Bingo for Your Unit

2 As inspired by a reddit.com/r/nursing post, what kind of bingo could you make for your unit?

Here's the example I saw for the ED http://imgur.com/G4xjjWA
***** this is a really good idea.

For NICU: Call for transport, 29-weeker in L&D with PROM, IV went bad, Twins!, Poop squirtFor Medical: Pt needs foley, IV went bad, Sundowner, "Yellow Brick Road" (one side of the hall of all contact precautions), AMA threatened, Rapid Response!, Multiple admits at same time

BMT: Pan Culture, Lab calls critical result, change at least 2 patients' fungal coverage, NPO patient is drinking, someone other than the patient is in bed, some ill relative wants to know if they "really can't visit," someone gets put on flagyl, Rigors!, temp >40c, SBP <70, consult from a random service asks how long since their surgery (referring the the transplant), phrase "biopsy proven GVH" gets uttered in rounds, busulfan levels, bone marrow harvest patient gets admitted, patients have to move beds to accommodate sick admit, peds admit, etc, febrile neutropenia patient gets admitted: never febrile, clinic visit patient shows up on death's doorstep, patient caught taking meds from home, >1 bone marrow biopsy in one day

Blondy I'd like to add to BMT: every time your pt walks out of their room without a mask on

MSICU: - Transfer from floor - oversedation- 3rd day after admit, surprise DTs- Noncompliant dialysis patient- DKA: "I just wanted to party with my friends! I only had eleven drinks!"- Only the incompetent hospitalist is on- Surgeon hangs up on you without giving orders- Sundowner attacks!- Supply pyxis out of primary tubing- GI bleed gets up and smears black tarry stinky stool all over room- Family agitating ventilator patient, asks why you are increasing sedation- Forgot to order new bag of vasopressor in time, pt BP tanks- Med pyxis out of propofol again - New admit just got tPA- Tube feed patient poops more than 8 times per shift, still not thin enough to insert a rectal tube- Urine output drops off- Out of pillows- No snacks at all in nourishment room; diabetic patient goes hypoglycemic - 75% of patients on unit in restraints

For SICU:-GSWs from rival gangs both admitted-80 lb LOL extubates herself-Neurosurg won't order sedation for their new admit. Need an accurate neuro exam.-Said pt is on the ceiling. Need to pry him off.-Art line went bad-ICP is 50, and the pt ain't coughing so that's not it-And the EVD just clotted off-need to hunt for the Level 1-lose the bet on the admit's EtOH-Facial GSW, or C1-2 fx, just extubated himself-Family up in your vented pt's face-Family trying to orally hydrate your vented pt-Washout at the bedside-Explain that yes, those q 1 hr neuro checks really are necessary-Explain that no, I can't just shut the other pts' alarms off

For LTACH (where I last worked):-Septic pt, pan cx-No sedation + physical restraints. That's against policy--sedation is a chemical restraint-IVs need changing, and pt hasn't had any veins in a month-Severe delirium-Septic pt, pan cx-Family stressed to the max, and nurse is closest target-Kitchen missed a dinner tray. Staff still in kitchen, but won't fix the problem. They're closed.-Four very sick pt's, plus an admit from friendly neighborhood ICU (see above ^^^)-or admit from friendly neighborhood burn unit-FREE SPACE: Presence of a resource nurse means a floor nurse can go home sick! Woo hoo!! -Septic pt, pan cx-Three pts' wound vacs need changing today-Or just one, but it's four wounds bridged to one vac-Wound vac alarming "Low pressure"-Two hour dressing change-Septic pt, pan cx-Out of a pain med, and offsite pharmacy is taking sweet time-Vent alarms, bed alarms, tele alarms-Small bore feeding tube plugged w/ all those meds-Septic pt, pan cx

Quote from danceyrunBlondy I'd like to add to BMT: every time your pt walks out of their room without a mask on

Psych. 1) orders put in after pharmacy leaves and the only place to get the med is the pharmacy2) No sterile water to mix the zyprexa IM3) Pt acting out and no PRN's ordered4) Pt with negative UDS starts to withdraw5) BAC>.3 and is stone cold sober6 I drink 3 drinks a day7) visual hallucinations8) dinner tray getting tossed because meal wasnt right9: my meal wasnt right10) needing to call a violent code11: needing to call a medical code12: catch patient snorting pills13: pt calling staff crazy14: snack time chaos15: float nurse 16: 4 admits hit the floor at one time17: medical unit tries to send medically unstable patient18: behavioral fall19: elopement20: call off21: seclusion22: after hours discharge23: Pt lying about meds they take24: I only said I was suicidal because I needed a place to stay25: Pt brought from jail.

Med Surg:Bed alarm going off"This pain medicine isn't working"I'm nauseated, can I have a burger?ER admitVital signs q 4I'm too tired to ambulate.Code Silver

What's a code silver?

-Patient on continuous BiPAP wants to order breakfast-Give miralax and test for c diff on the same patient the same shift-Portable x-ray comes seconds after you boost and turn your patient-Mix your own pressors!-Family member is waiting in the hallway with their arms crossed-INR higher number than Hgb-Insulin sliding scale starts at CBG >150. Fingerstick result: 151. -Miss lunch-Status change at shift change