Hit Me With Your Best Shot
Who can administer the sedation medications during a conscious sedation?
ONLY THE DOCTOR
How long do you need to scrub the site with clorhexidine and how long do you need to let it dry?
30 seconds and 30 seconds.
A 20 year old male arrives by EMS. He is alert and oriented and vitals are stable. EMS gave him Narcan on the way to the hospital. What is this patient's triage level?
1
Do we need to have a PTT result before we start the heparin drip?
No. It must be sent to lab, but you do not need to have a result back.
How long do we have to administer pain medication to a patient with a possible long bone fracture after they check in?
30 minutes
What needs to be completed on a neuro patient prior to giving them PO meds?
Dysphagia Screen.
How long do we have to administer antibiotics after the doctor orders them?
15 minutes
A patient checks in with a possible fractured finger. The patient denies other complaints. What is his triage level?
4
After we start a Heparin drip, when do we recheck the PTT?
6 hours after Heparin drip is started.
What is our goal for our door to EKG time in a patient with chest pain?
3 minutes
How often do we put in a note and behavioral health assessment on psych patients?
Note every 2 hours, Assessment every 4 hours
In what situations do we need to document q15 minute vitals on a septic patient?
If their lactic is >4 or they are hypotensive.
A 25 year old female checks in for abdominal pain which she has had for one hour. Her pain level is a 9/10, her blood pressure is 130/65, HR is 125, RR is 26, and SPO2 is 100% on room air. What is her ESI triage level?
2
Who puts in the orders for the PTT's?
We do!
When can a patient transition off of endotool to sub q insulin only?
After the patient has had 3 consecutive blood sugars in the goal range that are within 30 points of each other.
How often do we recheck the BMP, Magnesium, and Phosphorous on a DKA patient?
Every 4 hours. We must put in this order.
How long do we have to administer antibiotics from the time the patient checks in?
1 hour
Patient presents to the ED stating that they are feeling depressed. They deny suicidal ideations but they state they "need help." What is this patient's triage level?
2
Where do we document our Heparin drip?
IV Drip Titration screen
What do we do if we pull a medication for someone else?
Put a note in the computer, fill out a pharmacy chain of custody form -> scan a copy to pharmacy, keep a copy for yourself, and give a copy to Karen or Bryan.
Who can administer the medications during an RSI?
We can.
How long do we have to complete a SPOT alert if tele calls?
10 minutes for a set of vitals and a sepsis screen.
A patient presents to the ED via EMS on bipap. What is the patient's triage level?
1
Where do we find the heparin protocols?
Intranet -> Forms -> Heparin
What do we do when endotool tells us that it is time for transition fluids?
If patient is admitted, go to inpatient charting and order the appropriate fluids based off of your most recent sodium and potassium.