Can I get that Super STAT?
I'm Loopy
Doc-U
Emergency Emergency
Emergency
Emergency
That's a requirement?
I think it's broken
Help I've fallen and I can't get up
Do not pass until you talked to the PAS
Did you wash your hands?
Dude what's our process?
100
This document needs to be completed and signed on each shift for the lab?
Daily QC/Maintenace log
100
The first thing required before a moderate sedation can begin
Consent form signed
100
Robert receives 2 mg IV Dilaudid at 9:33 AM. He reports pain was 7/10. The pain re-assessment occurs at what time at the latest.
10:03
100
We received 21 inches of snow over a 12 hr night shift and you drive a 2-wheel drive small car. You can ______ in the hospital until the roads are safe.
Sleep
100
This form needs to be filled out in entirety to comply with state regulations.
EMTALA
100
Volar
100
When transferring a patient from the ED cot to the CT scanner table what needs to occur first.
Wheels locked
100
Fresh food products are kept this long at a maximum.
1 week
100
The best way to cover your cough with no tissue availability.
Using bent elbow
100
A patient is diagnosed with sepsis and has an initial lactate that is 6.3 mmol/dL - the patient is now fluid resuscitated. This is done next.
Repeat lactate ordered and drawn.
200
This should be done if the only QC available has an orange sticker on it.
Call Garrett to enter new lot
200
Vital signs are required at what intervals
5 minute
200
Non-violent soft restraints are documented at 0400 as initiated. The next documentation is needed at.
0600
200
A tornado warning is in effect for Waukesha County. Mitchel calls the charge nurse after seeing the tornado is heading for the hospital to alert the team. Staff are alerted to shelter in place where?
CT/Xray room
200
This is something offered to every patient that comes to the ED regardless of the ability to pay.
Medical Screening Exam
200
This splint is used to immobilize the wrist after an arm bone fracture.
Sugar-Tong
200
When transferring a patient. Using this, protects you as the clinician.
Proper body mechanics
200
A new shipment of frozen foods arrive on 10/1/24 - this is done to the product next.
Add received date and expiration date (6 months from received date)
200
The best way to stop spread of infection.
Washing hands with soap and water
200
A patient is getting admitted to the Greenfield inpatient unit. The patient is diagnosed with sepsis. Initial lactate is 3.8, 2 sets of blood cultures drawn, the patient has IV antibiotics infusing as well as IVF are almost completed. The ED nurse gives report to the inpatient nurse - the key piece that is needed to be given during report is.
Order repeat lactate.
300
This is done at bedside when a blood or urine specimen is collected in the room.
Labeled
300
The sedation scoring scales that are required documentation.
Aldrete & Rass
300
The inpatient nurse must document every shift.
Patient specific care plan.
300
A patient presents to the ED and reports he is covered in an unknown chemical and was told to come to the ED - the STAT light is initiated, and the ED RN speaks with the patient. He is able to walk and talk in complete sentences. The nurse does this next.
Escorts patient outside into decon room
300
A condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to result in placing the individual’s health (or the health of an unborn child) in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of bodily organs.
(Hint: EMC is the acronym)
Emergency Medical Condition
300
The most common upper extremity splints (3)
Ulnar Gutter, Sugar-tong, short arm
300
When transferring a patient with the hoyer lift you must do this prior to putting patient on the sling
inspect sling for rips or tears
300
The PCA knows that the dishwasher is ready to use when the temperature reaches this temperature during daily QC.
120 F
300
The best way to promote respiratory hygiene in the hospital.
Providing masks to patients and visitors with respiratory symptoms
300
A stroke patient has completed their CT. 10 minutes has passed with no results. The RAD tech does this.
Call Radiologist directly.
400
This needs to be done when drawing a Light blue top tube.
Filled to the opaque line
400
The ED tech sets up a room for moderate sedation which includes oxygen, blood pressure (cycling), continuous pulse ox, ambu bag, and telemetry monitoring. This is missing.
EtCo2
400
This is required 30 minutes before transfer of a patient to HLOC.
Vital signs
400
The same patient needing decontamination reports that there is 20 more of his co-workers coming. The nurse does this.
Alerts Charge nurse/AOC
400
Information by which the identity of a patient can be determined with reasonable accuracy and speed either directly or by reference to other publicly available information. It includes verbal information, information on paper, recorded information, electronic information (faxes, emails). Examples of this include name, account number, telephone number, and photos.
PHI or Protected Health Information
400
After splint application the most important thing to check.
CMS (Circulation, motion, sensation)
400
You must use this when transferring a patient latterally.
Slide/draw sheet
400
What is done when an ED nurse discharges a patient?
Given purple card to stop at front desk
400
The time(s) when you need to sanitize hands when working with patients.
before and after patient contact
400
A patient with a positive BEFAST score is taken to CT. The MD is not available. This is done by the nurse
CT Stroke non-contrast order entered.
500
This blood culture bottle is drawn first.
Aerobic
500
4 criteria for discharge after moderate sedation has ended.
1. Aldrete of 8 or higher
2. Ability to ambulate at baseline
3. No nausea or vomiting.
4. Pain score
5. Total fluid (PO or IV)
6. Presence of any dressings added during procedure
7. Ability of patient and home care provider to understand d/c instructions
8. Confirmed presence of someone to drive patient home.
500
ED and Inpatient nurses are required to do this Q shift. (2 items)
1. Code cart check lists
2. Narcotic cycle count
500
The hospital loses all power and the generator turns on. A patient is intubated, and the vent is plugged into a white outlet. You do this next.
Plug into red outlet.
500
Name the act that protects the privacy and security of health information and gives patients rights to their health information. It also establishes standards to safeguard protected health information.
HIPPA
500
Name a complication from poor splint application.
Skin breakdown
Infection
Nerve/muscle compression
Pain
Fx displacement
500
A patient is a fall risk - you must document the use of these things in the chart (3)
1. Bed alarm on
2. Non-skid footwear on
3. Fall precautions on
500
A patient has checked into the ED - the patient is ready to go back. This must be done before they enter the ED.
ID banded
500
The Emerus process for encouraging visitors to wash their hands before entering rooms.
Stop & Sanitize
500
A patient checks into the department with slurred speech. The PAS presses the stat light. The ED tech is the first person to the front to bring patient back. The ED tech notices the facial droop and does this.
Broadcast stroke alert on Vocera.