It's hemolyzed
C. Turn Around Time of the Laboratory Value
Once a contrast bottle is punctured, opened, or drawn up into a syringe, what is the maximum use time after the initial puncture?
8 hours
4 hours
10 hours
4 hours
Name 3 things that need to be done prior to starting Moderate Sedation?
Signed Consent, Time Out, Vital Signs, End Tidal CO2, Pre Procedure Scales (Mod Aldrete), Pain Assessment, Oxygen, Set Up suctioning.
How often does patient tubing need to be changed for BIPAP/Vent?
Every Patient Use.
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
What’s the best way to prevent the spread of infection?
Washing your hands with soap and water
What is the comment code that can be used in Orchard to document a critical?
/crit
When scanning a CT Head, exclusion of the lens on a standard CT brain examination is ideal, reducing the radiation dose to the eyes and the likelihood of lens damage and cataract formation. True or False?
True
How Often do Vital Signs need to be documented during Moderate Sedation Procedure (Intra Procedure).
Every 5 Minutes
Name 3 factors that can determine a patient's response to BIPAP?
Pulse Oximetry, Respiratory Rate, Work of breathing (accessory muscle use), ABG/VBG, LOC/Mental status.
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
What’s the correct mask to wear when caring for a possible measles patient?
N95
Who can a critical result be given to? (2)
MD/DO/RN
The three criteria routinely reviewed to confirm the satisfactory quality of any chest radiograph are: rotation, inspiration and penetration. Therefore, demonstration of a normal chest radiograph should include which of these factors.
a. At least 10 posterior ribs are visible on the radiograph.
b. Distinct shadow of the ribs and superior thoracic vertebrae is visible through the heart shadow.
c. Women with large pendulous breast are checked for adequate radiation penetration specially on the inferior lobes of both lungs.
d. All the above.
d. All the above.
What is the Minimum Time Frame a patient must be monitored before discharge after a Moderate Sedation?
Greater than 30 Minutes.
How often do you need to do the Vent System Check?
Once a shift/Every 12 hours.
The same patient needing decontamination reports that there is 20 more of his co-workers coming. The nurse does this.
Alerts charge nurse / AOC
What type of isolation precaution is used when caring for a measles patient?
Airborne
According to the Critical Laboratory Value Reporting policy, how quickly must critical values be reported?
As soon as possible, but no later than 10 minutes after results being available
Any saline or empty saline syringe that was used for a CTA exam should be separated and put in regular garbage and not the black medical waste container. True or False?
True
Name 3 medications given for moderate sedation.
name 3
Name 3 Components of Daily Check/Maintenace for BIPAP machine?
Plugged Into Wall, Tubing unhooked and in plastic bag, in line treatment supplies ready, Machine covered with bag.
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 the vent into the red outlet
When triaging or checking in a suspected measles patient what should the team do in attempt to decrease the risk of spreading the illness
Place patient in a negative pressure room and place on airborne precautions
A lab result has been drawn off an IV and reported to staff as 3+ hemolysis. What is the next step?
Straight stick the patient.
A patient is being transferred for abdominal surgery - what is needed to be sent with the patient from radiology perspective?
A CD with images
What is the first item needed before conducting a moderate sedation?
Signed consent form.
A patient is slightly altered and appears drowsy. The patient's blood pH is 7.19 and PCO2 is 77 - what is an appropriate intervention?
BiPap
the hospital loses power and the ETA for power restoration is 3 hours - a patient needs an emergent CT scan. What should the next step be?
Transfer to alternate ED
Name 3 signs of measles
High fever, cough, runny nose, rash/watery eyes,