Be Ready!
Staffing
Special Populations
Who you gonna call?
Difficult Conversations
100

After opening the Broselow cart, this department should be contacted to obtain a replacement cart.

What is SHC Central Supply?

100

The goal of this validation tool is to standardize our staffing pathway. Goal: stay in green & yellow. 

What is PEDOC Score?

100

A 16 year old patient arrives to the ED with a c/o sexual assault. What are your next steps?

What is a “Gold Registration”, Obtain a MSE, and send to 500P?


100

A MVA is activated 1 peds and 1 adult coming to our unit, and you have a full department and need help. 

Who is call 500P for help with the Adult MVA? 

100

When addressing a family’s refusal of a specific RN, this approach focuses on listening, validating concerns, and restoring trust before making staffing changes.

What is therapeutic communication and conflict resolution?

200

In the Main Pediatric ED, the downtime/disaster closet is located in this area relative to the elevators.

What is across from the elevators in the Main PEDS ED entrance?

200

Time off due to excess of staffing resource

What is A-Time?

200

Once suspected abuse is identified and reported internally, this formal external report must be filed with the appropriate state agency as part of mandated reporting requirements.

What is a CPS report & Suspicious Injury Report?

200

A patient is 35 weeks gestation with contractions less than 5 mins apart. 

What is prepare for imminent delivery and call a rapid OB?

200

If a staff member’s behavior continues despite prior coaching, this next step ensures accountability while maintaining fairness.

What is escalating through the appropriate chain of command?

300

In the ED, the decon shower is located in this area for quick access by EMS and staff.

What is the ambulance bay?

300

This is considered premium pay. They are a priority to get canceled first. 

What is SNC & DT?

300

This is the appropriate disposition when a pediatric patient presents with a burn injury requiring specialized care.

What is transfer to a designated pediatric burn unit?

300

A nurse has been stuck with a dirty needle.

What is call 1-STIX and follow procedure?


300

During a high-stress shift, a nurse becomes visibly frustrated and short with colleagues. As charge RN, your first step is to use this communication approach to de-escalate the situation.

What is calm, non-confrontational communication?

400

Daily crash cart checks help maintain this critical department readiness.

What is readiness for emergency use?

400

You have five 5150 patients, three of them are on 1:1 sitter orders. You currently have two ED Techs.

What is consolidate the 1:1's and have one tech be the sitter?  

400

A patient is 32 weeks gestation with high blood pressure and a history of a high-risk pregnancy.

What is get them seen by a provider, obtain MSE, and follow EMTALA? 

400

There's a delay in radiology results and the ED Attending is requesting to obtain the ETA of the results. 

What is the Radiology Escalation Group (On Volte)?
400

In real time, you should use this leadership approach to clarify expectations and provide immediate coaching.

What is direct, respectful coaching with specific feedback?

500

This is the first step in a trauma 99. 

What is order your Trauma 99 order set & Trauma Ready Room Checklist?

500
It is 0500 and you have 5 patients in the department. Your core staff at 0730 is 6 RNs; you now get 1 RN sick call (now 5 RN's at 0730). How would you proceed with staffing?

What is DO NOT call for DT? 

500

A patient with a left ventricular assist device (LVAD) arrives to the ED. Because traditional BP cuffs may not be accurate, you must obtain this type of blood pressure measurement.

What is a Doppler blood pressure?

500

Immediately after pronouncement of death, these two external entities must be notified as part of standard post-mortem protocol.

Who are the Coroner and Donor Network?

500

If a staff member becomes visibly emotional after a resuscitation attempt, your first leadership action should demonstrate this quality.

What is empthy?

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