N41 Orientation Manual

1. N41 Orientation Manual

2. Table of Contents Layout………………………………..3 Daily Schedule……………………...4 Nightly Schedule…………………...5 Common Health Challenges……...6 Common Medications………….7-10 Policies and Procedures………....11 Lab Values……………………….....12 Common Codes……………………13

4. Daily Schedule Day Shift 0700 Narcotic count Report 0730 Assess patient- rounds 0800 Medication, vital signs, set pt’s up for meals 0845 First coffee break, start AM care 0915 Second coffee break, start am care 1000 Medication 1030 Finish am care and assessments 1100 Check lab work, blood work, mobilize where appropriate 1130 First lunch break, set pt’s up for meal, give medication 1215 Second lunch, assist pt with meal, medication 1300 Rounds, mobilize, charting 1400 Medication, charting 1430 First coffee break 1500 Second coffee break 1600 Rounds, charting 1630 First dinner break, medication 1715 Second dinner break, medication 1800 In & outs, rounds, charting, update kardex 1900 Narcotics count, report

5. Nightly Schedule Night Shift 1900 Narcotic count, report 1930 Assessments, vital signs, rounds 2030 HS care 2130 Medication 2200 Coffee 2230 Charting, paper work 0030 First break “lunch” 0130 Second break “lunch” 0230 First break “dinner” 0400 Second break “dinner” 0530 Rounds, In & outs, charting 0630 Kardex 0700 Narcotic count, report

6. Common Health Challenges(Please click on the disease that you would like to view.) COPD Chronic bronchitis COPD Emphysema Cerebral Vascular Accident (CVA) Endocarditis Diabetes Mellitus Acute Pancreatitis Chronic Pancreatitis Pneumothorax Hemothorax Pulmonary Embolism Pneumonia Acute Renal Failure Chronic Renal Failure

7. Common Medications (Please click on the drug that you would like to open.)

8. Medications Cont’d

9. Medications Cont’d Cardiac: Amiodarone Captopril Digoxin Furosemide Hydrochlorothiazide Metoprolol Ramipril Other Drugs: Diazepam Dilantin Pantoprazole Ranitidine hydrochloride

10. Medications Cont’d Respiratory: Albuterol Ipratropium bromide Methylprednisolone Prednisone Hydrocortisone

11. Policies & Procedures (Please click on the policy that you would like to view.) Alcohol Withdrawal Community Acquired Pneumonia CVA Preprinted Orders Suctioning & Tracheotomy Care Blood & Blood Products CPR & DNR Heparin Protocol

12. Lab Values (Please click on the Lab value that you would like to view.) Cardiac Lab Values Hematology Lab Values Protein Lab Values Thyroid Lab Values Electrolytes Lab Values Hepatic Enzymes Lab Values Lipids Lab Values Renal Related Lab Values

13. Common Codes (Please click on the code that you would like to view.) SURREY QUICK CODE REFERENCE CODE RED CODE BLUE CODE WHITE CODE YELLOW

14. This manual was created for you by Mike, Marita, Courtney, Jenny, and Duncan from Kwantlen University College as a part of their Semester 7 Change Project.