LAST
Define the acronym LAST
What is Local Anesthetic Systemic Toxicity
First step in cleaning process when using an endoscope
What is precleaning?
Where is it performed? Bedside or site of procedure
All activity stops
What is time out
Color of the falls wristband and socks
What is yellow?
Position for colonoscopy
What is left lateral ???
Affects the ability to metabolize local anesthetic and places the patient at high risk for developing LAST
What is decreased cardiac, hepatic, and/or renal function?
Time patient needs to be NPO before an EDG
What is at least 2 hours, can be four
Vertified, placed in container, labeled correctly, confirmed prior to close
How are specimens are handled
Used to prevent falls
What is constant attendance, vigilant observation, and safety straps or side rails
Medication is not label, what should you do with it
What is discard unlabeled medications, do not use on patient
Consult if there is a concern or question about the patient's acuity and use of local anesthesia
Who is the physician doing the case or an anesthesia provider?
Worn while cleaning endoscopes
What is PPE
Personal Protective equipment
Assessing for open oxygen source, use of alcohol based prep, and use of an energy source (cautery, lasers, light source, drills & saws)
What is the fire risk assessment?
Strategies to minimize falls
unobstructed pathways for walking
clean up spills and debris asap
slip resistant footwear
hazard signs if floor wet
Best way to minimize preoperative or pre procedure anxiety
What is educate them on what to expect
Metallic taste, numbness of tongue & lips, tinnitus, tachycardia and hypertension
What are initial symptoms of LAST?
with increased toxicity, bradycardia and hypotension
Must be done before manual cleaning
What is leak test?
If scope fails leak test, remove it from service and have it repaired or replaced
Needed to identify patient
What is name and date of birth?
Impact of patient falls
What is increased length of stay or hospitalization, need for rehabilitation, increased health care costs
What are you verifying when witnessing a patient's signature on a consent form
What is the signature was made by the person whose name is written
Treatment of LAST
What is administration of 20% Lipid emulsion therapy?
Where do you find it at your facility?
Specimen verification process, who is involved?
Who is Nurse (circulator) GI technician, and physician or provided at the end of the case, debrief
Define the acronym CARE
What is...
Connect with the patient
Acknowledge them
Reflect that you care to the patient
Emphasize they are in the best hands
Asked to identify older adults who are at risk for falls
What is- have you had a fall in the past 12 months or are you afraid you might fall
The Nursing Practice Act
The body of state law that mandates the State Nursing Board to set out the scope of practice and responsibilities for RNs in that state