Don't Stand So Close to Me
Hello From the Other Side
The Little Old Lady from Pasadena
Five O'Clock Somewhere
It's Complicated
100
Determine mode of transmission
Use of appropriate PPE
Isolate the patient accordingly
Notification to infection control department and local public health department / other agencies as required
What are the necessary steps in caring for an infectious patient?
100
Do not allow live plants or flowers in the patient’s room
Perform hand hygiene before and after patient contact
Visitors must also wear masks in rooms
What are Protective Precautions?
100
Less tolerant of changes in VS
Wide variation in baseline health - need to denote what is baseline for THIS patient
Likely to have vision and hearing impairments
Comorbid conditions
Baseline neuro and mobility status
What are considerations for the geriatric patient?
100
Consumption, type of alcohol, last drink
What are assessment questions to ask patients with a complaint of alcohol withdrawal?
100
Duodenal Switch
Sleeve
Gastric ByPass
Gastric Band
What types of bariatric surgeries?
200
Recent travel outside the US
Any recent travel
Any exposure to COVID or other sick contacts
Immunizations status
What are questions to ask in a travel screen, upon arrival to the ED?
200
65 y/o male present to the ER with night sweats, intermittent cough, shortness of breath, and weight loss would be in this type of isolation.
What is Airborne?
200
Cardiac arrhythmias, Heart Failure, Chronic Kidney Disease Diabetes and COPD
What are comorbid conditions commonly seen in geriatric patients?
200
Head trauma, glucose or other electrolyte imbalances, sepsis and dehydration
What are differential diagnoses to consider?
200
Intra-abdominal bleeding
Leaks / Sepsis
Obstruction
Pulmonary Embolism
Abdominal compartment syndrome
Hypovolemic shock
What are complications of bariatric surgery?
300
Rashes, diarrhea, lifestyle conditions (homeless, crowded, substance abuse), odors (gasoline, other chemical concerns), meningeal signs, Koplik spots non blanching petechiae, hemoptysis
What are concerning symptoms for infectious diseases?
300
6 y/o with fever, rash (started on trunk), red macules that turn to teardrop vesicles, and itchy would need this type of isolation.
What is Airborne?
300
This event is likely to impact even a healthy older patient more significantly than a similar event to a younger patient; it is also one of the most common causes of injury in the geriatric population.
What is falls
300
A tool to measure of the severity of patients' alcohol withdrawal syndrome by assessing 10 withdrawal symptoms
What is CIWA-Ar (Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised)?
300
Due to the risk of perforation of recent gastric bypass incision/staple site, insertion of this device should be avoided?
What is an NG tube?
400
Varicella (Chickenpox), Mycobacterium Tuberculosis (TB), Severe Acute Respiratory Syndrome (SARS), and Rubeola Virus (measles), COVID
Neisseria Meningitidis and Group A Streptococcus
Clostridium Difficile (C-diff) Vancomycin-resistant Enterococci (VRE), and Respiratory Syncytial Virus (RSV), wound drainage
What are infectious diseases?
400
19 y/o with nuchal rigidity, non-blanchable petechiae throughout, fever, and AMS would need this type of isolation
What is droplet?
400
While an elevation in this vital sign is usually associated with infection in the general population, in the older adult, a low reading is actually more commonly associated with infection.
What is temperature.
400
Protecting the airway
Administration of Thiamine, Folic Acid and Multivitamin (Banana Bag)
Monitor electrolytes (glucose, magnesium levels)
Monitor for fall risks
Ongoing evaluation of CIWA-Ar
What are treatments for patients in alcohol withdrawal?
400
In the bariatric patient, this position facilitates mask ventilation and improves intubating conditions, as well as improving lung volumes and pulmonary compliance. It provides a longer safe apnoea period than the 30° semi Fowler or horizontal supine position.
What is reverse trendelenburg with ramped shoulders, neck and head
500
What is a PAPR?
500
This precaution protects against diseases spread through direct / indirect contact with a patient’s environment
What is contact precautions?
500
This is a best practice for verifying we have the correct patient identifiers for a patient with visual impairment
What is spelling the name and stating the date of birth (either pt or staff)
500
Tremulousness / Tremors
Anxiety / Uneasiness
Labile Mood
Motor Hyperactivity
What are withdrawal symptoms?
500
⅓ of people with a BMI > 40 have this condition that is associated with chronically elevated CO2, hypoxic respiratory drive, and sensitivity to opioid related respiratory depression
What is Obesity hypoventilation syndrome