Sepsis
A life-threatening organ dysfunction caused by dis regulated host response to infection.
Sepsis
The Joint Commission created this set of patient safety goals in order to improve _______.
Patient Safety
30:2
Compression to breath ratio.
Restraint used to protect patients against injury to self or others.
Violent/self-destructive restraints.
A "brief excursion across professional lines of behavior".
Boundary crossing
A cluster of symptoms triggered by an inflammatory response that may be due to an infectious process.
SIRS
Reliably identify the individual for whom the service is intended.
Name and Date of birth
Eight year old with heart rate of 40 bpm.
Initiate CPR
Emotional support, family presence, reducing stimuli.
Less intrusive measures.
"The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations."
Definition of Nursing.
Initial lactate level greater than or equal to 4mmol/liter
Septic shock.
The objective is to provide the responsible licensed practitioner these results within an established time frame.
Panic values.
Give up to 5 back slaps and chest thrusts.
Intervention for FBO infant.
Apply to wrist for patient pulling on their NG tube.
Soft wrist restraints.
A nurse displays actions of compassion, kindness and concern.
Philosophy of Caring in Nursing
Labs ordered upon recognition of SIRS includes STAT _______ and ___________.
Lactate and Blood cultures
Monitoring patients lab values when used as a therapeutic treatment for atrial fibrillation, deep vein thrombosis, pulmonary embolism, or mechanical heart valve implant.
Start compression within ________ of recognition of cardiac arrest.
The critical concept; within 10 seconds.
Patients receive monitoring every 30 minutes by an RN and cannot be delegated in this situation.
Violent self destructive restraints.
Boundary violation.
Apply vasopressors if hypotensive during or after fluid resuscitation to maintain a mean arterial pressure greater than or equal to 65 mmHg ____ hours of septic shock presentation.
Within 6 hours.
Comparing medications patient is currently taking, should be taking, and newly ordered.
A part of medication reconciliation.
Cool extremities, altered mental status, weak pulses, paleness or mottling.
Signs of poor perfusion.
Patient will be 1:1 with Registered Nurse pending arrival of physician.
Emergent application of restraints.
It is all around us and our response to it determines the level of success we can achieve.
Change.
George Bernard Shaw said "You see things and you say why? But I dream things that never were and I say why not?"