Lines & Equipment
Make sure you bring your Vaseline gauze in case this becomes dislodged
Chest Tube
Complete a chart review
What is the first thing you do before seeing a patient in the ICU?
Discharge Planning
What starts on Day 1 with the PT evaluation of a patient?
According to the RASS (Richmond Agitation-Sedation Scale), a score of what would indicate stopping assessment and rechecking later for PT services?
What is -4 or -5
The medical chart states the patient is NPO, what does this mean?
What is nothing by mouth
If you don't eat enough the doctor might have to put this type of line into your stomach. Don't aspirate!
PEG tube or J-Tube
The bedside nurse
Who is the primary practitioner you speak with prior to seeing a patient in the ICU?
Acute Rehabilitation, SNF, Home Health, & Outpatient
According to the RASS (Richmond Agitation-Sedation Scale), a score of this would indicate that the patient is combative?
What is +4
The medical chart states that a CIWA screen was performed. You can infer that your patient is experiencing what?
What is alcohol withdrawl
Found on an arterial line or Intracranial Pressure (ICP) line, it helps to relay pressure information. I hope it's the right height......
Transducer
Vital signs
What is something that you continuously monitor while working with a patient in the ICU?
Tolerates 3-hours of "intensive" rehabilitation/ day with a qualifying diagnosis
What are acute rehabilitation (Inpatient Rehabilitation Facility) admission requirements?
The CAM-ICU (confusion assessment method for the ICU) is used to rule in or out what?
What is delirium
The medical chart lists the patient’s current lab values. You see that the patient has a low pH and a high pCO2 with a normal HCO3. You now know the patient has?
What is respiratory acidosis
I moved my patient and I think I made their Heart Failure worse! You might want to seek input from this important line to see just how bad the fluid volume overload may be
Pulmonary Artery (PA) or Swan-Ganz line
Walking around the bed and checking what is attached to the patient
What is something you do before you mobilize a patient in the ICU?
The Case Manager (Social Worker)
Who is the coordinator and "ring leader" for discharge planning from the hospital setting?
According to the RASS (Richmond Agitation-Sedation Scale), a score of this or greater would indicate that the patient is responsive to voice.
What is -3
The medical chart states the patient has a RASS scale of -5 as of 1 hour ago. Will this patient be a priority treatment?
What is no
Oh no, I just saw an ST segment elevation on my patient! Better see if the cardiologist will use this type of line to improve coronary artery perfusion
Intraaortic balloon pump (IABP)
Ask for help
What is something that a good physical therapist will do when they are unsure about something in the ICU?
Insurance companies
Who essentially dictates where the patient is able to go for rehabilitation services after an acute care hospitalization?
The AMPAC scores 6 items on a scale of 1-4. Your patient is scored a 2 for question 3, which is moving to and from a bed to a chair. What does that mean?
What is mod/max assist with transfers
Your patient has a low MAP (mean arterial pressure). The patient has been placed on vasopressor medication. What are three things you can monitor for during treatment that would be considered side effects?
Many options here: BP, HR, blood clots, platelet levels, Afib, difficulty breathing…