Admissions
Two of these are required for each admission.
What are patient identifiers?
SPO2 is off, you call this person.
This is how often you measure strips during your shift.
(What is q6hr or 1000/2200 or 0400/1600?)
This rate is considered to be brady.
(What is less than 60?)
The phone is ringing, this is your next step.
(What is answer it?)
You and the PTT will do this during an admission.
What is staying on the phone?
This would be your next step after the red phone rings busy and your patient is completely off monitor
What is call a code?
You call and notify regarding your patient being tachycardic 6 times, this is how many strips you should send in to EPIC.
(What are 6 strips?)
What measurement is considered a bundle branch block?
(What is equal to or greater than 0.12?)
You cannot see into your patient's room due to poor lighting; this is your next step.
(What is call bedside and ask for lights on?)
When you have the patient admitted and data is coming through, this is your next step.
What is verifying with the RN via phone call?
Your patient has all leads off but you can still see SPO2, this is who you notify.
Who is the blue phone/PTT?
If the nurse does not answer your call regarding a low SPO2, this is your next step.
(What is notify the charge RN/red phone?)
This segment becomes elevated when the patient is experiencing a heart attack.
(What is ST elevation?)
This is the one hard stop that we cannot monitor for in Safety View.
(What is SI?)
You should reach out to re-admit a patient on the Stopped Monitoring list after this amount of time.
What is 1 hour?
Your patient has a 7 beat run of VT, this is who you notify.
Who is red phone?
CNA calls to discharge a patient from telemetry, this would be your next step.
(What is verify with the primary RN and document the name of the RN?)
Your patient converts into this rhythm where the QRS is widened, enlarged, and looks bizarre.
(What is VT?)
You call for a report and the primary does not answer, this is your next step.
(What is call again in 10 minutes?)
You are unable to get a patient admitted to telemetry within the 1 hour time frame, this is who you escalate to.
Who is the VHC House Supervisor?
Patient is off monitor, you notify red phone but they were unable to visualize the patient and it has now been more than ten minutes, this is your next step.
Call a code blue.
Bonus question: When was the last time the algorithm was updated?
You discover a missed event from the previous shift 5 hours ago, these would be your next steps.
(What is notify per algorithm, document the time of notification in real time, and back chart/time the event at the time it occurred, link with comment?)
(What is ventricular fibrillation?)
Your patient elopes out of the room, this is your first step.
(What is stat alarm?)