Equipment

Question 1

what is a hoyer lift?

Answer 1

a type of dependent lift

Question 2

what is the purpose of an IV line?

Answer 2

used to deliver meds/fluids via peripheral vein

most often placed in the antecubital fossa in the median cubital vein

Question 3

list some precautions for IV lines

Answer 3

1. Don’t kink line
2. Keep bag above level of insertion
3. If possible take BP on non-IV side
4. alert nursing if insertion site is red/swollen

Question 4

what is the purpose of an A-line?

Answer 4

used to measure BP, withdraw blood, or admin meds

Question 5

how can you ID an A-line from an IV-line?

Answer 5

if it has rigid sides, its an A-line

Question 6

list some precautions for A-lines

Answer 6

1. Avoid excess ROM around line
2. maintain the insertion site level w/transducer
3. Can be disconnected but check w/nursing

Question 7

What is a PICC line and what is it’s purpose?

Answer 7

Peripherally Inserted Central Catheter

surgically inserted from UE vein to superior vena cava

used for long-term med admin

Question 8

List some precautions for PICC lines

Answer 8

1. avoid BP in same UE
2. avoid axillary crutches
3. Can be disconnected but check w/nursing

Question 9

What is an NG tube and what is it used for?

Answer 9

Nasogastric Intubation

used for short-term feeding when pt cannot take in food/hydration PO

can be used to suction stomach contents

Question 10

list some precautions for NG tubes

Answer 10

1. avoid supine position for at least 30 min after feeding
2. Can be disconnected but check w/nursing

Question 11

what is a PEG tube and what is it used for?

Answer 11

Percutaneous endoscopic gastrostomy

tube inserted through abdominal wall into stomach

used for long-term delivery of nutrition, fluids, and meds

Question 12

list some precautions for PEG tubes

Answer 12

1. avoid supine for at least 30 min after feeding
2. avoid placing gait belt over tube/insertion point
3. Can be disconnected but check w/nursing and make sure tube is capped

Question 13

what is the purpose of a nasal cannula?

Answer 13

supplemental O2

may be hooked up to wall device or portable tank

Question 14

list some precautions for nasal cannulas

Answer 14

1. pt attached to specialized device that may/may not be portable
2. Cannot be disconnected, pt will need O2 especially during PT

Question 15

List various methods of delivering O2 to a pt (types of masks)

Answer 15

1. Low flow:
   
   • nasal cannula
   • face mask
   • face tent
2. High flow:
   
   • venturi mask
   • non-rebeather

Question 16

what is the purpose of a Foley Catheter?

Answer 16

used to drain the bladder

Question 17

what is the difference between a Foley catheter and a Texas catheter?

Answer 17

Foley - indwelling catheter inserted into urethra, held in place w/inflated ballon

Texas - held in place by condom (taped in place)

Question 18

list precautions for a Foley Catheter

Answer 18

1. empty bag before mobility
   
   • check w/nursing 1st to see if they are measuring in/out
2. avoid tension or pinching tubing
3. Cannot be disconnected

Question 19

what is one more precaution for a Texas catheter that a Foley Catheter doesn’t have?

Answer 19

Texas catheters can easily fall off if bag is heavy w/urine or tubing has tension on it

Question 20

what is a Jackson-Pratt drain and what is it used for?

Answer 20

a surgical drain in a wound

used to remove pus, blood, or other fluids from wounds

often used to prevent accumulation of fluids that increase infection risk

Question 21

T/F: a Jackson-Pratt drain can be removed/disconnected

Answer 21

FALSE

Question 22

What is a chest tube? What is it’s purpose?

Answer 22

a tube inserted into pleural space and connects to chest drainage unit

used to drain fluid or maintain pulmonary inflation

Question 23

list precautions for a chest tube

Answer 23

1. avoid tipping over box
2. avoid tension on tubing
3. Cannot be disconnected

Question 24

what is an epidural? What is it used for?

Answer 24

a type of continuous peripheral nerve block

used for regional pain relief – provides slow infusion of med into epidural space

Question 25

what is an epineural? What is it used for?

Answer 25

used for regional pain relief - slow infusion of med over peripheral nerve

Question 26

list some precuations for epineurals and epidurals

Answer 26

1. check motor and sensory function prior to mobilization 2. avoid tension on the line 3. Cannot be disconnected

Question 27

what is PCA?

Answer 27

Patient Controlled Analgesia electronically controlled pump that delivers IV pain med when pt pushes button system automatically stops providing meds at a set level to avoid overmedication

Question 28

what is the purpose of Telemetry?

Answer 28

monitors electrical cardiac activity (ECG)

Question 29

what is a wound-vac? What is it's purpose?

Answer 29

vacuum-assisted closure, uses negative pressure on wound foam or gauze dressing placed directly on wound, adhesive film covers/seals it used to pull fluid from wound, reduce edema, clean wound, remove bacteria

Question 30

list some precautions for wound-vacs

Answer 30

Usually cannot be disconnected (vac goes w/pt)

Question 31

what is a sequential compression device? What is it's purpose?

Answer 31

leg cuffs placed over calves/lower legs while pt lays in bed used for compression assisstancein venous return to reduce DVT risk can be used with or w/o Ted hose

Question 32

T/F: sequential compression devices cannot be disconnected/removed?

Answer 32

FALSE can easily be removed but must be reattached once pt is back in bed after PT

Question 33

what is an ICP monitor?

Answer 33

Intracranial pressure monitor, can be either: * EVD (extraventricular drain) - a catheter inserted through skull into lateral ventricles * parenchymal monitor (intraparenchymal strain gauge or fiber optic monitor)

Question 34

list precautions for an ICP monitor

Answer 34

1. avoid positions that increase ICP (head down) 2. Cannot be disconnected

Question 35

what is the purpose of a mechanical vent?

Answer 35

breathing assistance helps move air in and out

Question 36

what is a trach tube?

Answer 36

tube inserted into trachea used to deliver O2 to the lungs, bypasses airway obstruction, and/or remove secretions from airway may be connected to mechanical ventilation

Question 37

what is a central venous catheter?

Answer 37

a catheter placed in large vein (neck, chest, groin, if its placed in the arm it becomes a PICC line)

Question 38

what is the purpose of the central venous catheter?

Answer 38

used to admin meds and fluids, obtain blood tests, and measure central venous pressure

Question 39

List precautions for central venous catheters

Answer 39

Cannot be disconnected

Question 40

List and describe several types of dialysis catheters

Answer 40

1. Vas cath → specialed central venous catheter used in dialysis 2. AV fistula → connects artery and vein to carry out dialysis 3. Continuous renal replacement therapy (CRRT) → blood pumped through hemofilter; slower form of hemodialysis often used for pts who are hemodynamically unstable

Question 41

List equipment that CAN be disconnected

Answer 41

1. IVs 2. A-Lines 3. PICC lines 4. NG tubes 5. Sequential Compression devices (SCD) * only one that you don't need to check w/nursing first

Question 42

List equipment that CANNOT be disconnected

Answer 42

1. nasal cannula 2. Foley Catheter 3. Texas Catheter 4. Jackson-Pratt drain 5. Chest tube 6. Epidurals 7. Wound vac 8. ICP monitors 9. Central venous catheters