Pandemic
Incident Command started on March 2, 2020 for this Pandemic.
What is Covid 19
Idaho Natural Death Act
A law that states, "An adult person has the fundamental right to control the decisions relating to the rendering of their own health care, including the decision to have life-sustaining treatment withheld or withdrawn in instances of a terminal condition or permanent unconscious condition.
RN that receives the call from EMS, runs defibulator and directs other staff on their duties.
Who is ED RN?
List three medications on the top of the crash cart
1. Epinephrine, flumazenil, lidocaine, adenosine, Nitrostat, ASA, Magnesium sulfate, digoxin, metoprolol, Benadryl, solumedrol, verapamil, calcium gluconate, dextrose, sodium bicarb, calcium carbonate
2. Atropine
3. Narcan
DE or designated examine. This is the responsibility of the county to achieve the first DE. Once the prosecuting attorney's office receives the proper paper work, they are supposed to contact the social worker for a DE or designated examine.
In March we thought we were going to die from this virus. We have since learned that people can be asymptomatic.
What is COVID19
The form that admission/ED staff have all patients sign and will provide education regarding Advance directives.
What is "Your Rights As A Patient to Make Medical Treatment Decisions Form."
RN that ensures IV is intact and completes medications in the Code ROLE
Who is the Med/Surg RN?
Crash cart seal number, defib plugged in, backboard, flashlight, code sheet, scissors, pen
All included on the crash cart check list
Number of hours an intoxicated patient can be held until putting them on a hold
PPE, N95 masks are required when dealing with this type of patient.
What is a positive COVID 19 patient.
A form that is obtained on every observation, admission, and swing bed patient.
What is an Advance Directive or POST?
Roles that are essential in a CODE BLUE
1. ED RN (responsible for defib, possible medication management, IV placement, and Airway assist
2. Physician
3. Med/Surg RN (IV placement, Medication administration, family advocate, CPR)
4. ED CNA (runner for supplies, assist as necessary, CPR)
5. Scribe (at night some may have a many roles )
ED trauma room, ED, Med/Surg, Cardiac Rehab
Areas where crash carts are located
Information required when registering a patient
Process and changes continue to change sometimes hourly in an effort to deal with this virus and the circumstances.
What is COVID 19
Physician Orders for Scope of Treatment
What is a POST FORM?
Leader of the debriefing after a code is called or completed.
Physician, or ED RN
Required class that Physician's, RN's must complete to learn about cardiac arrest and recovery
What is ACLS
Med/surg bottom shelf, apparatus used for evacuation
Scoops, sliding
People that adapt with flexibility and strength to changes, that happen quickly.
What is the best SMC staff who is always trying to do what is best for the patient and themselves.
The only form of an advance directive that EMS can follow.
POST FORM
Organize roles during a code to potentially improve patient outcomes.
What is the reason for forming a CODE Team?
Automated External Defibulator
AED is used as an auto external defibulator for those who suffer emergency cardiac arrest.
Required after a patient has a fall.
Physician notification
Assessment for injury by RN
occurrence report