Sugar, We're Goin' Down
(Diabetic Management)
(Diabetic Management)
The Rhythm is Gonna Get You
(Cardiac Rhythms)
(Cardiac Rhythms)
You've Lost Weight!
(Bariatrics)
(Bariatrics)
In the Know
(Chain of Command)
(Chain of Command)
Paper No More?
(Documentation)
(Documentation)
100
Action performed with Glucometer after checking a blood glucose in order for the glucometer to communicate results into EPIC.
Docking
100
The type of heart block that is characterized by a complete failure of electrical signals to pass from the atria to the ventricles, often requiring a pacemaker for treatment.
Third-Degree Heart Block
100
Team member that is the direct link between the bariatric clinic and the hospital; resource to patients at any point in the bariatric surgery process; maintains our MBSAQIP accreditation; resource to hospital staff; and facilitates the pre-operative class, post-operative education, discharge education, follow-up calls, support groups and committee meetings.
The Metabolic & Bariatric Surgery Coordinator (Anna Stafne)
100
The person to whom the nurse would escalate to when upon receipt of a critical lab result, after having paged the provider twice with 30 minutes, but still has not received a call back.
Nursing Supervisor
100
What I am and where I am found.
A downtime shortcut link available on any computer.
200
Process by which you must perform hand hygiene, wipe with germicidal wipe, discard wipe, use second germicidal wipe to clean three times vertically (top to bottom) and then three times horizontally (left to right) on front and back of device.
Proper Cleaning of Glucometer
200
The heart block, also known as Mobitz type I, that is characterized by a progressive lengthening of the PR interval followed by a dropped beat.
Second-Degree Heart Block (Wenckebach)
200
A complication that occurs after surgery and occurs when food (sugar) moves from the stomach into your small intestine too quickly; Very uncomfortable; Can start within 10 minutes or up to 3 hours later. Symptoms: Bloating, nausea, vomiting, diarrhea, racing heart, dizziness, sweating, blood sugar spikes then drops too low (reactive hypoglycemia).
Dumping Syndrome
200
Type of communication formatting used when communicating a change in condition to providers.
SBAR
200
The system (never in EPIC) where near-misses or actual events are documented.
Origami
300
Process when patient is made NPO with:
- Type II DM: give 50% of scheduled insulin dose unless provider has order specific instructions for NPO status.
or
- Type I DM: give full basal dose unless otherwise ordered by provider.
Hypoglycemia Prevention
300
The term describes as a situation in which a pacemaker sends an electrical impulse, but the heart muscle fails to respond, resulting in a lack of contraction.
Failure to Capture
300
Surgical procedure that removes approximately 80% of the stomach; maintains normal emptying process; decreases hunger, increases fullness, and allows the body to maintain a healthy weight as well as blood sugar control; considered a restrictive procedure.
Sleeve Gastrectomy
300
The hospital team members who must be notified immediately when a patient has expired while in restraints.
Nursing Supervisor, Risk Manager, and Nursing Leader
300
Process once received abnormal or critical results where you first read back results to the reporting department and then notify the provider immediately, with an expectation of a return call within 30 minutes.
Provider Notification
400
The next step in the treatment plan (with expected physician orders) for the following patient having already immediately notified the physician, administered 25ml D50 slow IV push and repeated twice.
- Blood glucose <70mg/dL
- NPO
- Altered LOC
- Bariatric Surgery within the last 7 days
Start D10W at 50ml/hr.
Recheck blood glucose 1 hour after patient is stable at 80mg/dL or greater.
400
The arrhythmia characterized by a rapid, chaotic electrical activity in the atria, often resulting in an irregularly irregular pulse and potential risk for stroke.
Atrial Fibrillation (A-Fib)
400
Surgical procedure that changes the route of food passing most of the stomach and the first part of the small intestine, creating a pouch the size of an egg; modification of the food course works to decrease hunger, increase fullness, and allow the body to reach and maintain a healthy weight; considered restrictive and malabsorptive.
Roux-en-Y Gastric Bypass
400
The team member who completes the origami when a medication error has taken place after the Charge Nurse and Provider are made aware, even though there is no immediate change in the patient condition.
The individual that reported/identified the error.
400
Notation and best practice for unusual events, findings or specific communication or conversations held.
Narrative Nursing Note
500
Condition characterized by hyperglycemia without ketones in the urine and may have a regular anion gap.
Hyperglycemic Hyperosmolar Nonketotic State
(HHNS)
500
A life-threatening arrhythmia marked by a disorganized electrical activity in the ventricles, leading to ineffective quivering instead of coordinated contractions.
Ventricular Fibrillation (V-Fib)
500
Postoperative clinical image; Patients presents to PACU with tachycardia/pulse>110, upward trend in HR, tachypnea, fever, pleural effusion, abdominal pain, rebound tenderness, patient looks “sick”.
Signs of a Sleeve Gastrectomy Leak
500
The hospital department which requires immediate notification upon discovery of a tampered narcotic.
Pharmacy
500
An EPIC documentation tool used to quickly document information during or post situations such as: STEMI, Sepsis, Code, Sedation, Sepsis and Trauma.
EPIC Narrators (Specialty Narrators)