Withdrawals
What lab test do you need to complete to determine which protocol a pt goes on?
UDS- Urine Drug screen
What 3 items must be brought to every A-team/Emergency Response?
Unit cellphone, crash cart, Radio
After checking in a new card of medication of 30 tabs, what should the nurse do to ensure that the count is correct in ezmar?
Enter the new amount received.
Dental: After a patient sends a kite for a dental concern and it is documented in their chart, what is the next step?
if non-emergent the nurse should Add the patient to the nurse PM for an oral assessment.
What is done with a pt on the PM who is not able to be seen that day
If not urgent move to next day
Which medication would you administer for elevated BP > 150/90 or HR of >90 for Stimulant withdrawal?
Clonidine 0.1mg
What 2 forms need to be filled out during an emergency Response for a pt being sent out?
Offsite referral, A-team/ Emergency Response Documentaiton form
If a patient is taking a medication of 2 tabs but the ————— count is set to 1, what will be delayed————?
Decremental and refill
URI: If a patient tests positive for a contagious disease such as Covid or influenza and they are a diabetic with asthma; who does the nurse contact?
Answer:Who is the on-call provider
What 3 things do you need to do when sharps are received from vendor
Open box and count out sharps, add to count sheet, put in locked cabinet
What dangerous condition as a result of Alcohol withdrawal can result in death. Hint- significant profound confusion
Delirium Tremens
What medication should you consider when an unresponsive pt has pinpoint pupils and shallow breathing and what needs to be done with the pt if this medication is administered?
(Narcan) (ER)
If a nurse is leaving her shift what should she do with the narcotic count?
What is double count with the oncoming shift.
SA:A transgender patient reports sexual assault prior to custody, the assault is reported as being less than 12 hours ago. What is the name of the exam that will be conducted at the ER?
what is a SANE exam.
What do you do if you are restocking your supply room and you note that you have met your reorder point for a supply
Check in overflow supply area first, pull the card, place in reorder bin, and if urgent need alert supervisor
What outside agency is contacted when a pt is positive for any substance use and is pregnant?
Mothers First
In an emergency response for chest pain what medication should be considered and how often can it be given?
and
What needs to be monitored before dosing?
(Nitroglycerin, Every 5 mins for a total o f 3 doses)
BP
A patient is allergic to aspirin, they are withdrawing from fentanyl and alcohol. What medication should be held of the withdrawal protocol medications?
what is pepto-bismal
What is the difference between the physical assessment and the
one you have a hands on assessment and one is the pts subjective view of themselves
How do you have a provider sign off on orders you place as an RN
MOrdersManagement- Inbox to provider
What may develop if Benzo withdrawal is left?
Delirium
In an emergency response for Seizure- when should Versed be given and what dose?
Sustained seizure active for greater than 5 mins, 10 mg for patients weighing 110 lbs or more
What reports do you download to create the nurse and CO list?
Med type report
Med Time block report
Describe the steps to complete and IHA
open new note, click on nurse visit, click on health assessment, complete both physical assessment and review of systems