A
You walk into a patients room and find them unresponsive, what do you call?
What is "medical alert - adult cardiac arrest - location"?
What is the goal of an RRT?
What is rapid response & assessment of patient's experiencing acute changes and preventing further deterioration?
When do you call a Cardiac Arrest?
What is unable to find a pulse, unresponsive patient, agonal or no breathing?
You need to call an RRT, what plain language do you use when communicating with the operator ?
What is "medical Alert- Rapid Response- location”?
What should the primary nurse not do during an emergency response?
What is leave the patient/leave the room?
You are caring for an 86YO F with a code status of DNR/ DNI, admitted for frequent falls at home.
They are complaining of intermittent chest pain, but VS remain stable. What is the most appropriate course of action?
What is call RRT?
During an adult cardiac arrest, why does the LifePak need to be placed on, "Paddles" mode.
What is in the event that you need to deliver a shock?
*BONUS*
How do you turn the paddle mode on?
You find your patient unresponsive and activate an adult cardiac arrest.
What role should you assume while waiting for help?
What is compressor?
What are three ways to be prepared for an emergency response?
What is...
•Ensure working IV access
•Oxygen & suction equipment
•Clear room of obstacles
•Shield roommate and/or visitors
•Obtain patient chart
•Retrieve current labs
What are three reasons to call an RRT?
What is...
•Acute changes: HR <40 or >130, SBP <90 or >170mmhg, Abnormal RR
•Change in LOC, AMS, or new neurological findings
•Agitation for >10 minutes
•CP
•Acute stroke assessment (BE FAST)
•Uncontrolled bleeding
•Fall
•New onset seizure
•Family requests/states concern
•Staff’s gut feeling that “something is wrong/ not right with the patient”
When hourly rounding on your patient you find them unresponsive, without a pulse.
What do you do next?
What is stay with the patient, call out for help and code cart, and start compressions?
Why would the team leader ask you for the capnography device? And where can it be found?
What is helpful in determining effective compressions and indicate ROSC.
What is on the code cart?
What are the roles assigned during an adult cardiac arrest?
What is...
•Team leader
•Compressor(s)
•Airway manager
•Medication Nurse
•Recorder
•Monitor/Defibrillator
The code has ended and your patient was safely transferred to a higher level of care. What is left for the team to complete?
What is... debriefing
**BONUS - WHY is this so important?**
Who do you anticipate administering medications during an adult cardiac arrest?
What is any ACLS provider?
What is the role of the primary RN when a rapid response is called? (name at least 3)
What is ...
•Remain in the room with patient
•EPIC chart on WOW
•Delegate to other RN/PCT obtaining patient’s vitals & blood sugar
•Background information/ Code Status
•Help transfer patient and give report
You hear an adult cardiac arrest called on your unit and you bring the code cart into the room.
Compressions are in progress. What other roles can be delegated at this time to prepare for the arrival of the response team?
What is pads/monitor, recorder, ambu-bag, **another compressor?
You are caring for an 80YO M admitted for cellulitis. Per report, he is AAOX1, and agitated. He required PRN Ativan on the previous shift.
VS: 112/88, RR 24, HR 76, T 98.6, SPO2 90% on RA
His caretaker arrives concerned and lets you know that he lives alone and provides all of his own care at home without issue.
What is the most appropriate response by the RN:
a. Provide education to the caretaker on the presentation of dementia in the hospital setting
b. Assure the caregiver that the team is on top of it and has been providing him PRN Ativan as needed
c. Tell the secretary you need a call back from the provider's service to inform him of the caregiver's concerns
d. Call a rapid response.
What is... "d. call a rapid response"?
WHAT IS THE RATIONALE FOR CALLING THE RRT???
You arrive with the code cart to an adult cardiac arrest on your unit. The primary nurse has already begun compressions. What would you do next?
a. Ask the patient in the next bed over if you could walk them to the family waiting room for privacy
b. Take on the role of the "runner" so you can go to the supply room and grab equipment when needed
c. Grab the ambu-bag and begin delivering breaths
d. Open the first draw of the code cart the medications are readily available
What is... "c. grab the ambu-bag and begin delivering breaths"?
**Remember the priority roles that SHOULD begin while waiting for the response team**
Which patient would you see first?
a. 70-year-old with PNM that needs to be started on IV antibiotics
b. 55-year-old COPD with pulse ox reading of 90%
c. 50-year-old with asthma with complaint of SOB after using a bronchodilator
d. 65-year-old with a PE on a heparin drip that is due for a STAT PTT lab draw
What is the 50-year-old with asthma with complaint of SOB after using a bronchodilator?