Sepsis
This is what is triggered by abnormal vital signs
What is a BPA
You get a radio call for a 13 yr old GSW to the abdomen what do you do
What is page out a level 1 (using phone line 167)
14 year old patient arrives for suicidal thoughts- what do you do first?
What are check the room, have patient undress and place in hospital gown, secure belongings (including phone) at nurses station/locked room, let Charge RN know to get a sitter
What should your patient have before attempting to give report to the floor
What is a clean and ready bed with floor orders
You are giving a unit of blood in a trauma, what is the order that should be placed?
What is Emergency transfusion- making sure to note to NOT issue the unit from blood bank because it was taken from our refrigerator
This is done when your patient is potentially septic
What is a sepsis huddle
Preferred method for taking the first blood pressure in a trauma?
What is a manual blood pressure
Whom should you call if you have a patient with thoughts of self harm?
Who is Synergy
Who can transport a patient on continuous nebs to the floor?
Who is the nurse
What do you do with that yellow form that is attached to the units of blood in the trauma bay?
What is place a patient sticker on it, have the physician sign the form and tube the form to blood bank
Number to dial when paging out a sepsis alert
What is 167
Patient arrives hypotensive (80/palp), diaphoretic and tachycardic (140) what should you anticipate
What is blood transfusion via rapid transfuser
Patient becomes agitated, what do you do first?
What is attempt de-escalation & less restrictive alternatives before resorting to restraints
Radio call for 24 yr old woman G4P3 with contractions every 2 minutes, report is her water has broken and mom is bleeding- what should your do
What is Call a Dr Stork (167 on phone)and prepare for imminent delivery
A 15 year old female is in need of an emergent transfusion, which blood products are safe for her to receive?
What is O negative should be given first, if available. If none available let surgery know and ask if ok to proceed with O+
Labs done for a sepsis patient
What are CBC, ER I & II, Blood cultures, Urinalysis & urine culture, RVP, VBG
Your patient arrests shortly after arriving- what do you do first
How long should restraint order be for a 10 year old?
What is every 2 hours.
You are the triage nurse and a pregnant woman walks in the ED lobby doors asking for L&D what should you do?
What is ask the woman if she needs immediate care- if yes arrive and evaluate for Dr. Stork- if no have someone transport to L&D (do not arrive)
How often do you do vital signs on a patient receiving a blood transfusion?
What is at MINIMUM just before the start of the transfusion, 15 minutes after the start (you must stay at bedside for that first 15 minutes) and upon completion
What is correct dosing and how fast should a NS bolus be given to a 30kg patient?
What is 600mL bolus over 20 minutes using the life flow
Which epi do you give for a patient in full arrest- dose and route
What is Epi 1mg/10mL dose is 0.01mg/kg and preferred route is IV/IO
This is resolved when patient is taken out of restraints?
What is the care plan?
Who is responsible for arriving a mother and her newborn if she delivered at home?
Who is the ED nurse in the Trauma bay at the time of their arrival
You suspect your patient is having a transfusion reaction, what should you do?
What is stop the transfusion, hang new IV tubing with 0.9NS, do not throw away blood tubing, unit of blood or other fluids connected to IV tubing, order transfusion reaction evaluation in Epic, collect new pink top, place blood products and tubing in a large sealed bag, send blood products/tubing, new pink top to blood bank