what is CAB
compressions, airway, breathing
T/F do you have to have the qualifications like BLS to give CPR as a nurse in an emergency situation
true
T/F The HCP in a code blue directs all activities?
TRUE
team leader, recording nurse, pharmacist, RT, med nurse, RN charge are apart of what team
code blue team
what is the goal of the rapid response team?
preventing icu transfer, cardiac arrest, or death
if you provide care at the scene of an event outside employment, you will not be legally responsible is known as what
Good Samaritan law
what should the code team need to know?
Dx, recent tx, events leading up to code, primary MD, CODE STATUS, other info like allergies, Diabetic, cardiac resp hx
reasons to call a code
HR > 140, RR >28 or < 8, SBP > 180, o2 <90 despite supplementation, output less than 50cc over 4h, chest pain, threatened airway, seizure
which drug would you give for asystole or bradycardia?
Atropine
Who is apart of the rapid response team?
critical care nurse, RT, physician, pharmacist, pt nurse, charge nurse
epi is used for which rhythms
v fib or asystole
what are L.E.A.N drugs?
lidocaine, epi, atropine, narcan
where in the crash cart is the ambulance bag, AED/ defibrillator, monitor, suction machine located at/
top of cart
do you d fib if a pt does not have a pulse
yes
what is a sentinel event?
an event that results in injury, death, permanent harm to a patient
who in a code obtains ABG's
RT
list at least 3 things you know about defibrillation
emergency situations, v-fib, v tach, no cardiac output, pt is unconscious
list 3 things you know about cardioversion
elective procedure, pt is awake, informed consent, 50-200 joules, pt sedated
can you place defibrillator pads an inch away from pace maker?
yes
examples of sentinel events? at least 3
fall, wrong surgical site, dealt in tx, to self harm, sexual assault of a pt......
WHICH DRUG IS USED FOR HYPOTENSION AND BRADYCARDIA?
DOPAMINE
what is the process of rapid response
1. detection, 2. activation, 3. response, 4. disposition, 5. eval
delivers electrical current to the heart to completely depolarize the heart and impulses causing the dysrhythmia are disrupted
defibrillation
delivery of energy is synchronized to occur during ventricular depolarization QRS complex to disrupt rhythm rather than tho depolarize the heart
cardioversion
who can call a rapid??