Adult Stroke
Peds Stroke
Sepsis
Restraints
Sedation
Psych/Behavioral
100
Code Triage Neuro is for patients with symptoms of stroke AND last known well time of what?
What is less than or equal to 6 hours?
100
At what age can you use the adult NIHSS versus the pediatric one?
What is 6 years old?
100
What should be documented PRIOR to administering antibiotics?
What are...
a. obtaining and documenting blood cultures
b. obtaining and documenting urine culture
100
An adult placed on behavioral restraints at 0700 requires their restraint order to be RENEWED at what time?
What is 1100?
100
A child is undergoing procedural sedation with the use of Ketamine. During the intra-procedure phase of sedation, this section is left blank and a "dissociated state" comment is placed. What section is this called?
What is PASS Consciousness
100
Patients that come in with behavioral chief complaint requires to be screened using this scale.
What is the CSSR-S: Columbia Suicide Severity Rating --Scale
200
4 risk factors for a stroke are...
What are (options):
-HTN
-Heart Disease
-Smoking
-High Cholesterol
-Diabetes
-Previous Stroke
-Arteriovenous Malformation
200
What are 4 symptoms specific to pediatric stoke?
What are...
a. visual changes
b. unilateral sensory changes
c. speech difficulty
d. seizure
e. headache
f. ALOC with normal blood sugar
200
Name 4 examples/sources of infection:
What are...
a. UTI
b. Pneumonia
c. Appendicitis
d. Cellulitis
e. Meningitis
f. Peritonitis
g. Pyelonephritis
h. Bacteremia
200
These are assessed and documented every 2 hours for patients with behavioral and non-behavioral restraints
What are...
a. ROM
b. Fluids
c. Food/Meal
d. Elimination
200
Full information is required when completing this assessment that contain questions including "Ride Home by"; "Driver's phone number" and "Driver's location." Education is also provided during this time. All are part of what PHASE in procedural sedation?
What is pre-procedure/pre-procedure assessment
200
Patient was brought in for overdose. The CSSRS tool was used. Screening questions were asked once during this visit. What numbers in the CSSRS are asked initially?
What is questions 1, 2, & 6
300
For ischemic strokes, without thrombolytic therapy, the goal is to lower BP by what percent in the first 24 hours?
What is 15%?
300
What are 3 labs that would be obtained in ED emergently?
What are:
a. CBC with differential
b. Chemistry panel
c. BUN/creatinine
d. PT/INR, PTT
e. Type & Screen
300
How much fluid should a sepsis patient receive?
What is 30 mL/kg?
300
What is it called when you have to document a reason as to why a patient was placed in restraints?
What is "Justification" or "Clinical Justification"
300
A 27 y/o male came in with a displaced humerus where an Ortho PA is to perform procedural sedation and has asked an ER provider to order the medications. There are 2 consents that need to be completed. What are these called?
What are procedural consent and anesthesia consent
300
A patient that came in very intoxicated and expressed urge to kill self was placed on 1799 by ERMD in this image in the flowsheet. What comment is appropriate to choose?
What is medical hold
400
In ischemic strokes, when a thrombolytic is given, what are the safety parameters for systolic and diastolic blood pressure?
What is systolic < 185 mmHg and diastolic < 110 mmHg?
400
True or False: Only the ER physician needs to be informed of potential pediatric strokes?
False: TeleStroke team to notify Pediatric Transport and Advice Center (PTAC)
400
Identify 3 qualifiers for SIRS criteria:
What are...
a. Temperature less that 96.8F or greater than 100.9F
b. Heart rate > 90 bpm
c. Respirations > 20 rpm
d. WBC less than 4000 or greater than 12,000
or WBC with > 10% bands
400
A 77 y/o was brought in by PD in a 5150 DTO that has a Hx dementia. Patient was non-violent but has been pulling on lines and attempting to get out of bed. An MD order is to be placed. What is this order called?
What is a non-violent/non-self-destructive restraint?
400
During intra-procedure, how frequent do we chart V/S, cardiac rhythm, and capnography?
What is every 5 minutes
400
For every patient with behavioral-related chief complaints, this smartphrase is to be used. What is the smartphrase called?
What is .safetyscreening
500
What are at least 3 KP goals for stroke patient care for between 25-45 minutes (not the first 25 min)
What are...
a. 12-lead EKG
b. Patient returned from CT
c. Portable Chest X-ray
d. Lab results reviewed
e. CT results received
f. swallow re-screen
500
Name 3 risk factors for pediatric stroke?
What are...
a. AVM
b. Fistula
c. Thrombocytopenia
d. Sickle Cell Disease
e. Blood clotting disorders
f. liver failure
500
According to the KP Sepsis Workflow, identify 3 parts of the Sepsis bundle requirements: (what do we give them or document on them?)
What are...
a. Administer IV fluids
b. Start IV antibiotics
c. Check for abnormal lab results
d. Document "infusion complete" in MAR
e. Repeat VS q15 min x4
f. Notify ER MD if SBP > 90 mmHg or MAP < 65 mmHg
500
What is it called when you document the clinical interventions attempted prior to restraint application?
What is "alternatives to restraint"
500
Name the 2 discharge criteria during post-procedural sedation phase: (non-Ketamine)
What is...
1. PASS score 13 or greater or back to baseline
2. Ambulatory
500
A patient was placed on a legal hold and all documentation from security and/or sitter is uploaded to KPHC under this category of the ROVER?
What is BHN (Behavioral Health Note)