Med Math/Safety
The correct single dose of Acetaminophen for a 3yr old who weighs 15kg.
What is 150-225mg (10-15mg/Kg)?
The names of all the permanent Access team Clinical Site Coordinators.
Who are: Angela, Montana, Elynn, Sharon, Jenny, Shannon?
Name one physical sign of respiratory distress in pediatric patients?
What is nasal flaring, chest retractions, grunting, tachypnea, stridor, barking cough, hoarseness, wheezing, snoring, gurgling, crackles, head bobbing, decreased air movement, shallow breathing, increased respiratory effort.
One of your pt's is a 6yr old child, weight 23 kg, Abdominal Pain NYD; IV insitu, NPO as pre-op for surgery. I calculate at the start of my shift their total fluids for the day should be ______.
1560mL/24hrs
based on
greater than 20kg child=1500mL + 20ml/kg
7
When programming your IV medication into the pump (duration, rate, volume) this is the mode that is considered best practice, is one less step, and is outlined in our IV medication administration policy.
Rate/Volume
The most senior leadership team members are___________ & ________________. This person has worked for ____________yrs, and the other person has worked_______ yrs.
Who is Shannon, who has worked here for 13yrs and Shelley for 34+yrs? (since August 1991)
The blood sugar reading that requires immediate hypoglycemic treatment of a type 1 diabetes patient.
What is 3.9mmol or lower?
Describe the term 'NPO' to a 4yr old.
What is...no food or drinks until after your doctor says it's okay?
Name 3 different types of therapy animals do we have at BCCH?
What are cats, dogs, rabbit, mini pony?
When administering IV antibiotics via a double lumen central line (has both a red and blue lumen) you administer the 0800 dose via the blue lumen. The 1400 dose will be administered via the _____ lumen. The 2000hr dose will be administered via the ______ lumen.
1400hr dose via the red lumen
2000hr dose via the blue lumen
***you need to alternate the antibiotics via both lumens as the central line is a foreign object in the body and may be the source of the infection.
The two newest members of the NRT Leadership team.
Erin Hutton and Sharon Mitara
Closed-loop communication definition in a clinical setting.
What is to repeat information back to confirm accuracy
Example: Administer 2mg morphine IV now; I will give 2mg IV morphine now.
This structured communication technique is used to standardize communication between two or more people
SBAR (situation background assessment recommendation)
The number of times does the average toddler laughs in a single day.
What is 300 times!
True or False: You can crush an extended-release tablet if the patient has difficulty swallowing.
What is False?
While others have photos of their families or pets, Angela chose this to highlight in the Access Office?
What is her bike?
The antidote for acetaminophen overdose in children is
a) Naloxone
b) Atropine
c) N-acetylcysteine
d) Activated charcoal
What is C) N-acetylcysteine?
An oncology patient presents to the ED with a temp of 39.1, lethargy and dehydration. Your next steps will be _____and I expect _____________to happen next.
What is do vital signs, access patient central line (port or CVC), blood work (blood cultures, CRP), Tylenol after cultures drawn, prep lines for abx and administer as ordered?
The average number of steps a bedside nurse walks in one 12 hour day shift.
Anywhere from 9000-15000 steps
The object located on the clinician cart that is part of your room safety check that if missing could hurt your back and potentially could cause patient harm in an emergency situation.
What is the CPR stool for doing compressions that may be required if the patient is in a crib that you may require for your compressions to be effective.
Erin B's cat name.
What is Freya?
Kawasaki disease is primarily treated with this medication to reduce inflammation and prevent cardiac complications.
What is IV immunoglobulin (IVIG)?
A 5-year-old with a known congenital heart defect suddenly collapses while playing. The child is pulseless and unresponsive.
What is initiating CPR and activating the code team immediately?
The main PAW Patrol characters are...
Who are Ryder, Chase, Rocky, Zuma, Skye, Rubble, Marshall?