Comprehensive Care
What is a high falls risk score?
Greater than 9
What is the number for a hospital emergency
2222
What Adult BTF zone is a Temp of 38.0 within?
White Zone
How many minutes do you have to give IVF and Abx to a Septic patient?
Within 60 minutes
What is the correct dosing of nurofen for a 17kg child.
10mg/kg
10x 17 =
170mg
Which patients require an ASSIST?
Suspected or confirmed Stroke patients
How do you test a PDA?
1. Hold vertically
2. Press the red or blue arrow
3. Check the tag number and location is correct.
How many weeks post-partum does a patient need to be for a SMOC to be commenced.
6 weeks post-partum
What are the 4H's and 4T's
Hypoxia
Hypo/Hyperthermia
Hypovolemia
Hypo/Hyperkalemia
Tension pnuemothorax
Toxins
Tamponade
Thrombus
What is the safest site to administer an IMI for a child < 2years
What are 3 recommended appropriate strategies for a patient who scores >4 in a 4AT
Escalate to MO
Bladder Scan & Urinalysis +/- MSU if possible
Bowel movement - Monitor & Record
Implement BAOF (Behavioural Assessment & Observation form)
Investigate the following: Dehydration / Pain / Infection / Changes in medication
Increased Supervision - Consider relocate patient
Monitor any disturbance in sleep and wake pattern
What information do you need to relay when calling a MET or CRC
Patients name
Admitting doctor
Reason for MET call or CRC
Patient location
Your name
On the COSA chart. What do P, C and S stand for?
Patient
Carer
Staff
What is the acronym for assessing stroke patients? What does each letter stand for?
BEFAST:
Balance
Eyes
Face
Arms
Speech
Time
A 60-yr old female presents to ED with 8/10 RLQ pain. Which waiting room should the patient be allocated to?
Acute Waiting Room
List 4 signs of a potential Paediatric Non-Accidental Injury?
Conflicting/changing stories
Absent Carers/Parents
Unexplained/non-correlating injuries
Injuries not consistent with developmental age
Child repetitive apologies
Delayed/multiple presentations
Child fearful of parent/carer
Child disclosing NAI
Injuries to Gentelia
What type of patient needs a BOAF?
Mental Health
Delirium/Dementia/Cognitive Impairment
Behaviourally challenging patients
Drug and Alcohol patients
Recent changes in behaviour
Patients with a high risk of deterioration
Your patient is tachycardiac, tachypnoeic and has a narrow pulse pressure.
What could be the cause?
Cardiac Tamponade
Interpret this ABG:
pH 6.95
PaO2 92
PaCo2 85
HCO3 18
Respiratory Acidosis - Uncompromised
What is the nonmonic device for a cardiac arrest, what does each letter stand for?
Continue compressions
Oxygen away
All else clear
Charging
Hands off
Evaluating rhythm
Defibrillate or Dump
What are the steps following a patient who is demanding to leave against medical advice?
Escalate to TL
MO to review patient and assess capacity
If the patient is deemed capable can sign DAMA form.
If the patient is deemed to have no capacity is treated under DOC.
What is the acronym for graded assertiveness
PACE:
Probe
Alert
Challenge
Emergency
CUSS:
Concern
Uncomfortable
Unsafe
Stop
How often do you do vital signs for a patient post sedation?
5 minutely for the first 20 minutes. The 30 minutely until the patient is back to baseline.
A patient has is offloaded into your acute bed. You attend your initial assessment and vital signs and note the patient is pale, diaphoretic, HR 185 and BP is 76/49.
What are your next steps?
Call for help - Emergency button or Call TL
Apply Defib pads
Move to Resus bed for ongoing treatment
Document
What is the 8-step process if a scheduled patient absconds from ED.
1. Escalate to TL/Manager and MO
2. Search for patient within department
3. Attempt to contact patient or family
4. Contact security
5. Report to the Police
6. Complete absconding form
7. Send absoconding form and Section 19 to Police
8. IIMS and document