c-spines
Full spines
Trauma
LVAD
Tid bits
100
How often I need to change the pads under a cervical collar
What is once a day. They are washed with J&J and hung to dry.
100
Spinal precautions for the patients neck and back
What is full spines
100
How someone entering a patient's room knows the pt needs spinal precautions
A c-spine or full spine sign on the door
100
The reason CICU may get a trauma patient
What is an LVAD
100
Hypothermia
What to avoid in a trauma patient
200
The part of a cervical collar that goes on first
What is the back piece
200
How many people it takes to properly turn a full spines patient
What is 4? 1 for c-spine, 2 on the side you are turning towards, and one to provide patient care on the opposite site. (skin care, cleaning, turning.)
200
When a trauma patient's blood pressure drops
What is check for bleeding internally or otherwise, and consider the mechanism of injury, and if they were fluid resuscitated
200
Why LVADs may alarm low flow if your pt is bleeding
What is preload dependant
200
A trauma patient should have this prior to coming to the CICU. (The trauma MD may order exceptions in cases of need for emergent stabilization in the CICU.)
What is a CT scan
300
I call them when I can't fit my C-collar well
Charge nurse, SICU charge, if SICU charge or staff is unavailable 5 BT
300
Who is in charge of calling out turns or boosts by counting to 3
What is the person at the hob
300
Type and screen
What lab does most trauma patients need ordered
300
Peripheral pulses
What an LVAD patient may not have
300
Standard pillows under a pt wearing a cervical collar
What should never happen! If necessary, a z-flow pillow may be used to provide support to a patient's head if it does not lay flat on the bed.
400
How many people it takes to apply a cervical collar
Two, one to hold c-spine and one to place collar.
400
Long firm wedge or Blankets rolled the long way
What I use to maintain a turned position in full spine patients
400
UNC Disaster
What is part of the name of a patient admitted to the ICU that has not been identified
400
Makes an LVAD trauma patient likely to bleed
What is anticoagulation
400
How a trauma doctor clear c-spines on an awake patient before a finalized CT
pt denies pain on cervical exam
500
How I know if the patient needs a cervical collar after an accident
What is the MD note or orders? Ask the doctors and look to see if a CT scan was done.
500
How high I can raise the hob on a full spines patient
reverse trendelenberg only, no hob elevation
500
I need a full length backboard if I am going to do this
What I need when transferring a patient in full spines from cart to bed or bed to cart
500
Hum
What is the sound an LVAD makes when auscultating the chest
500
What can be used to clear c-spines if the patient is unable to respond (i.e. intubated)
MRI