I got here first
“My son needs a physical for camp”, an anxious mother tells you. “I called the clinic, but they can’t see him for 2 weeks and camp starts Monday”. Her son is a healthy 9-year-old.
ESI 5; No resources needed.
What is the Dispo to Discharge goal?
<20 Minutes
What order sets can you place to start care before the physician sees the patient?
ATG (Advanced Triage Guidelines)
You just gave IV pain medication, when is your pain reassessment due?
30 minutes
EMS arrived with an unresponsive 19-year-old male with a self-inflicted gunshot wound to the head. Prior to intubation, his GCS was 3.
ESI 1; Lifesaving interventions required
What is the Door to Discharge Goal?
<120 Minutes
After performing an intervention for a patient, you should what?
Reassess
You just gave a PO pain medication, when is your pain reassessment due?
60 minutes
“I was using my chainsaw without safety glasses, and I think I got some sawdust in my left eye. It hurts and it won’t stop tearing”, reports a healthy 36-year-old male. Vitals WNL.
Answer: ESI 4; One resource
What is the Door to Floor Goal?
<180 Minutes
A primary and initial assessment of the patient should be documented within how many minutes of patient arrival?
60 Minutes
You just gave the patient and ice pack and repositioned them for comfort, when is your pain reassessment due?
30 minutes
A normal healthy 7-year-old walks into the emergency department accompanied by her father, who reports that his daughter woke up complaining of a stomachache “She refused to walk downstairs and is not interested in eating or playing”. The child vomits in triage. VS: Temp 100.4, RR22, HR 88, BP 84/60, SPO2 100%, Pain 6/10.
Answer- ESI 3;two or more resources
What is the Order to Collect goal?
<14 Minutes
When is the ideal time to chart an assessment?
Right after the triage questions
What epic alert pops up 15 minutes before your pain reassessment is due?
Reminder bell
“I was seen in the ED last night for my fractured wrist. The bone doctor put this cast on and told me to come back if I had any problems. As you can see, my hand is really swollen, and the cast is cutting into my fingers. The pain is just unbearable”. Circulation, sensation, and movement are decreased
ESI 2; High risk situation
What is the Door to Room goal?
<10 Minutes
What temperature needs rechecked if either reported prior to visit or during?
>100.5 F
What should you educate your patient on when giving pain medication (also any medication)?
Side effects