Week 8 - Environmental Considerations and Functional Mobility

nasoenteral feeding tube

Flexible tube attached to an electric pump containing liquid nutrition inserted via nasal passages through the esophagus and into the stomach

nasoenteral

NG, ND, and NJ tubes are forms of _____ feeding tubes.

enterostomy feeding tube

Feeding tube inserted via endoscopy or small surgical opening in the abdomen

enterostomy

PEG and PEJ tubes are forms of _____ feeding tubes.

30 minutes

How long before supine activity should a feeding tube be stopped?

lying flat

What position should be avoided during feeding through a PEG or PEJ tube?

Foley/indwelling catheter

Tube inserted into the bladder via the urethra, providing continuous draining of the bladder and secured internally by a small balloon filled with sterile water

False; always take the bag with you.

T/F: When working with a patient with a urine collection bag, it is not necessary to take the bag with you when getting the patient up and moving.

suprapubic (urostomy) catheter

Tube surgically inserted into the body at the lower abdomen to drain urinary output

below

Where should a urine collection bag be positioned relative to the level of the bladder?

Texas/condom catheter

Tubing connected to a condom fitted over the penis to drain urine into a collection bag

True

T/F: A dislodged catheter could cause hematuria.

colostomy/ileostomy bag

Bag for collection of fecal matter attached directly over a surgically created opening in the abdomen, bringing the large intestine to the surface

rectal tube

Tubing inserted into the rectum and attached to a collection bag to drain fecal matter

cardiac leads

Wires connecting electrodes on the patient’s body to a recording device

12

Number of cardiac leads used for an initial exam

3-4

Number of cardiac leads used for monitoring of activity

Holter (telemetry) monitor

A portable, battery-operated device that records continuous heart activity over an extended period

peripherally inserted central venous line (PICC)

Catheter inserted into a vein in the upper arm, terminating in the superior vena cava; allows for long-term administration of meds/fluids

Hickman catheter

An implanted IV catheter used when long-term venous access is required

Submerge in water or perform MT over area

What should not be done with a patient with a Hickman catheter?

Port-A-Cath/Mediport

An implantable venous access system consisting of a small catheter placed into a large vein, usually the internal jugular, subclavian, or femoral vein; permits repeated access for long-term care

arterial line

Thin catheter inserted into an artery and connected via pressure tubing into a transducer; provides direct and continuous BP reading

True

T/F: Displacement of an arterial line can be life-threatening.

hip flexion

What motion should be limited if an arterial line is placed in the femoral artery?

PA line/Swan Ganz catheter

A multilumen cather with a small, inflatable balloon at the tip that is inserted through a large vein into the heart, terminating in the pulmonary artery; directly monitors cardiac output

bedrest

What cautionary restriction is typically placed on a patient with a PA line/Swan Ganz catheter?

sequential compression pumps

Sleeves placed on a patient’s legs and attached to an electronic pump that inflates the sleeves; helps return venous blood to the heart to prevent clots

sequential compression pumps

Device that may be used in combination with anti-embolism stockings; sleeve may be removed for mobility and ambulation

multi-podus boot

Orthotic with lamb’s wool padding that maintains neutral ankle to prevent foot drop and provides pressure relief to the heel

endotracheal tube

A large-diameter flexible breathing tube inserted through the mouth into the trachea and connected to a bag device or ventilator

tracheostomy tube

Flexible tube surgically inserted through the neck into the trachea used to maintain an open airway

Excess head and neck movement

What movements should be avoided for a patient with a respiratory device?

nasal cannula

Externally applied device used to provide oxygen to the patient; typically provides 1-2 L of oxygen per minute

Proper alignment, liters of 0₂ prescribed, and portable extension line

What should be taken into consideration for a patient on supplemental oxygen?

nonbreather/rebreather mask

Externally applied device used to provide oxygen to the patient; used to deliver high-flow oxygen

A green “tree” to attach tubing and a “key” to open a new tank

What two “things” are needed to operate a portable oxygen tank?

ventilator

Machine-assisted breathing device connected to the tracheal tubing

Alarms may sound and tracheal tubing length may limit OOB activity

What should be taken into consideration before getting a patient on a ventilator up and moving?

extracorporeal membrane oxygenation (ECMO)

Form of life support where blood is drained from the venous system, oxygenated through an artificial lung, and returned to the patient

proning

Positioning used for patients with respiratory issues (ARD, COVID-19) that uses a sliding sheet

tortoise turning system

Medical device used to reposition immobile patients, particularly those at high risk for pressure injuries (bedsores)

intracranial pressure (ICP) monitor 

Device that measures fluid pressure within the brain via a small catheter attached to a transducer

Contact nursing before starting activity; keep head and neck neutral

What precautions should be taken for a patient with an ICP monitor?

ventricular shunt

Tube surgically placed into one of the ventricles of the brain to shunt excess cerebrospinal fluid from the brain to the jugular vein or abdominal cavity

patient-controlled analgesia (PCA)

An electronically controlled pump that delivers a prescribed amount of IV analgesic to the patient when they press a button

Jackson-Pratt drain

Plastic tubing connected to a suction bulb used to drain and collect excess fluid from a surgical site

postoperative surgical drain (Hemovac)

Disposable, self-contained postoperative suction device that drains fluid from a surgical wound

chest tube

Large-bore tube inserted into the chest to drain excess fluid or to maintain pulmonary inflation

chest tube

Tube that may cause pneumothorax if dislodged; keep container vertical; extending tube may be needed for OOB activity

axillary crutches

Assisted device that may be contraindicated for someone with an IV or PICC

True

T/F: You can take BP on an UE with an IV/PICC if the line is not running.

medical adhesive related skin injury

What does MARSI stand for?

>30

MARSI injuries are defined as persisting _____ minutes after adhesive removal.

SBAR communication

A structured form of communication used in healthcare to share patient information.

Identify self, patient, and explain the situation

The “S” in SBAR

Provide relevant background and recent findings

The “B” in SBAR

Brief assessment of the problem

The “A” in SBAR

Recommendations

The “R” in SBAR

“What questions do you have for me?”

Question that SBAR should end with

1 minute

SBAR communication should last less than _____.