Tie The Knot
Any chemical, physical, or mechanical device that restricts or immobilizes a persons movement.
What is a Restraint?
Single most effective way to prevent infection
What is handwashing?
This is the scale used to assess the level of sedation or agitation in a Critical Care patient
What is Richmond Agitation & Sedation Scale
This term describes a rapid infusion of blood products that is often done as a result of uncontrolled bleeding
What is Massive Transfusion Protocol?
Romazicon/Flumazenil
What is the reversal agent for Benzodiazepam
This must be done every 24 hours
The renewal order for non-violent restraints
Name 2 components of VAP bundle
What are Assess, prevent, and manage pain. Both SAT/SBT. Choice of analgesia and sedation. Delirium. Early mobility and exercise. Family engagement.
This is used to identify delirium in patients
What is Confusion Assessment Method (CAM)?
This person is responsible for the activation of Mass Transfusion Protocol
Who is the Physician?
Narcan/Naloxone
What is the reversal agent for Opioids
Name at least 3 Restraint devices
What is waist/lap belt, Geri-chair with table, soft limb restraints, soft vest restraint, secured mittens, full side-rails
This is the primary risk factor for developing a CLABSI in critically ill patients
What is the presence of a Central Venous Catheter (CVC)?
Name the components of CPOT (Critical Care Pain Observation Tool)
What is facial expression, upper limb movements, compliance with mechanical ventilation.
This blood product is used in MTP to help manage coagulopathy
What is Fresh Frozen Plasma (FFP)?
The only effective medication specific for treating Malignant Hyperthermia
What is Dantrolene
Assess and document observed behaviors, restraint safety, extremities for color, temperature, integrity, pulses and readiness for discontinuation.
What is every 30 minutes
Name 5 alternatives to Foley catheter.
Pure wick, Commode, Bladder US, timed toileting, incontinence pads, intermittent catheterization.
This sedative drug, commonly used in the ICU, that can provide both analgesia and sedation by activating the GABA receptors
What is propofol?
The goal of PRBC during Massive Transfusion Protocol
What is to restore oxygen-carrying capacity?
MHAUS
What is Malignant Hyperthermia Association of the United States
Name at least 5 safety and comfort measures that the RN must document every 2 hours for non-violent restraints
What are Vital signs, Nutrition and Hydration, Elimination needs, Hygiene, Range of Motion, Restraint repositioned and Cognitive Function
What are the 5 critical components of care to prevent central line infection.
Hand hygiene, use of barrier precautions (mask, gown, sterile gloves), chlorhexidine, skin antiseptic, optimal site is subclavian vein and daily assessment for necessity and removal
The primary goal of sedation in critically ill patients.
What is to ensure patient comfort while facilitating necessary medical interventions.
This person may discontinue the MTP
What is the Physician?
Protamine Sulfate
What is the reversal agent for Heparin Infusion