STROKE of a Genius
Post Op Party
Rx Marks the Spot
Policy Pioneers, What's New?
Who You Gonna Call?
100
The TOTAL number of personalized stroke risk factors based on the H & P below:
76 y.o. Male admitted for L MCA occlusion. PMH: COPD, HTN, HLD, GERD, Gout, DM
Alcohol use: None
Previous smoker, quit 5 years ago
BMI elevated
What is 4 risk factors?
100
Amount of days postop you encourage your post-op lami to be ambulating OOB
What is POD0?
100
Medication used during opioid overdose
What is naloxone?
100
New frequency of SITE CHECKS for PIV policy
What is Q4H site checks?
Of note: if your patient is receiving a vesicant medication OR has cognitive/sensory deficits, should be every 1-2 hrs
*Flushing PIV that are saline locked is Q12H
100
Your trach patient has de-cannulated themselves and they look like they are in distress
What is 55555 (Airway Team)?
200
HOB orders for an ischemic stroke patient that is "perfusion dependent"
What is flat?
200
Motor and sensory function should be assessed on this area of the body for a patient s/p ACDF
What is upper limbs?
(i.e. arms, wrist, and hands/fine motor)
200
Times when an independent double check is required if my patient has a Heparin drip
What is during initiation, rate change, and new syringe/bag?
200
Type of gloves (sterile or clean) used during this step of a central line dressing change:
*Removing old stat lock from central line
What is clean gloves?
200
My stroke patient's LUE is 4/5 at my 8am assessment. At my 4pm assessment, my patient's LUE is 2/5.
What is Page the Primary Team
300
True or False: My stroke patient is arriving from an OSH where they were on a general diet.
They need a swallow screen upon admission to 10E.
What is True
Per our policy and Joint Commission standards, we require a RAS3 swallow screen to be completed prior to any PO intake on any new admission (from ED or OSH). Even if they were already on a diet at the OSH.
300
Required to prevent corneal abrasion in postop retrosig crani patients
What is Eye taping?
300
3 charting/assessments required to complete 1 hr post PO hydrocodone-acetaminophen administration for pain
What is pain intensity, sedation scale, and satisfaction rating?
300
Frequency of INTERMITTENT tubing changes
What is every 24 hours?
Only CONTINUOUS infusions can be changed Q96H (Mon/Thurs)
300
You are alerted from Tele that your patient is newly in Afib w/ RVR. You check on your patient and vitals are: BP 80/40, HR 165, Sp02 94% on RA
What is Call 5-5555 RRT
400
Medication given to prevent vasospasms in Subarachnoid Hemorrhage
What is Nimodipine?
400
Air Transfer Mattresses are contraindicated with this spinal precaution
What is STRICT C-Spine (Cervical) precautions?
*These patients are typically in NSICU, and those transferring the patient must complete a C-spine hold/requires C-spine certification
400
Medication used during benzodiazepine overdose
What is flumazenil?
400
New term for "nectar thick" liquids under IDDSI guidelines?
Hint: IDDSI stands for International Dysphagia Diet Standardization Initiative, did you do your ELMs? :]
What is mildly thick?
P.S. Going live on 5/31!
400
Your trach patient has de-cannulated themselves intentionally. They are walking around the room, no obvious distress or accessory muscle use, Sp02 is 98%.
What is Page the Advanced Airway Specialist (AAS/Trach Specialist)?
500
Occlusion in this artery would likely cause R sided leg weakness and flat affect
What is a Left ACA (Anterior Cerebral Artery) occlusion?
500
2 precautions post-op for a Transsphenoidal Pituitary Resection that are DIFFERENT for Dr. Magill patients
What is straw use and mustache dressing?
500
Additional 2 assessments to complete (outside of vital signs) for patients on a Ketamine infusion
What is the bCAM and mRASS?
500
Type of violent restraint order now needed if your patient is held down to give a PRN medication they are not consenting to
What is a physical hold order?
500
You walk in and your patient has a neuro change. Patient is now obtunded and required repeated stimulation to stay awake, but HAS a pulse.
Of note, they do NOT have a gag reflex upon your new assessment.
What is Call 55555 (Airway) and Page MD?