Bingo for Your Unit

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Specializes in NICU.

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

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Specializes in Emergency Nursing.

***** this is a really good idea.

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Specializes in NICU.

For NICU: Call for transport, 29-weeker in L&D with PROM, IV went bad, Twins!, Poop squirt

For 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

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Specializes in Oncology.

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 1 bone marrow biopsy in one day

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Specializes in Oncology.

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

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Specializes in ICU.

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

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Specializes in SICU, trauma, neuro.

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

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Specializes in SICU, trauma, neuro.

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

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

Our entire unit is HEPA filtered and patients can ambulate the unit without a mask, they just need one if leaving the unit for a test.

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Specializes in Psych.

Psych.

1) orders put in after pharmacy leaves and the only place to get the med is the pharmacy

2) No sterile water to mix the zyprexa IM

3) Pt acting out and no PRN's ordered

4) Pt with negative UDS starts to withdraw

5) BAC>.3 and is stone cold sober

6:) I drink 3 drinks a day

7) visual hallucinations

8) dinner tray getting tossed because meal wasnt right

9: my meal wasnt right

10) needing to call a violent code

11: needing to call a medical code

12: catch patient snorting pills

13: pt calling staff crazy

14: snack time chaos

15: float nurse

16: 4 admits hit the floor at one time

17: medical unit tries to send medically unstable patient

18: behavioral fall

19: elopement

20: call off

21: seclusion

22: after hours discharge

23: Pt lying about meds they take

24: I only said I was suicidal because I needed a place to stay

25: Pt brought from jail.

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Specializes in LTC, med/surg, hospice.

Med Surg:

Bed alarm going off

"This pain medicine isn't working"

I'm nauseated, can I have a burger?

ER admit

Vital signs q 4

I'm too tired to ambulate.

Code Silver

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Specializes in NICU.

What's a code silver?

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