Violate, Smiolate!
Using Your Noggin
Now I know my ABCs
Dot Your I's & Cross Your T's
Grab Bag
100

Seriously threatens the health or safety of the patient; potential to cause serious harm to bodily function, body part or organ

What is an emergency medical condition

100

Doing the right thing for the right reason at the right time

What is critical thinking

100

Identify life threatening conditions with a quick assessment (Airway, Breathing, Circulation and Disability)

What is the reason for the across the room observation

100

This is the main purpose of the medical record

What is a legal document

100

Left Main Coronary artery or left anterior descending artery

What is the coronary artery involved if the location of the extensive MI is anterior

200

Requires enough to determine if the patient has an emergency medical condition Such as review of relevant medical history, vital signs at regular intervals, physical exam related to chief complaint and any necessary lab or imaging studies

What is a medical screening exam

200
Identifies and initiates appropriate nursing standing orders at triage
What is an independent thinker
200
Part of the initial assessment on arrival to assist the nurse in selecting appropriate next interventions
What is AVPU
200
An accurate sequence of events, observations and actions or the response to interventions and status changes
What is Documentation
200
a patient informs you that she feels as though something is within her body and is controlling her emotional feelings and physical pain
What is a somatic hallucination
300
Physicians and qualified medical personnel (according to hospital medical staff by laws)
What is the only ones qualified to perform medical screening exam and determine if emergency medical condition exists
300
The nurse refers the provider who challenges the triage decision to the written policy and protocols that were followed and provide additional resources for evidence based practice
What is an example of a critical thinker who is confident in their decisions
300
Assessment of respiratory rate and pattern, respiratory effort, lung and airway sounds and oxygen saturation
What is breathing and ventilation
300
Documentation of patient behavior, affect, speech patterns and engagement
What is a nursing diagnosis
300
A 62 year old man with 10 yr hx of angina presents to the ED c/o of sudden changes in his chest pain - now occurring in middle of night waking him up
What is unstable angina
400
Hospitals must provide medial screening exam to patients regardless of their ability to pay, stabilize patients with an emergency medical condition and transfer patients ONLY when medically appropriate
What is EMTALA - Emergency Medical Treatment and Active Labor Act
400
The nurse inquires who will be driving a patient home from ED prior to administering narcotic pain medications
What is exploring consequences before decisions
400
Major assessment parameters include level of consciousness, skin color and temperature, pulse, capillary refill time and blood pressure
What is circulation and control of hemorrhage
400
The standard of documentation of a completed assessment or treatment
What is within one hour unless provider orders or hospital policy states otherwise
400
Patient overdosed on acetaminophen with in the last 60 minutes, this specific collaborative management should occurr
What is gastric lavage
500
The regulatory body charged with enforcing EMTALA guidelines
What is CMS (Centers for Medicaid and Medicare Services)
500
When and how many patients will arrive and what is their acuity - how many will require immediate life saving measures or how many require admission or transfer
What are the reasons why critical thinking SO important to the emergency department
500
Attention to lab studies, patient monitoring, need for NG tube, oxygenation and ventilation and pain assessment / management
What is "Get Resuscitation Adjuncts"
500
Condition upon discharge relating to the reason for visit, complete vital signs with LOC and pain, medication information, contact number for questions and conditions under which to return
What is documentation for discharge
500
The serum potassium is < 3 mEQ/L, this is true
What is the cardiac cycle shows a flat T wave with a prominent U wave
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