AUGUSTA UNIVERSITY COLLEGE OF NURSING ENVIRONMENTAL ASSESSMENT NURS 3802 Assessing the environment is an important component of patient safety and satisfaction. Observe the environment each time you enter the room and while talking to the patient. The environment may change following visitation or beside procedures (ie; bedside table or call light out of reach, side rails down, etc). SAFETY hand hygiene equipment bed position side railshow many are up call light in reach phone/personal items in reach patient’s position in bed mobility aidsartificial limb, brace, crutches, cane, walker, etc objects left at the bedsideneedles, syringes, medications, etc NS or H2O2 @ bedsideamount, expiration, need to replace O2 THERAPY presenthow much, what type, congruent with report IV THERAPY presenttype, rate, amount LTC, congruent with report check bag and tubingexpiration site assessmentadditional info obtained during HTT assessment PLUMBING (additional info obtained during HTT assessment) urine foleycolor, clarity, volume, require emptying/record urinalrequire emptying/record BSCrequire emptying/record drains JP penrose NGTcolor, continuous or intermittent suction, capped chest tube(s) tracheostomy RR FLUID RESTRICTION(S) sign present if NPO, remove all glasses, water pitcher, etc if restricted/shift, remind patient/SO ENTERAL FEEDING typecontinuous (rate), intermittent (amount, frequency), congruent with report check bag and tubingexpiration PARENTERAL FEEDING typerate, congruent with report lipidsrate, congruent with report check bag and tubingexpiration OTHER isolation cartsign, enough equipment check bathroom check sink areapaper towels, gloves, soap signs above bed or on door visitors—who, relationship to patient ongoing assessmentsblood glucose, 24 hour urine, calorie count, daily weight, sputum, stool