Can I get that Super STAT?
I'm Loopy
Doc-U
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.

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