Seizure Precautions
Choking/Respiratory Distress
Falls
CPR
Documentation
100
Mattress on the floor, placing patient on fall precautions, place patient closer to the nurses station
What are common seizure precautions?
100
Device located in the cafeteria that is used to extract material from the airway.
What is the LifeVac?
100
This assessment is repeated after any fall.
What is a fall assessment?
100
30 chest compressions to 2 breaths.
What is the ratio of chest compressions to breaths when performing adult CPR?
100
Required documentation for a medical emergency or code blue
What is completing a CIR (Critical Incident Report)?
200
If not treatment planned, address the same way as tonic-clonic and/or focal seizures.
How do you respond to a psuedoseizure?
200
Antidote for an opiate overdose.
What is Narcan?
200
Assess For Injury; obtain vital signs; assess neurological status.
What steps are taken after a patient fall?
200
The correct depth to perform chest compressions when doing CPR.
What is a minimum of 2 inches/5 cm?
200
True or False: MOT stands for Memorandum of Transfer.
True.
300
Supportive care during a seizure includes:
Assessing patient
Protecting patient from injury
Do not restrain patient
300
Items you should instruct staff to bring when treating a patient in respiratory distress.
What is Oxygen tank and emergency cart?
300
Response when a patient sustains a major injury in a fall.
Call a Code Blue; provide appropriate medical support.
300
Item used when patient is on a soft surface and chest compressions are needed.
What is a back board?
300
True or False: Patients transferred out for medical evaluation and treatment are discharged from WSH.
True! Patients are re-admitted to WSH when they return from medical evaluation/treatment.
400
When you start timing of a seizure.
What is once it begins, every time?
400
First intervention when treating a patient with an oxygen saturation of 82%
What is apply oxygen and complete assessment?
400
Place yellow armband on patient, add fall risk alert to the Bed Board, ensure use of non-slip footwear at all times.
What are some interventions when a patient is identified as high risk for falls?
400
Support for patient who has a pulse but is not breathing.
Rescue breathing, one breath every 5 to 6 seconds or about 10 to 12 breaths per minute.
400
1. provider approves transfer 2. doc to doc completed, accepting physician name documented 3. Nurse to Nurse, accepting house supervisor documented 4. call for non-emergent transport, 5. Complete MOT with patient 6. Gather appropriate documents to send with patient 7. give report to EMS escort patient out of our facility. 8. Document time and mode of transport when patient leaves
What documentation is required when a patient is transferred out to another hospital for medical clearance?
500
Common medication class given for seizures.
What are benzodiazapines?
500
Roles the nurse must assign during a code blue.
What is
1. Person to obtain equipment
2. Person to notify the provider
3. Someone to remain with the patient ?
500
Requires provider order, may be used when appropriate to support safe mobility.
What are assistive devices (i.e., walker, wheelchair)?
500
Used to help people who have a sudden cardiac arrest.
What is an AED (Automated External Defibrillator)?
500
Must be completed and documented after a patient does head banging or has a fall?
What are neuro checks?