Admissions
The first thing you do when you're getting a new patient.
What is setting up the room & zeroing the bed?
Name the required discharge education if the patient experienced pain while hospitalized.
TMC Pain Management
These assessments & tests should be done in the ED prior to being admitted to our unit.
What are CT Scan, NIHSS, Swallow Screen? (also acceptable CTA)
The daily bedside practice that pairs with diuretics to catch fluid retention early.
What are daily weights (same scale/time) and strict I&Os?
This antiplatelet medication should be given on arrival for suspected MI unless contraindicated.
What is aspirin?
The three “safety must-haves” to confirm and document on every new admit before anything else.
What are patient identification, code status, and allergies?
Name the required discharge education for someone who is a high fall risk?
What is fall education?
By the end of hospital day 2 (or earlier), most stroke patients should be on this class of therapy unless contraindicated.
What is antithrombotic therapy (e.g., antiplatelet like aspirin and/or plavix)?
For HFrEF, (EF <40) name one cornerstone discharge medication class unless contraindicated.
What is ACEI, ARB, ARNI, or evidence-based beta blocker (carvedilol, metoprolol)
The blood test we trend to decide if someone's MI is worsening or getting better.
What are troponin levels?
Name two common admission orders that prevent hospital harms you should place on Day 1.
What are VTE prophylaxis and fall-risk bundle (also acceptable: Four eyes)?
Name the 2 discharge education handouts that must be included on all discharges.
What are "Important medication information for all patients" & "Heart Disease Education"
Patients with atrial fibrillation/flutter are evaluated for this type of medication to prevent recurrent stroke.
What is anticoagulation?
Two lifestyle instructions that should appear on every HF discharge plan.
What are low-sodium diet and fluid management (also weight monitoring/when to call)?
Two secondary-prevention meds typically prescribed at discharge after MI, if not contraindicated.
What are high-intensity statin and beta blocker (also acceptable: ACEI/ARB for LVSD, antiplatelet therapy)?
This is the core measure checklist you use when your patient's diagnosis doesn't fall within the 3 main disease processes.
What is a VTE Core Measure?
We offer this to everyone discharging between the months of September & March.
What is the flu vaccine?
Ischemic stroke patients treated medically should receive this medication class at discharge to address atherosclerotic risk.
What are statins?
This diagnostic detail must be documented for all HF patients to guide therapy choices.
What is left ventricular ejection fraction (LVEF)?
We do this when a patient is experiencing new or worsening chest pain.
What is a code rapid?
The medication process you must complete and document within the first day to reduce errors.
What is documenting the home med list?
The best-practice way to confirm understanding of discharge instructions.
What is teach-back?
Two education elements that must be documented for stroke discharge quality.
What are stroke warning signs/activation (BEFAST), customized risk factors (also acceptable: medication adherence, follow-up plan, smoking cessation)?
For persistent congestion despite diuretics, name one escalation strategy to discuss with the provider.
What is adding thiazide synergy (e.g., metolazone), IV diuretic adjustment, or vasodilators if appropriate?
A patient experiences a STEMI while in the hospital. Name the timeframe goal from diagnosis to device.
What is 90 minutes?