Procedural Sedation
The number of consents obtained prior to beginning
2: 1 for the procedure & 1 for the procedural sedation
Vasoactive medications
Vital Signs
IPOCs must be completed how often
Every shift
60 minutes
Rate of compressions
100-120
All patients should be placed on this to continuously assess ventilatory status
ETCO2
Sedatives
RASS
5 IPOCs within one
IPOC bundle
The individuals that must be documented within the Critical Value Progress Note
LIP notified & Lab Personnel that communicated the result
Interruptions in compressions should not exceed this amount of time
10 seconds
This pre-procedure score must be obtained for comparison at "discharge"
PAR Score
Analgesics
Each IPOC goal must have this
Target date
RNs must assess and document this often for restraints
Q2H
The button selected during a cardiac arrest to determine a shockable rhythm prior to MD arrival
Analyze
Frequency of documentation intra-procedure
Q5min
Paralytics
Train of Four
Required upon initiation, dosing change, handoff
Witness/RN double check
Restraint orders must be renewed
every calendar day
Two components of a transcutaneous pacing order
Rate & milliamps
Discontinuation criteria includes
PAR score 9-10 x3 or pre-par score x3 and VS back to baseline
Components of the handoff drip verification
Pump settings, infusion rate, medication concentration, correct drug
The assessment of responses to analgesia include these components
Respiratory rate, pain level, sedation level, emetic score
Restraint order must reflect
justification for use, type of restraint, location/laterality
The intervention for hemodynamic instability secondary to SVT
Synchronized Cardioversion