when side rail is down. 11. Secure infant/child when out of bed to infant seat/highchair. 12. Act in a manner that prevents patient harm during activity (e.g., do not leave child unattended while out of bed). Maintain standard precautions throughout the PCS: 1. Perform hand hygiene using soap and water or alcohol-based (waterless) hand rub when: a) Entering a patient room b) Exiting a patient room c) Before and after patient contact d) Before and after wearing gloves e) After picking up anything from the floor f) Before entering a med room or touching a medication cart 2. Perform hand hygiene using soap and water or alcohol-based (waterless) hand-rub when indicated throughout the PCS. 3. Clean general use equipment per hospital policy. 4. Use standard personal protective equipment (PPE) when indicated. 5. Protect environment, patient, and self from contaminants (e.g., blood-borne pathogens). 6. Dispose of contaminated material in the appropriate container.

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