Vital Signs
This vital sign is best counted for a full minute if the rhythm is irregular
Pulse
How many patient identifiers are required before care?
Name a common reason for artifact on an EKG
Patient movement, poor lead contact (hair/ sweat)
What should be completed for a patient with an eye complaint prior to rooming them
Visual acuity
What two team members should be immediately notified of abnormal findings (pt vitals/ status)
Provider AND RN/PM caring for them
A normal adult respiraty rate range is
12-20 breaths per minute
When you are 1:1 with a behavioral patient, what section in EPIC much you document in one every hour (at a minimum)
Safety Check
What color lead is to be placed on the left arm
Black
What are the TWO things a PCT should be doing PRIOR to a stroke alert arriving via ambulance
Bring the bed and monitor from the room to CT AND prepping to obtain a blood glucose in the hallway in from of the Shift Supervisor desk
What is to be completed by each staff member with an FTE every month at the main ER
Outdates
What is the FIRST thing you should do when you get an abnormal blood pressure reading?
Recheck it
What am I allowed to do while I am sitting 1:1 with a behavioral health patient?
NOTHING (I am direct observation of the patient). I can chart about the patient and care for the patient, but that's it. (No reading, no playing on computer, no checking emails, etc).
What intercostal space are the V1 and V2 leads placed on a 12 lead
4th intercostal space
What TWO tests (vitals) should be checked for a patient complaining of dizziness/ lightheadedness
Blood glucose AND orthostatic vitals
After applying an e-boot on a patient's foot- what needs to be done to ensure that the cushioned foot does not slide around inside of the hard boot
Pull the two pull tabs on the sides of the boot to expose the velcro- so the foam wrap attaches to the hard exterior
Name two reasons why a pulse ox reading may be difficult to obtain/ inaccurate
Poor circulation, nail polish, cold extremeties
When a patient is in violent restraints, how frequently must restraint documentation occur
Every 30 minutes or less
What should you do if you are not getting leads to have good contact with pt's chest due to hair
Place towel on top of chest and apply pressure on top or shave area
At what point in the stroke process would you request the Teleneuro cosult in a patients EPIC chart (after the provider orders/ verbalizes the order)
As soon as the order is placed/ the provider gives you a verbal order
When transporting a patient to an inpatient floor, what are the THREE sections that need to be charted at the patient bedside by the transporter
Patient belonings, transport button (who is taking them/ what equipment you're taking, and where you're taking them), and then drag them off the floor on the tracker
When performing CPR- compressions should be how many beats per minute for all ages
100-120 compressions per minute
What is the difference between a violent and non-violent restraint AND how frequently must you document on a patient in non-violent restraints at a minimum
Violent are out red and blue velcro restraints, Non- violent restraints are the white/ posey wrist restraints (for confused/ pulling at things) AND
Every 4 hours
Name TWO reasons why an EKG icon is still showing on the track board after you already performed an EKG
There was a duplicate order, the provider wants a repeat EKG, the EKG has not transfered yet, you did not have the EKG attached to the order
What do we use hydrogen peroxide for in the ED
Name the rooms in HED and MED that are supposed to have pelvic beds
HED- 1, 7, 9
MED- 5, 7, 11