Sepsis
Hypertension
Hemorrhage
Documentation
Miscellaneous
100

My patient will meet SIRS criteria when their heartrate is above this.

>110 bpm

100

When a patient qualifies for BP follow-up at -3 or -7 days due to hypertensive disorders via either clinic appointment or Remote Patient Monitoring (RPM) program, this is the final person that can ensure it is in place before the patient is discharged.

What is the discharging nurse?

100

In addition to ordering the MTP protocol, the department that is called to activate MTP.

What is Blood Bank at 250550?

100

My patient is requesting her husband to be her interpreter, your next step is.

What is to confirm this through Interpreter Services.

100

.HEPBVACCINEACKNOWLEDGEMENT

What is the dotphrase used for consenting to receive the Hepatitis B vaccination?

200

 My patient will meet SIRS criteria with a temperature of greater than or equal to this.

What is > or = 100.4F or 38C?

200

The appropriate time frame to retake a severe range BP even if the 1st elevation is suspected to be false. 

What is 15 minutes?

200

This is the maximum number of doses of TXA a patient can receive in a 24-hour period.

What is 2?

200
If you've spoken to a provider regarding a change in your patient's status.  This is where you document the communication.

What is Provider Notify?

200

A patient is allowed this amount of time after catheter removal to void.

What is 6 hours?

300

This is the leading cause of sepsis in the intrapartum patient.

What is chorioamnionitis?

300

When administering Magnesium Sulfate, this order is scanned first and sent to the pump. 

What is maintenance (2gm/hr.) dose?

300

This may interfere with the effectiveness of the JADA.

What is clots in the uterus?

300

During 2nd stage labor, summarized documentation is acceptable when this criteria is met. 

What is: Second Stage of Labor:

  • Active, Second Stage of Labor (complete dilation and pushing) - Summary documentation is an option with the following criteria:
    • Nurse is:
      • Continuously evaluating the EFM tracing
      • Remains with the laboring person
      • There is some notation in the record that this continuous presence and evaluation is ongoing.
    • Occurs every 30 minutes and indicates the assessment frequency and the interpretation of FHM findings.


300
IV lines will be labeled at this time.

What is upon initiation of usage.

400

A sepsis OPA will fire when my patient has met this number of SIRS criteria.

What is 2 of 4?

400

It's the area of the chart where you can see that RPM is ordered. 

What is the order history?

400

Your patient had a QBL of 752 ml during her vaginal birth, in addition to standard assessments, you will do this during the recovery period.

What is continue measurement of QBL?

400

The time frame given to complete your admission assessment. 

What is 24 hours?
400

When reviewing a chart, this is the best way to determine who was caring for the patient during a specific time period.

What is a handoff note?

500

Your patient will be diagnosed with this if they have persistent hypotension (MAP <65mm/Hg) that does not respond to adequate fluid resuscitation.

What is septic shock?

500

If a BP is believed to be clinically incorrect, this is best practice.

What is file the BP and write a comment that BP erroneous due to .... (i.e. document "reason") and also recheck after 15 minutes?  (Even if you believe it's incorrect, you still need to recheck.)

500

These are the 4 Ts of postpartum hemorrhage.

What is tone, trauma, thrombin, & tissue.

500

Your strip has been Category II for 1 hour, you have notified the provider who is not concerned, this is your next step.

What is document provider notified and utilize the chain of command. 

500

Intervals that pain assessments should be completed after a circumcision.

What is post, 30-60 minutes post circ, and 2 hours post circ?

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