Demonstration
Counting respirations
What is observes chest rise and fall counting for 30 seconds?
Proper patient positioning when taking a blood pressure
What is seated in a chair with back supported, legs uncrossed, and feet on floor?
Patient identifiers
What is name and date of birth
Who should respond to Rapid Response Medical Alerts?
Everyone who is available including clinical and nonclinical staff
RN, APP, MD assesses the person, lead the event, assign roles, and render first aid
MA and LPN checks vitals and help monitor the person
Scribe records vital signs, changes in condition, and actions taken by staff
Runner gathers supplies as needed, calls EMS if needed and meets emergency responders and brings them to the location
Information about individual clinics and conditions treated at the BHC is found here
What the Emory Brain Health Center website
https://www.emoryhealthcare.org/centers-programs/brain-health-center/index.html
Measuring the patients heart rate
What is places two fingers on the wrist below the thumb counts for 30 seconds and multiplies by 2
Proper positioning of the blood pressure cuff
What is wrap cuff snugly around upper arm so that 2 fingers can fit under cuff; Center of cuff (artery marker) over brachial artery; Lower edge of cuff is 1 inch above bend in elbow
Demonstrate reviewing and modifying allergies in Epic
Able to review and add and or delete allergies in EMR
What type of rapid responses may be called on the overhead pager?
Rapid Response (location + room #)
Medical Alert
Facilities Alert
Security Alert
List 2 recommended resources for looking up information about medications
What is Lexicomp - Intranet>clinical resources>I-L>Lexicomp (Make sure you choose the American site)
Epocrates - Free App for your phone, computer, or tablet
Demonstrates using an electronic vital sign machine
Familiarizes self with equipment before using it on the pt 75
Positions pt 75
Proper placement of BP cuff and pulse ox 75
Reads and records measurements correctly 75
Considered an elevated blood pressure in the Emory ambulatory care setting
Bonus points!! Describe how to respond to an elevated blood pressure
What is blood pressure equal to or above 140/90?
Wait 5 minutes and recheck the BP - 50 points
Where the most recent clinical information and communication with the patient and or caregiver is located in EMR.
What is chart review?
How to call a Rapid Response on the overhead page system
What is dial 88888
Call the operator to call a Code Rapid Response
Frequency RQI is assigned and department to contact with questions
What is every 3 months or once a quarter
Nursing Education nursing.education@ehc.org
404-686-2580
Demonstrates taking a manual blood pressure
identifies pt 50
proper positioning of the pt -100 points
proper cuff size and placement -100 points
Inflates cuff to 180 mmhg -50 points
Deflates cuff at 2mm per sec until sounds are muffled -50 points
Records an accurate reading for the BP within 3mm - 50 points
Amount of time that is needed for counting regular and irregular respirations and heart rate per Emory policy. Hint: 2 answers
What is count regular HR and R for 30 seconds and multiply by two -200 points
What is count irregular HR and R for a full minute - 200 points
How do you add Smart phrases on Epic?
Locates Smart tool -100
Create smart phrase - 100
Share phrases - 100
Use the smart phrase - 100
The three Ss' for seizure first aid and actions for each one
When to call 911
Stay -time the seizure
Safe - move the person to safety
Side - place the person on their side and place a small pillow or soft object under their head
Seizure lasting more than 5 minutes, difficulty breathing, or injury from a fall
Describe and demonstrate how to store and apply oxygen to a patient.
400 team completes the competency without help
300 team uses a cheat sheet
200 team phones an expert (Nurse manager)
Performs a neurological assessment
Performs the assessment independently -500
Relies on a cheat sheet - 250
RNs- must attend an in-person neurological assessment in-service unless 100% work from home. Virtual attendance is acceptable if 100% work from home.
The following blood pressure readings requires you notify a provider immediately per Emory policy.
What is notify the provider immediately if the BP is above 180/110 or systolic BP is below 80?
Describe the components of SBAR and copy the Smart phrase in Epic.
Situation-25
Background-25
Assessment-25
Nursing Recommendation-25
Demonstrates knowledge of the SBAR Smart phrase and uses the template for a clinical concern - 300
Describe BEFAST
Balance - a new onset of poor balance
Eyes new onset of blurred, double, or diminished vision
Face new onset of facial drooping or uneven smile
Arm (leg) new onset of weakness or tingling
Speech new onset of slurred speech or confusion
Time to call 911
Three ways you can invest in your profession, work experience, increase patient safety, make improvements to your workplace, and increase your pay
The information can be found in the following places
PLAN- Intranet>depts/grps>nursing>PLAN
Progression-Intranet>depts/grps/Emory clinic>Care>clinic support progression
RNs obtain a certification - Intranet>depts/grps>nursing>nursing education>certifications
Obtain a degree through Emory's Back to School Program Intranet>depts/grps>nursing>nursing education>back to school