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 a blue phone call for patient off monitor
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?)
What is ST segment changes?
Your phone is ringing, caller ID shows it's the PTT for a zone you are not monitoring. You have no active alarms to address, this is your next step.
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?)
These are considered two patient identfiers
What is MRN, DOB, OR Name?
You have a phone call coming in and a red alarm for asystole, this is your priority.
What is call on asystole alarm?
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 should not use this as a primary patient identifier.
What is room number?
Part of heads up 7 up includes this step to ensure all patients are being monitored.
What is verify EPIC list with Philips list?
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 PTT notification algorithm added?
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?)
You confirm patient information by doing this