Gut Instincts
This test is ordered for patients with suspected or known ingestions.
What is urine toxicology?
This oxygen saturation level triggers oxygen therapy initiation.
What is SaO₂ < 92%?
This non-pharmacologic intervention is used for orthopedic injuries and pain.
What is an ice pack?
Name two lab tests included in the rainbow draw for suspected sepsis.
What are CBC with platelets, blood cultures, lactic acid?
Which of the following mediations cannot be given to pediatric patients in triage:
Ipratroprium/Albuterol (Duoneb)
Narcan
Epipen Jr.
What is: Epipen is not in a pre-provider standing order list. Although a peds patient may need this emergently, the provider has to see the patient and place the order prior to administration
This IV fluid is administered for patients with abdominal pain and HR > 100 or BP < 90.
What is 500 mL Normal Saline?
This medication is contraindicated in COVID-positive or PUI patients due to aerosolization risk.
What is DUONEB (ipratropium-albuterol)?
This diagnostic test is ordered for patients presenting with syncope.
What is a 12-lead EKG?
This screening tool is used to assess suicide risk and determine need for DEC consult.
What is the Columbia-Suicide Severity Rating Scale (C-SSRS)?
Name the antipyretics and their respective dosages given to pediatric patients in triage? (100 points ea.)
What are:
Acetaminophen: 15 mg/kg q4hr
Ibuprofen: 10 mg/kg q6hr
This lab test is ordered for patients with abdominal pain or urinary symptoms.
What is UA with microscopic reflex to culture?
This test is ordered if a patient has one respiratory symptom and abnormal vital signs.
What is a chest X-ray?
This bedside test must be performed immediately for patients with altered mental status to rule out a metabolic cause of stroke-like symptoms.
What is point-of-care glucose monitoring (POCT)?
This authority allows detention of a patient against their will for assessment.
What is Health Officer Authority to Detain (HOA)?
"My child has not been eating or drinking much since he has been sick. He also seems tired and not his typical self." Your three-year-old patient's mother states as you are doing your assessment. What pre provider order set can you use to rule out a common complication from the provided prompt? Must include title and included interventions for all points.
What is HyPOglycemia?:
including POC glucose, IV access, and D10 5 ml/kg
This lab test is ordered if the patient has pain above the umbilicus.
What is lipase?
This type of monitoring is initiated for patients with respiratory distress or abnormal vitals.
What is continuous cardiac monitoring?
This oral pain medication is given for moderate to severe orthopedic pain unless NPO.
What is acetaminophen 975 mg or ibuprofen 600 mg?
Name three immediate nursing actions when a patient presents with moderate-high risk suicidal ideation (100 points each).
Is the patient required to change into scrubs (100 pts).
What are: remove belongings from room, patient search/wanding, initiate 1:1 attendant per policy.
Patients are not required to change into MH scrubs, but their clothing does need to be searched by clinical staff for contranband.
The "Fever in immunosuppressed Pediatric Patient (BMT, Onc, Transplant)" orderset includes which of the following orders? need 100 points per correct answer.
IV Access, Rainbow Draw including blood culture panel, UA with Culture, acetaminophen, Vascular Access Device Management panel.
This imaging is ordered for foreign body ingestion.
What are chest (2-view) and abdominal (single-view) X-rays?
Name two exclusion criteria for initiating respiratory standing orders that require provider notification.
What are unequal chest movement and unequal breath sounds (possible pneumothorax)?
This ultrasound is ordered for unilateral leg swelling, color change, or calf pain.
What is a venous duplex ultrasound?
What medication can you apply to a simple laceration in triage. This medication not only anesthetizes the area but also helps vasoconstricts to control bleeding at the site. (100 points)
400 points for considerations in applying-
What is lidocaine/EPINEPHrine/tetracaine (LET)
Do not place on fingertips/ears and check with provider when placing close to eyes/mouth. Do not use gauze or cottonballs underneath the dressing.
This medication can be ordered for pediatric patients related to vomiting. Name the med (100 pts) and dosages based on weight (400 pts).
Ondansatron (Zofran)
8-14.9 kg 2mg half tab
>or= 15 kg, 4 mg