Sepsis
ATG/Universal/Oral
Heparin
GENESIS
Restraints
100
Suspected Infection, Tep >38 C, < 36 C, Hr > 90, RR >20, or PaCo2 <32, WBC >12,000, <4000, 10% bands
What is SIRS Criteria?
100
Location of the ATG Guidelines
What is the pharmacy web site
100
Number of RN's needed to start or change a Heparin drip
What is two
100
GENESIS
What is the professional nursing care model of TMH that helps us to "get back to basics" and improve patient outcomes. Geriatric friendly Environment through Nursing Evaluation and Specific Interventions for Successful healing
100
Types of restraint orders
What are violent and non-violent
200
Criteria differenciating Severe Sepsis from Septic shock
What is Hypotension unresponsive to fluid
200
The three things needed for a safe ATG order
What are 1. Starting dose/current rate 2. Titration/ tapering instructions/method of titration 3. maximum dose/clinical end point
200
4,000 unit bolus
What is the max bolus for the 60-80 protocol
200
Protocol that has been established to promote maintenance of functional status and to decrease risk for falls and falls with injury
What is GENESIS Mobility
200
Length of time a nonviolent restraint order is valid
What is 24 hours
300
The value of the Lactic Acid which is a trigger for Early Goal Directed Therapy
What is > or = to 4
300
The most important safety aspect of the universal protocol which takes place immediately prior to the start of the procedure
What is a time out
300
Maximum starting drip rate for the 70-100 Heparin Protocol
What is 1800 units/hr
300
Criteria for enrollment in the Delirium protocol
What are: Diagnosis of dementia or cognitive impairment Altered level of consciousness: lethary or agitation Acute or sudden change in cognition or attention
300
Length of time violent restsraint orders are valid
What is 4 hours
400
Acceptable time window for anitbiotic delivery
What is 1 hour
400
Practitioner who can provide Level 1-3 or care
Who are RN's and CNA's
400
Circumstance when the aPTT can be drawn with am labs
What is when two consecutive therapeutic values have been obtained
400
2 criteria appropriate for enrollment in the Pain protocol
What are: Pts in pain as the reason for admission to the hospital All post-operative patients All pts with cognitive deficits and a potential source of pain Pts with adverse reactions to pain medications
400
Two occassions when a sitter is required with restraints
What are 4 point restraints, and violent restraints
500
The appropriate amount of fluid to adequately resessitate a septic patient
What is 20 cc/kg (changing to 30 cc/kg) or about 2 liters in 1 hour
500
The use of CHX for oral care is limited to this patient care area
What is Critical Care
500
Color of the downtime form for the Heparin Protocol paperwork
What is purple
500
RN responsibilities for initiating the GENESIS Protocols
What are Order in POM Communicate /delegate interventions of protocol Update as needed
500
If a patient is placed on non-violent restraints for picking at an IV and then starts kicking and hitting he may stay on non-violent restraint protocol True of False
What is False
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