Fall down go BOOM!!
_______ an unintentional descent, with or without injury, that results in the patient coming to rest on a surface.
What is Fall.
Often used for diverticular hemorrhage, high risk ulcers or lesions. Requires specialized training and provides immediate intraprocedural feedback.
What is Doppler endoscopic probe.
What level disinfectants should be used for devices that come in contact with the patient's mucous membranes?
What is High Level Disinfectant.
______ is a legal document needed for blood transfusion or refusal of blood transfusion.
What is Consent
a minimally invasive way to obtain a cell sample to confirm a diagnosis or guide treatment
What is Fine Needle Aspiration
Where can you find the fall policy?
What is Policy Stat.
1st line therapy for ulcer related GIB. Higher tensile force. Requires some degree of training. Limitations to hemostasis during active hemorrhage.
What is TTSC.
Through the scope clips.
Endoscopes and Vaginal speculums are examples of _________ patient care equipment.
What is Semi-Critical Equipment
Give me 1 example of a blood transfusion reaction.
hint: multiple answers
What is
Anaphylaxis, rash, fever, chills, chest or low back pain, dark urine, respiratory distress, hypotension, and tachycardia.
Large thyroid nodules greater than 4cm in size _______ gauge needle should be used.
What is 23-27g Needle
How often do we round on fall risk patients?
What is Hourly.
Used more likely for tumor related bleeding. "Bridge to definitive therapy". Greater than or equal to 95% initial hemostasis rate. Minimal training required. 30-40% re-bleeding rates. Short therapeutic duration(24-48 hours).
What is Hemostatic powders/spray
The Spaulding system classifies patient care equipment based on risk of infection. What are the 3 classifications used by the Spaulding system?
What is
Noncritical, Semi-Critical, and Critical
List an appropriate criteria for Blood Transfusion.
hint: multiple answers (please list 1)
What is...
Blood loss greater than 25%
Fall in BP <100 systolic- pulse >100
orthostatic change BP
Preprocedural HBG 7 or HCT 21% or less
GI biopsies go in Formalin and are sent down to pathology. Cytology specimens go in Red Lytic and are sent to the lab. What do lymph nodes or specimens suspected of lymphoma go in?
What is RPMI.
List The 4 P's for patient rounding.
What is Pain, Potty, Position, Possessions
Used for Gastric fundal varices (GOV2s & IGV1s). Preserved Visualization via doppler (think hemorrhage). High hemostasis rates. Decreased amount of glue used. Requires specialized training. risk of scope damage.
What is EUS-guided Variceal Embolization.
True or False:
Quaternary ammonium compounds are used for performing high-level disinfection.
What is TRUE
List 2 requirements that should be completed prior to blood administration.
What is...
1.Consent
2. Transfusion orders
3. Type/screen
4. Large bore IV
5. Use of patient identifiers
6. Scan in Meditech
EBUS/Robot or regular bronchoscopy need aspirations go in what specimen containers?
How are these specimen containers transported?
What is RPMI
What is a Cold Pack
When do we complete a Fall Risk Assessment?
hint: 4 options
What is On admission, initial/daily assessment (1x per shift), after any changes, and post falls.
Larger in caliper and composed of nitinol. Allows for high-pressure closure or closure of large mucosal areas. Captures deeper tissue layers and may improve hemostasis. Deploys similarly to band applicators.
What is OTSCs
Over The Scope Clips
A procedure that utilizes equipment designated as sterile and single-use is being used, what should be done with this equipment when the procedure is over?
What is Dispose of the equipment per facility protocol.
4 units RBC, 4 units FFP, 1 platelets
4 units RBC, 4 units FFP, 1 cryo
What is MTP
CODE: Massive Transfusion Protocol.
If the fine-needle aspiration is to be performed via endoscopy or bronchoscopy, the lesion may be aspirated through direct visualization or the use of
What is Ultrasound.