1. 1 Miscellaneous Clinical Information NURSING STUDENTS

2. 2 Assessing and Managing Pain The following pain assessment tools are utilized at PSMH for all types of patients – Numeric Pain Intensity Scale (NPIS) – Visual Pain Analogue (VPA/faces) – Pain Assessment in Advanced Dementia(PAINAD) – FLACC (face, legs, activity, cry and consolability) for non-verbal infant and pediatrics – Neonatal Intensity Pain Scale (NIPS) for neonates

3. 3 Pain Assessment A comprehensive pain assessment is initiated on admission/arrival Patients will be reassessed after administration of pain medications within a time consistent with the anticipated onset of effect of the specific medication administered.

4. 4 Team Communication Students and Instructors must communicate care, progress and changes in patient conditions to the primary nurse with a frequency sufficient to support the patients plan of care The ISBARQ communication tool is utilized for communication between members of the health care team

5. 5 ISBARQ ISBARQ will be the format utilized in all hand off communication – I- Introduction – S- Situation – B- Background – A- Assessment – R- Recommendation – Q- Questions

6. 6 Palliative Care PSMH employees and students will work collaboratively to ensure respectful and responsive care of the dying patient. Needs of the dying patient will include psychological, social, emotional and spiritual support. Students will work collaboratively with nurses and instructors to provide this need for patients, families and friends.

7. 7 Color Coded Arm Bands The following color coded arm bands are utilized at PSMH – WHITE- patient identification – RED- allergies – YELLOW- fall risk – PINK-----no blood pressure, lab sticks, IVs, or injections to that extremity for any reason (lymphedema, dialysis site, mastectomy, etc.) – PURPLE- Do Not Resuscitate – GREEN- Blood Bank