Vital Signs
What pain scale is to be used for infants (approx 2 months- 3 years)
FLACC (face, legs, activity, cry, consolability)
How many patient identifiers are required before care?
Name a common reason for artifact on an EKG
Patient movement, poor lead contact (hair/ sweat)
Specimens (urine, POCTs, etc)
What two team members should be immediately notified of abnormal findings (pt vitals/ status)
Provider AND RN/PM caring for them
A normal adult respiratory 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 every hour (at a minimum)
Safety Check
What color lead is to be placed on the left arm
Black
What should be completed for a patient with an eye complaint prior to rooming them
Visual acuity
What is to be completed by each staff member with an FTE every month at the main ER
Outdates
Name three things you should do after you get an abnormal blood pressure reading
Recheck it, make sure it's on the patient's arm correctly, try a new cuff size, try another arm, chart it, alert the RN/ PM caring for the patient and provider
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 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
When should the MED and HED courier be at the Main ED
When there are labs that need to go to the main ER, when the food order/ supplies from the main ER that needs to be picked up, and when the staff to patient ratio is less than 1:1
Name two reasons why a pulse ox reading may be difficult to obtain/ inaccurate
Poor circulation, nail polish, cold extremeties, equipment failure
When a patient is in violent restraints, how frequently must restraint documentation occur (when is the timer set for)
Every 30 minutes
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 alert process would you request the Teleneuro consult 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
What are the three sections that should be documented by the transporter at the pt bedside prior to physically transporting them to an inpatient floor
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
What is the RANGE of compressions per minute in CPR
100-120 compressions per minute
How frequently must restraint documentation occur for a patient in NON VIOLENT restraints (what is the timer set for)
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