ADT/ MAP
This is the greatest resource in ADT
what is a protocol room
This is due within 30 minutes of iv pain medication administration
what is pain and vital signs reassessment
This must be given before patient is paralyzed for intubation
What is sedation
This must be done on all ESI 1,2 and 3 pediatric patients
What is a full set of vital signs including weight, naked weight if infant
this is performed on any suspected stroke patient before any PO intake
What is swallow eval
This is a protocol appropriate task
What is: PO non narcotic medication, topical medications, straight stick labs, covid/flu labs, xrays, IM non narcotic meds, CT without contrast or istat creatinine/ CT scan/ remove iv before returning to WR.
These assessments need to be documented on all admitted, snf and incontinent patients
What are braden and schmid
This number is typically what vasopressors are titrated to
What is a MAP of 65
In a pediatric patient, CPR would be initiated if signs of poor perfusion were present and a heart rate of
What is 60
This electrolyte abnormality is a well known stroke mimic and must be ruled out prior to thrombolysis
What is hypoglycemia
Jabari gives a norco to a patient in ADT/ MAP who is going back to waiting room. Was he supposed to do that?
What is NO! No narcotics are to be given in patients going back to the waiting room, unless, strangely, they are to be discharged home after receiving medication
Orders need to be released in (x) hours for admitted med surg patients, in (x) hours for admitted telemetry patients, and in (x) hours for admitted icu patients
What is (4) hours for med surg, (2) hours for tele, and (1) hour for ICU
Norepinephrine infusions are typically titrated using this weight based unit
What is mcg/kg/minute
This silver circular probe gets replaced by a golden heart and placed over the liver in a patient
What is the temperature probe in the infant warmer
This medication is a first line agent for seizure prophylaxis in preeclampsia and when given as rapid infusion needs vital sign monitoring every (x) minutes. These medications are used for hypertension in pregnancy and require bp to be retaken in (x) minutes
What is magnesium sulfate and needs vitals every 10 minutes. What are labetolol and hydralazine needs recheck bp in 10 minutes
My MAP doctor wants me to put a patient back in the waiting room to wait for results. Is that okay?
What is yes, with some restrictions. Per MAP team, Only protocol appropriate tasks are to be completed on that patient in MAP space. MAP is a 4 patient assignment.
True/ false: Nursing assessments need to be performed in the RC area
False! Policy states: Exclusion critieria (to nursing assessment) are "patients receiving care in the rapid care area" and "patients with a minor injury or illness that do not require nusing interventions may have their care, including the discharge, provided by the ED Physician and/ or Allied Health Provider. Of course it's always a really good idea to do one...
A common side effect of propofol infusion due to vasodilation and myocardial depression
What is hypotension
This chief complaint has significant morbidity associated with and is seen mostly in pediatric patients
What is button battery ingestion
These pharmacokinetic properties make propofol ideal for procedures requiring quick neurologic assessments
What is rapid onset and short duration of action
Alejandro has agreed to place an iv and run a liter of fluids and some antibiotics in a patient in protocol room, saying that they will be discharged right away. What type of decision is this?
What is a bad one, frustratingly. The liter and antibiotics will take too long to infuse and you have lost your ability to use that room in the meantime.
these assessments need to be checked every 15 minutes when charting behavioral restraints
What is behavior / mental status, physical comfort (repositioning, pillows, patient asleep), circulation checked (no signs of injury, redness, edema), continuous observation, and restraints still required?
The part of the arterial waveform that is the aortic valve closing
What is the dichrotic notch
The expression "red as a beet, dry as a bone, hot as a hare, blind as a bat, mad as a hatter, and full as a flask" is indicative of what type of toxidrome
What is anticholinergic toxidrome
Mechanical thrombectomy is recommended within this time frame for eligible patients with LVO (extended windows in select cases)
What is within 6 hours (up to 24 hours in select patients)