Suicide precautions
How often must a Suicide precaution patient be charted on and where do you chart?
every 15 minutes and under safety checks
What is capnography?
Measurement of exhaled CO2
How can you activate a CODE blue if you do not have access to a code button?
Dial 66
When are comps due?
June 30th
True or false:
A suicide precaution patient must be on constant observation (1:1)?
True
How can capnography be measured?
Using capnography capable nasal cannula and MP30 monitor
Where can you access a BVM quickly during a CODE?
On the code cart
Who should attend the weekly restraint training that is offered every Tuesday 0800-0900?
Everyone
What should you do if a patient is engaging in harmful behavior such as head banging, wall punching, or self-biting?
Ask them to stop and if they do not stop, consider restraints and notify MD
True or false:
ETCO2 (capnography) is just as good as an ABG for assessing respiratory status.
False. ABG is better than ETCO2 because it also measures oxygenation and blood pH
True or false:
A housekeeper can push the shock button on the AED?
True
What tab in epic allows you to check if a controlled substance has been e-scribed?
Chart review- meds- medication
Where can I locate more information related to how to care for a Suicidal patient?
Lippincott procedures: Suicide Precautions
What may cause an increase in ETCO2?
decreased ventilation, increased CO2, venous PE, ROSC after CPR, COPD, respiratory depressants, metabolic acidosis
What mode should the defibrillator be in until the code team arrives and how do you know it is in the correct mode?
AED mode only. If the machine is talking to you then it is in the right mode.
If the machine is not talking and all of the buttons are lit up, you are in manual mode and practicing outside of your scope of practice.
Where can you look to check the expiration date of your certificate (NIH, ACLS, etc)?
S Drive- education files
What are some common items that should be removed from a room of a patient who is presenting with suicidal behavior?
IV tubing, razors, call light, phone cords, silverware (order plastic ware), glass that can be broken, shoelaces, belts, drawstrings for pants or sweaters
What can cause a decrease in ETCO2?
Respiratory depression, PE, Excess ventilation, hypotension, complete airway obstruction, metabolic acidosis
List the top priorities to get done prior to the code team arriving
activate code blue, start CPR, defib pads on/AED on, backboard under patient.
What is the charge nurse ascom number?
4-1319