CCOT & Code Blue
This is how a nurse activates a code blue
What is by pulling the code blue lever at patient bedside/nursing station and/or by calling 55 on a hospital phone and reporting the code?
Nurse should consider this order for a palliative patient receiving subcutaneous medications
What is a subcutaneous access port?
This is what the appearance of a healthy stoma should be
What is pink/red and moist?
Who needs to be consulted to order enteral or parenteral feeding?
What is Dietician?
What are pneumothorax, pleural effusion, hemothorax, pneumohemothorax, empyema?
This is what CCOT stands for, and their phone number.
What is Critical Care Outreach Team. 66300
For a nurse to pronounce death, this must be done at time of death (3 things)
Absence of Respirations
Absence of Apical Pulse
Fixed and Dilated pupils
This type of stool is expected from an ileostomy. This type of stool is expected from a colostomy, respectively
What is liquid and what is formed stool?
How long are enteral feed bags good for?
What is 48 hours
What is subcutaneous emphysema?
What is a condition in which air becomes trapped under the subcutaneous layer of skin.
This is the first thing you do if your patient is non-responsive and not breathing
What is check a pulse?
These people must be contacted following death of a patient (FOR NURSE TO PRONOUNCE PATIENTS)
- MRP (if death occurs between 2200-0700, MRP can be informed in AM IF EXPECTED)
- HSL/Leader
- Patient's family
- Locating/Bed Allocation
What does a urostomy connect to form a stoma?
What size of filter do you use for 3 in 1 PN solution?
This amount of chest tube drainage is alarming
What is greater than 100cc in an hour?
These are the team members of CCOT
Who are an ICU RN, RT, and an ICU intensivist?
Trillium Gift of Life Network (TGLN) is called for all patients this age and under
What is 79 years and under, except for critical care areas, where TGLN is phoned for ALL patients?
This is the process/steps for changing an ostomy appliance
What is,
1) Remove old appliance
2) Cleanse site with water/soap
3) Prep skin depending on patient's needs
4) Measure and cut new appliance
5) Apply
What type of parenteral nutrition can be infused through a CVAD and peripherally?
What is PPN (peripheral parenteral nutrition).
How long can a chest tube be clamped?
What is less than 1 minute without doctors order.
What is the depth of high quality CPR?
What is 5 to 6 cm (2 inches)
This is what to do as a nurse in the event that your patient is a coroner's case.
1) Leave the deceased patient AS IS
2) DO NOT remove lines or drainage tubes, clamp & leave IV bags attached to the patient
3) Leave original dressings in place
4) Advise HSL/Leader or delegate
These are some interventions that a nurse can do if their patient's ostomy is leaking
1) Use of barrier rings, strips, or paste
2) Convexity
3) Belts
4) Powders
5) If all fails, enter wound care consult
What is
Amino acids
Dextrose
Lipid emulsion
A nurse can irrigate a blocked chest tube using this medication
NO! A nurse cannot instill alteplase for a blocked chest tube. A physician is responsible for instilling this medication.