Rn ATI capstone Fundamentals Focused Review

Rn ATI capstone Fundamentals Focused Review Management Care (1) -Integumentary and Peripheral Vascular Systems: Identifying Skin Lesions (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 30) -Equipment used to assess -adequate lighting, gloves, flexible ruler/tape measure, gown or drape to cover pt -Vascular Lesions -Spider Angioma- red center with radiating red legs, up to 2 cm, possibly raised -cherry Angioma- red 1 to 3cm, round and possibly raised -spider vein- bluish, spider shaped or linear up to several inches in size -petechiae/purpura- deep reddish/purple flat petechiae 1-3mm, purpura > 3mm -ecchymosis- purple fading to green or yellow over time, variable in size, flat -hematoma- raised ecchymosis Safety & Infection control (4) -Client Safety: Priority Action in a Fire Emergency (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 12) -Know the location of exits, alarms, fire extinguishers, and oxygen shut‑off valves. -Make sure equipment does not block fire doors. -Know the evacuation plan for the unit and the facility. R: Rescue and protect clients in close proximity to the fire by moving them to a safer location. Clients who are ambulatory may walk independently to a safe location. A: Alarm: Activate the facility’s alarm system and then report the fire’s details and location. C: Contain/Confine the fire by closing doors and windows and turning off any sources of oxygen and any electrical devices. Ventilate clients who are on life support with a bag‑valve mask. E: Extinguish the fire if possible using the appropriate fire extinguisher -Home Safety: Teaching About Wound Care (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 13) Burns -Test the temperature of formula and bath water. -Place pots on back burner and turn handle away from front of stove. -Supervise the use of faucets. -Keep matches and lighters out of reach. -Cover electrical outlets Play Injury -Teach to not run with candy or objects in mouth. -Remove doors from refrigerators or other potentially confining structures. -Ensure that bikes are the appropriate size for child. -Teach playground safety. -Teach to play in safe areas, and avoid heavy machinery, railroad tracks, excavation areas, quarries, trunks, and vacant buildings. -Teach to never swim alone and to wear a life jacket in boats. -Wear protective helmets and knee and elbow pads, when needed. -Teach to avoid strangers and keep parents informed of strangers. -Medical and Surgical Asepsis: Maintaining Surgical Asepsis While Performing a Sterile Dressing Change (Active Learning T-template - Nursing Skill, RM FUND 9.0 Ch 10) -The outer wrappings and 1‑inch edges of packaging that contains sterile items are not sterile. ---The inner surface of the sterile drape or kit, except for that 1‑inch border around the edges, is the sterile field to which other sterile items may be added. -To position the field on the table surface, grasp the 1‑inch border before donning sterile gloves. Discard any object that comes into contact with the 1‑inch border. -Touch sterile materials only with sterile gloves. -Consider any object held below the waist or above the chest contaminated. -Sterile materials may touch other sterile surfaces or materials; however, contact with nonsterile materials at any time contaminates a sterile area, no matter how short the contact. -Mobility and Immobility: Teaching Correct Use of a Cane (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 40) -Maintain two points of support on the ground at all times. -Keep the cane on the stronger side of the body. -Support body weight on both legs. -Move the cane forward 15 to cm (6 to 10 inches). -Then move the weaker leg forward toward the cane. -Next, advance the stronger leg past the can Health Promotion and Maintenance - (5) -Health Promotion and Disease Prevention: Teaching About Tertiary Prevention Programs (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 16) -Tertiary prevention aims to prevent the long‑term consequences of a chronic illness or disability and to support optimal functioning. -Begins after an injury or illness -Prevention of pressure ulcers after spinal cord injury -Promoting independence after traumatic brain injury -………………………………………..CONTINUED………………………………………