Miscellaneous
Annual medical emergency training for RNs
What is medical emergency elearning and an in person skills class
Respondents to a call for a medical emergency on off shifts?
Who are:
FNP
DOC
Nurse Administrator
Security
You can find it in the Exam rooms
What is the emergency cart
The process to call a medical emergency.
What is:
The RN will call for a Medical Emergency by dialing 101-2222/911 or he/she will direct another staff to activate the medical emergency response. The staff member will give the following information to the operator: • Your name • Location of emergency • Nature of emergency • Name of patient (if possible) • Request external 911/Emergency Medical Service when clinically indicated or when directed to by the nurse. In case further information is needed, allow telephone operator and EMS to hang up first.
The only way for the FNP to see a patient is by calling a medical emergency.
False: RN/MD assess medical issue and determine need to place a consult. FNP will consult
The length of time that the completed monthly ER cart logs are kept
What is: seven years
Ways to support the other patients during and after a medical emergency
What are: making sure that a staff member is assigned and completing observation checks; gathering patients in an area away from the emergency (such as the day/living room); holding a community meeting after the event
Ways the RN can increase familiarly with ER cart contents
What are:
Conduct the monthly full inventory check
Complete all required training in a timely fashion
Participate in drills and table top exercises and discussion
You do this if you need help in managing the milieu while dealing with a medical emergency
What is activate PERS
Your personal cell phone is used to call 911
False:
911 calls to cell phones go straight to EMS thus to communication to the WBH medical team or security. only use a hospital phone to call a med emergency - internal 911/emergency button on nursing station phone.
Circumstance(s) when a verbal order can be taken
It is the policy of NewYork-Presbyterian Hospital that verbal/telephone orders will be limited to emergent (e.g. but not limited to cardiac arrest, resuscitation related events, and emergency initiation of restraint or seclusion use), time sensitive situations and intra-procedural medication and/or treatment requirements that could not be anticipated prior to the procedure where immediate written or electronic communication is not feasible.
The person/role who can perform IV insertion
Who is the FNP
Unit staff nurses are not trained in IV insertion, the FNP has IV insertion competencies as do the ECT RNs.
Visual cue that the ER cart is not stocked/checked
What is: presence of a purple lock attached to the cart
True or False your PERS is used to call for a medical emergency
What is false. PERS is used to summon assistance in managing the milieu, not calling for a medical emergency
The RN can designate any member of the team to call for a medical emergency
True: the call can be made by any member of the staff
When 911 is activated without notification of the operator in the standard procedure, the staff need to do this
What is alert security immediately through walkie-talkie, direct phone call.
Security MUST be notified to meet the ambulance and escort the crew to the correct location in the most expeditious way.
Completed after the medical emergency
What is:
Documentation in the patients EMR.
A staff debriefing (use of pink form for documentation)
Communication to key individuals through an SBAR
A Keepsafe
Name four items that are stocked in the ER carts
Medications that are frequently used in medical emergency situations; IV start kits; gloves; scissors; bandages/Band-Aids; IV bags; gauze; tape; O2 equipment such as non rebreather face mask, ambu bas with mas, nasal canula; standardized bore catheter extension set
True or False security is to be notified anytime 911 EMS response is required
What is True. Security must be notified so that they can assist the ambulance upon arrival to the grounds, direct them to the closest entrance, open the ramp entry doors, escort the team to the correct unit/area
RNs may not start Oxygen without a MD/NP order
True: A provider order is required before oxygen can be administered. Similarly, fingerstick cannot be done without a provider order.
This takes place monthly
What are:
Mock medical emergency drills
Completed by a RN after the event is over
What is full inventory of the ER cart.
Contact PCD/NA if assistance is needed to checking the cart.
Three ways to make sure the ER cart is stocked and ready for use
What are:
1. RN ER cart daily check of integrity and function
2. Monthly full inventory of equipment
3. A green lock is on the ER cart bottom drawer
Communication after the medical event
What is notification of the patients family or other support/loved one of what occurred is completed by the attending or DOC/attending on off-shift.
Only the RN can start BLS
False: Staff trained in BLS will administer BLS and/or first aid until the arrival of a provider and further direction from that person