Physical Health in Mental Health Jeopardy

CERS

100

Minimum time for a patient to be seen once a clinical review or rapid response is initiated

Clinical Review: 30 minutes
Rapid Response: 15 minutes
Code Blue: immediately

200

Action to be taken if SPO2 is in the yellow zone?

Complete A-G assessment, re-position, review management plan, document assessment & management plan in Clinical Review (Yellow Zone) Form in eMR

300

What to do if calling a RR

Assess patient, initiate treatment within scope, increase observation frequency, remain with patient, notify NIC, do rapid response form after

400

The components of an A-G assessment

A: Airway, B: Breathing, C: Circulation, D: Disability, E: Exposure, F: Fluid, G: Glucose

500

Three red zone criteria

Red
RR: <5 or >30
Saturations <90%
HR: <40 or >200
Neuro: Responds to pain or unresponsive, stroke symptoms
BGL: <4 or above >20 with a decrease in LOC
Concern: Staff or family concern, any rapid change in observations

Random

100

AVPU is acronym for?

Alert
Rousable by voice
Rousable by pain
Unresponsive

200

A blood pressure cuff too _____ will result in a falsely HIGH blood pressure reading

Small

300

First sign of SEPSIS

Hypotension! Followed by high or low temp, tachycardia, shortness of breath

400

Most dangerous substance to withdraw from?

Alcohol and Benzodiazepine

500

APINCH acronym

A: anti-infective, P: Potassium (and other electrolytes), I: Insulin, N: Narcotics, C: Chemotherapy, H: Heparin

"Fun" Facts

100

What percentage of people with severe mental illness smoke?

50.1%

200

What percentage of clinical deterioration calls are related in sepsis? (in Aus each year)

30%

300

The likelihood of developing bowel cancer if you have Schizophrenia by what percentage?

A) 25%

B) 40%

C) 65%

D) 90%

 

D) 90%

400

The amount of sexually active people who get an STI before the age of 25

1 in 2

500

Considered a 'normal' bowel routine

Anywhere from 3 times a day to once every 3 days

Code Blue

100

The number to call for a Code Blue

2222

200

Why code blue?

Needing IMMEDIATE help e.g. unresponsive patient, patient rapidly deteriorating, responder requests escalation

300

Following a RR, how often do you need to complete vital signs and for how long?

Hourly for four hours

400

Code Blue examples

Cardiac arrest, respiratory arrest, threatened airway/stridor, unresponsive, seizures, stroke, deterioration not reversed within one hour, no response to rapid, serious concern by staff member/patient/family, outpatients

500

Surprise

Scenario