What's your emergency?
80-year-old with acute onset of dizziness and vision changes
What is a stroke rule out.
When do you chart a pain assessment?
Upon arrival
Before a medication
within 1 hour after
every 4 hours minimally
within 1 hour of transfer or discharge
This tool can be utilized for medication administration in pediatric patients.
What is the Broselow tape.
Who do you contact for sexual assault concerns?
Avalon
What is a free and confidential resource available to all Henry Ford staff?
What is EAP
A 35-year-old with a leg injury after a beam fell onto it. Leg painful, firm to touch.
What is compartment syndrome.
This patient needs CMS checks. Tool used to measure pressure is the Stryker needle. Where would you find the Stryker needle?
What needs to be charted when a central line or art line is placed?
Invasive line checklist.
Found under interventions section in EPIC. Ensure entire checklist is filled out.
Describe appropriate adenosine administration including dosing, flushing and technique.
6mg rapid IVP followed by rapid 20ml NS flush. Can repeat dose at 12mg.
Ensure tubing is clamped off above the 20ml flush. Medication should be given in the closest port to the patient. *Don't forget continuous EKG monitoring, ensure life pack pads are attached, crash cart available*
Who can you contact if you suspect human trafficking?
Human trafficking hotline
How do you incorporate self-care into your shift?
Take your 30 min uninterrupted lunch
Take breaks
Debrief after stressful events
Have a work bestie
Utilize the pause
20-week pregnant woman with a BP of 150/80
What is a concern for preeclampsia
Any BP greater than 140 and/or over 90 in 20-week gestion and up to 12 weeks postpartum is considered an OB Hypertension emergency.
What needs to be charted on a high-risk suicide risk patient?
PSA observation every 15 minutes
Self-harm intervention hourly
Belongings inventoried
This electrolyte is used to treat pre-eclampsia.
What is high dose magnesium.
Use 20gram/500ml bag. Give 6 grams over 20 minutes, then 1-2 grams per hour maintenance.
What needs to be done if you suspect elder abuse?
Call APS. You don't need to fill out form.
Anything that helps you grow professionally as a nurse.
ACLS, BLS, TNCC, ENPC, PALS, being a super-user, mentor, preceptor, committee member, access to Sladen library, virtual learning, staff meetings, CEs
7-year-old with diffuse rash on face with sore throat and fever.
What is concern for measles.
Patient and family should be masked and isolated. Negative pressure room if available. staff to wear N95 and implement airborne isolation precautions.
For conscious sedation, these 2 items must be documented with vital signs.
What is ETCO2 and RASS score.
Pre-sedation
Intra- every 5 mins
Post- every 15 mins for minimally an hour- 2 hours if reversal med given
Rapid administration of IV antibiotics can cause
Anaphylaxis or cardiac arrest.
You should always adhere to pharmacy administration instructions. i.e.-Rocephin should be given over 2 minutes.
The patient has demonstrated they are unable to care for self, and/or expressed ideation of self-harm, and/or expressed a plan to harm others. What documents need to be completed for this patient?
RN should complete a petition and PPI. A petition is good for 10 days from completion.
Wash your hands
Keep your nails at the appropriate length
Ensure nail polish is intact - no flaking, peeling
Patient reports falling, striking head. What should you include in your triage note?
Time of incident
Mechanism of injury
Any blood thinners?
Presence of neck pain (consider c-collar)
What should the RN post every 4 hours or with any change?
What is a rhythm strip.
Explain how to do so....
Provide all 3 dosing possibilities for Amiodarone.
Pulseless Vtach/Vifb - 300 mg IVP then 150mg IVP
Unstable tachycardia- 150mg over 10 mins
IV infusion- 1mg/min for 6 hrs. then 0.5mg/min for 18 hrs. or until cardiology tells you otherwise
Name 3 reasons you would contact CPS.
Exploitation, abuse, neglect.
Consider TENS 4 FACES in children under 4
Fill out 3200 form within 24 hours and call intake number (Include intake # on form)
What are signs and symptoms of caregiver/compassion fatigue?
Change in mood, detachment, feeling pressure, sarcasm, being task focused, lack of interest