To measure the severity of respiratory distress in paediatrics
What is the PRAM (paediatric respiratory assessment method)
The gold standard for treatment of a STEMI
What is percutaneous coronary intervention (PCI)
This mnemonic is used to structure communication with other health care providers
What is SBAR (situation, background, assessment, recommendation)
The minimum frequency of documentation and vital signs
What is every 2 hours
For all patients who die in the ED, a phone call is made within the hour to whom
What is TGLN
The "M" in CIAMPEDS
What is medications
A patient with chest pain but no ECG changes and a positive troponin would be diagnosed as
What is a NSTEMI
This mnemonic is used to outline high alert medications
What is PINCH TVP
All patients greater than 65 years of age or those who are at risk for developing delirium will be assessed with this tool
What is the Confusion Assessment Method (CAM)
A person has collapsed outside within the hospital parking lot, how should help be elicited
What is a medical emergency on hospital grounds
Presenting with altered LOC, confusion, lethargy, persistent vomiting, jitteriness, or ill appearing are reasons to check this
What is a blood sugar
Patients who are ordered continuous cardiac monitoring must be transferred using this device
What is a defibrillator / Philips Intrepid
Comfort, activity and position, restroom, and environment is included in this assessment
What is CARE rounding
Upon admission, two assessments need to be completed
What is Braden & Falls Risk
Activated for imminent births in the ED
What is code OB
IV fluids or medications for patients under this weight need a buretrol and pump
What is 5 kg
The time frame in which patients presenting with ACS symptoms must have an ECG
What is within 10 minutes of arrival or onset of symptoms
The "I" in PINCH TVP
What is insulin (subcutaneous and intravenous)
This record must be completed every 15 minutes for patients on a form 1 or if they are in physical or environmental restraints
What is the Restraint and Seclusion Observation Record
All blood and blood products must be competed by this time
What is within 4 hours of issue
A febrile 6-year-old weighing 47 lbs needs this dose of acetaminophen
What is 321 mg
In an inferior or posterior MI, the nurse would not initiate this medication via medical directive
What is nitroglycerin
To determine what PPE I need to wear, I will do this
What is a point of care risk assessment (PCRA)
Patients presenting with the onset of stroke-like symptoms less than 24 hours need this
What is the ACT-FAST
If you are the first nurse to receive admission orders, signing in this section denotes that you have reviewed the chart and written out the orders
What is the transcribed by line