Metabolic Management
When do we usually replace K+?
As soon as labs populate, Under 4.0 mmol/ L per protocol unless on low Dose scale
If you need to make schedule adjustments outside of the open schedule period, who should you talk to?
Who is my direct supervisor
This document, adopted on July 4, 1776, announced America's independence from Britain.
What is the Declaration of Independence?
Aside from Florida, where can you find “Orlando Health” Hospitals?
Where is Puerto Rico and Alabama?
T or F: the Correct progression to for weaning a Chest tube is 1. Continuous suction, 2. Intermittent Suction, 3. Water Seal.
What is False! (Putting a chest tube to intermittent suction can cause a spontaneous Tension Pneumothorax.)
When do we usually replaced Mg+?
As soon as labs populate, Under 2.0 mmol/ L per protocol, monitor for need low dose Scale
How many weekend shifts should team members work per hospital policy?
Full time- 6 weekend shifts,
Part time- 3 weekend shifts,
PRN- 1 Weekend shifts
This founding father was the principal author of the Declaration of Independence.
Who is Thomas Jefferson?
What year was Orlando Health founded?
What is 1918?
T or F: It is okay to take the chest tube off continuous suction to walk the patient.
What is True: (The chest tube can be temporarily put to water seal to ambulate or transport a patient.)
What lab do we review before signing off on Mg?
CrCl, - if less than 45 mL/min or pt weight is < 40kg, may need low dose protocol, if <30 mL/ min, page MD on next steps, HOLD for < 20 mL/min and page MD.
What are your holiday scheduling requirements?
FT- 1 major, 2 minor’s,
PT, 1 major, 1 Minor
Prn, 1 weekend
Where was the Declaration of Independence signed?
Where is Philadelphia, Pennsylvania?
What was the hospital’s original name?
Orange General Hospital
What does continuous bubbling mean in the atrium?
There is a leak in the system, investigate from the insertion site to the chamber.
This body system is usually affected by K+/ Mg+ imbalance?
What is Cardiac, specifically rhythm changes?
What is the latest time to Call in without a “No Call, No Show”?
0500 for day shift, 1700 for night shift
The Liberty Bell is traditionally tapped 13 times on July 4th to honor these.
What are the original 13 colonies?
How many beds are there total across Orlando Health?
3,200!
How often should you assess a Chest tube, and what are you looking for?
Depends on the patient, generally q1- 4 H. Assessing insertion site, Lung sounds, Output, Trachea position.
Why is a rapid Na+ shift dangerous? What is the proper rate?
Rapid shift in Na+ can cause irreversible CNS changes, <(0.5 mEq/ L/ hr or 12 mEq/L in 24H).
What is it called when you take a 30 minute meal break, and mark that you didn’t?
Time Fraud 😊
This Founding father is immortalized in the form of a theatrical musical.
Alexander Hamilton
How many Babies are born per year at Orlando Health?
We welcome more than 20,000 babies across the system.
What should you do if a chest tube falls out of the insertion site?
Stay with the patient cover insertion site with occlusive gauze, only covering three side, allowing air to escape, but not letting air re-enter the pleural space. Notify MD.