Misc
BEFAST + VAN assessment
What is included in an LVO stroke assessment?
This needs to be completed for every patient. Interventions should reflect this documentation.
-Full set of vitals including pain assessment
-Within 30 minutes
What vitals and within what timeframe should vitals be completed at discharge?
Custody Pending orders patient uniform
Green scrubs & red socks at hospitals
Paper scrubs and non-slip socks at FSEDS
Don't leave patient unattended, parent or adult present at all times, siderails up, crib if available
What are pediatric fall precautions?
This federal law requires hospitals to provide a medical screening exam (can only be done by Attending MD only at UCH, LPH, BFH/FSEDs can use APP) and stabilizing treatment to anyone presenting to the Emergency Department, regardless of their ability to pay, insurance status, or citizenship.
What is EMTALA (Emergency Medical Treatment and Labor Act)?
When positive screen, be proactive, start initiating custody pending orders and at-risk precautions
What interventions should be implemented for High Suicide screening?
Discharge instructions reviewed with patient
Cannot just hand discharge instructions, must review AVS AND document review with patient
Initial and hourly assessments for behavioral health patients on a watch
How often is custody pending assessment documented?
Medication given based on weight
What is a pediatric dose?
Patients that need a 6g Magnesium Sulfate bolus
What are eclamptic patients?
Undressing patients under 12 years old and younger to assess for non-accidental injuries
What is NAT screening?
Ensuring patient has a safe way to get home after a procedure (designated driver)
What is discharging a procedural sedation patient?
Form filled out at initial encounter involving behavioral health patient rights
What are M2 forms (patient rights)?
FACES, FLACC, NIPS
What are pediatric pain scales?
Undressing adults 65+ to assess for non accidental injuries
What is EASI screening?
Missing patient requiring calling PD for a welfare check
What is a patient elopement?
Your patient is becoming combative and there is a risk of injury. This is your next step.
Use this instrument to determine correct equipment and medication dosing for emergent pediatric resuscitation.
What is Broslo tape?
Reporting child abuse, elder abuse and abuse involving serious bodily injury
*In state of Colorado, patients in age range of 18-64 without serious bodily injury can refuse to report abuse
When are nurses in Colorado mandated to report?
15 year old presenting to ED for suicidal ideation without a parent
What is minimum age of patient consent specifically for mental health services?