Full Moon Vibes
A 35 year-old male patient presents with the chief complaint of suicide ideation with a plan to jump off a cliff. The patient is escorted to room 5 as an ESI 2 and provided 1:1 sitter. What should happen next?
Patient should be wanded from head to toe to check for hazardous items. All clothing, jewelry, and belongings (including cell phone) should be removed and secured. Remove all unnecessary items and equipment from the room.
In regard to disinfection, what is "Wet Time" and how do you know what that is on a particular disinfectant/ wipe product?
Wet time is the amount of time you need to keep the item wet with the disinfectant for it to be properly disinfected.
Wet time is listed on the product label
What is the purpose of National Patient Safety Goals which are created by The Joint Commission?
Improve patient safety
To focus on problems in health care safety and how to solve them
What is the emergency number used at Sharon Hospital to call for an emergency?
What is 711
Name 6 elements of a focused OB Assessment
Hint: There are a total of 13
Gestation, Gravida, Para, Complications, Previous deliveries, water broken, vaginal discharge, Allergies, Medical History, Current Medications, Pain, FHR, Vital Signs
After several attempts at verbal de-escalation and re-directions, an intoxicated patient becomes aggressive and violent, screaming that she wants to leave and starts swinging at staff. What should you do?
Call a CODE GRAY
Using Purell hand sanitizer for hand hygiene would not be permitted for what 2 conditions?
If hands are visibly soiled
If patient is on isolation for C-Diff organism
Name ONE National Patient Safety Goal
Identifies Patient Correctly
Improve Staff Communication
Uses medications safely
Uses alarms safely
Prevents infection
Identify patient safety risks
Prevents mistakes in surgery
A gallon of formaldehyde is spilled in the hallway. What code would you activate for this emergency?
What is Code Orange
A patient arrives via EMS with a Code Stroke activated in the field and a LKW within 6 hours. What should happen immediately after the patient is registered?
Stat CT Head w/o contrast
Name alternatives to restraints
Observation, decreased environmental stimuli, placement near nurse's station, relaxation techniques, diversion activities, family involvement, verbal de-escalation, routine medications, bed alarms, toileting, and nutrition.
When should an ultrasound probe be high-level disinfected in the Trophon machine?
Anytime it is used on non-intact skin, including peripheral IV starts
What 2 identifies are used to identify patients BEFORE giving medications, collecting specimens, or doing any treatments/procedures?
What are Name and Date of Birth
What does a Code Green indicate?
Emergency Management Plan Activation
Blood pressure management for a tPA candidate involves keeping the patient's blood pressure less than
185/110
How often must vital signs be documented for a patient who received a chemical restraint?
Every 15 minutes for 2 hours
What piece of medical equipment on the nursing units may only be disinfected with Clorox Bleach Wipes?
What is the Accu-Chek meter
One National Patient Safety Goal is to prevent infection. What practice do we use to facilitate this goal?
Hand Hygiene
During a Code Red we practice RACE.
What does this stand for?
R= Rescue all persons in immediate danger
A= Alarm
C= Contain
E= Extinguish
What is the standard uterotonic medication given post delivery to prevent hemorrhage?
Oxytocin
A patient comes into the ED for medical clearance for SBH and is refusing blood work. The MD orders 2mg Ativan IM to sedate the patient to get the patient to get bloodwork. This is a chemical restraint... TRUE and FALSE
What is True
When cleaning EKG equipment, what is one of the most common reasons why this piece of equipment is not being properly disinfected and why corrosion may form on the lead ends?
Failure to clean EACH wire from top to bottom
Soaking equipment too much and not allowing it to air dry
Not using correct disinfectant wipes- Hydrogen Peroxide wipes should be used.
What is the name of the process that is done before doing a procedure/surgery on a patient to make sure the correct procedure/surgery is done on the patient?
What is a Time Out.
You are the Charge Nurse in the ED and you hear a Rapid Response overhead page. Which personnel and equipment should you bring to the Rapid Response?
EDT, Rapid Response Stretcher outside ICU
In what window of LKW is it acceptable to perform the Stat Head CT and a CTA at the same time without returning to the ED in between?
Arrived 6-24 hours after LKW