What Goes on a Isolation Kit? (Video)

When a patient is placed in isolation, you will need to order an isolation kit. The following things will need to be included in the kit.

Gowns. One or two boxes of gowns are usually placed on the kit. Most isolations will require the caregiver or visitor to gown up before entering the room.

Gloves. Latex Gloves, usually purple, although some facilities will use black.
Masks. Depending on the type of isolation that the patient is in, either a facemask or an N95 will need to be placed on the isolation kit.

Disposable Stethoscope and Blood Pressure Cuff. A disposable stethoscope and blood pressure cuff will be placed on the kit to decrease the chances of spreading diseases from one patient to another.

Transporting Specimens to the Laboratory (Video)

There are three ways of transporting patients’ specimens to the laboratory.
  1. By pneumatic tube system if your hospital has it.
  2. By the laboratory technician when they come to your unit to draw blood on the patients.
  3. By the nurse, CNA, or you taking the specimen to the lab.

Disposing of Patients' Medical Information Properly (Video)

The patients’ health information is everywhere in the hospital. You can do your part to protect this medical information by disposing of it properly.

Assignment Sheets and the Unit Secretary (Video)

This is a topic that gets my blood pressure high. So please just watch the video. 

Notifying Staff of..... (Video)

One thing that you will do all day every day is notifying the nurses and CNAs/PCAs of:

New Admissions. This is when you get notified that a new patient will be coming to your unit from the Emergency Room and that they are being assigned to a specific nurse.

Returning Patient. This is when a patient is returning to the unit after having a procedure performed.

Transfer to or From. This is when there is an order to transfer a patient from your unit to another unit or to when you get notified that a patient is to be transferred to your unit. You will let the nurse know either way.

Discharge. This is when the doctor enters an order to discharge the patient home, to a skilled nursing facility, to a rehabilitation facility, hospice, etc.

Giving Nurses Critical Test Results (Video)

You need to recognize when a test result is critical and when it is not. And if it is critical, you need to notify the nurse immediately. 

I’ll explain in the video above. 

Requesting Supplies from Central Supply (Video)

Requesting supplies from Central Supply can be done in two ways by either ordering it in the computer system or by telephone.

In the video above I’ll explain which is better and my daily routine. 

Requesting Special Equipment (Video)

There were times when we needed to order special equipment from third party vendors.

I’ve had to place calls to get equipment for: special mattresses, heart vests, and prosthetics, just to name a few.

When I placed the call, it was like placing a consult call. They would ask for the patient’s name, DOB, room number (a copy of the physician order faxed over to them) and more. 

4 Ways to Notify Staff of New Requests (Video)

These are the ways to notify staff of new orders.
  1. Pager
  2. Portable Phones
  3. Overhead Paging
  4. Going directly to the phones

Recognizing Different Order Categories as a Unit Secretary (Video)

There are many types of categories that you will need to get familiar with.  

Medication. If you see any orders that contain the term: by mouth, sub q, pill, needle, patch, then these are considered medication orders.

Diagnostic/Imaging. These orders will be for X-ray, CT Scan, Nuclear Med, Radiology, Ultrasound, and MRI.

Diet. There are many different types of diets, but the most common ones are: Regular, Full Liquid, Clear Liquid, Soft, Mechanical Soft, and Cardiac/Heart Healthy.

Rehab. When a doctor wants to make sure a patient is strong enough to be discharged, they may place an order for Physical Therapy or Occupational Therapy.

Nursing. These are usually orders that are specifically for the nurse. These are usually something like HOB (Head of Bed) 30 degrees.

Consultation.  When a doctor puts an order in the computer (or on paper) for a consult with a specialist, it will fall under this category.