Airway Review
What is an intervention nurses can use to help maintain a patient’s airway?
What is chin tilt/ jaw thrust, suction, insert oropharyngeal or nasopharyngeal airway
Where can you find the restraint policy?
What is The Source, Policystat-- Restraint and Seclusion Policy
How long is the “wet time” for purple wipes?
What is 2 minutes
How and when should medications be labeled?
What is medications should be labeled whenever they are prepared but not immediately administered. Labeling should include medication name, strength and amount
When are your competency and UEXCEL packets due?
What is May 31st, 2025
Per AHA guidelines what is the frequency of rescue breaths in order to ventilate a nonresponsive patient?
What is every 6 seconds and the rise and fall of the patient's chest
True or False: restraints are appropriate to be placed on a patient if the patient or family member states it would be beneficial
What is false- per the policy that is not a sufficient reason alone to apply restraints
What are the appropriate steps/topics discussed during a time out prior to the procedure?
What is all staff present, 2 patient identifiers, procedure being completed, location of procedure, consents complete
What is the most common side effect of ECT affecting about 50% of patients?
During the seizure there is a sympathetic surge causing what symptoms?
What is HTN, tachycardia, increased myocardial oxygen consumption
Your patient just rolled into PACU and is showing signs of inspiratory stridor, desaturation and bradycardia. What is your patient experiencing?
What is laryngospasm- an occlusion of the glottis secondary to contraction of laryngeal constrictors
What must be attempted prior to placing restraints on a patient?
What is less restrictive measures
What are the requirements of post-sedation assessments and charting?
What is BP, HR, respirations, oxygen saturation, LOC and any medications given at least Q15minutes as well as observation of any post-procedure complications, management of those events and patient response
What is the process for using multi-dose vials in recovery?
What is the medication bottle must be properly labeled with expiration date of 28 days after first use, must be drawn up in clean medication prep area and not in a patient care area, the dose must be properly labeled
Why do patients shake after general anesthesia?
What is vasodilation
Your patient is experiencing a laryngospasm, and you have called anesthesia for help. What could the RN do to try and break the spasm?
What is apply positive pressure ventilation via the Ambu bag
What are examples of less restrictive measures to try prior to applying restraints?
What is the use of mits, reorientation, staff next to bedside to remind patients to not pull on IV or equipment or to lay back down, having family back as soon as possible
What is the process when opening a new pack of electrodes and not using all of them?
What is label them with an expiration date of 30 days from opening and resealed in a Ziplock bag (not a biohazard bag)
What 2 components are required elements of patient education that must be charted on all patients?
What is post-procedure AND post-sedation education
When giving a patient with cardiac co-morbidities Zofran, what should you watch for?
What is prolonged QTc
Your patient is experiencing a laryngospasm; what might anesthesia do to help this patient?
Push propofol or succinylcholine to relax the patient, atropine for bradycardia, and order nebulized racemic epi to reduce airway swelling
Who can place a patient in hard restraints?
What is ONLY clinical staff who have received the training
Who can resolve a discrepancy in the pyxis and what is the timeframe this should be completed?
What is 2 RNs within 24 hours
What is the process for using multi-dose vials in the procedure room?
What is all multi-dose vials accessed in the procedure room are considered single patient use and are disposed of after the case
What are side effects of succinylcholine?
What is myalgias, bradycardia, hyperkalemia, anaphylaxis, MH trigger