Calling the Physician
I would locate the Physicians pager information here
What is the Emerson Hub
Person or Persons that can initiate a rapid response
What is anyone
The acronym for the assessment that would prompt you to call a "Code Stroke".
BEFAST
Balance, eyes, face, arms, speech, time
Two findings that would cause you to immediately call a "Code Blue".
No pulse
No breathing
The first person who receives the phone notification of a critical value.
The RN
Task completed after receiving orders over the phone
What is readback
I dial this number for a rapid response or to report any emergency
What is 1333
When determining THIS on your Code Stroke patient, you may need to check with the PCT who rounded on the patient two hours ago.
What is Last Known Well time?
Who is the hospitalist
Critical low <40 mg/dl
What is adult blood glucose
Task associated with an unclear or ambiguous order from a physician.
What is clarifying the order.
As the team arrives I am the person giving information
Who is the nurse in charge of the patient
A point of care test that should be part of the initial Code Stroke evaluation
What is Glucoscan
You may want to check for one of these before continuing to do compressions.
What is a DNR order
Critical low: <120 mEq/l
What is Sodium
I would have current information about these items before calling the physicain
What are vital signs, labs, allergies
This is the format I use to report the patients information to the rapid response team
What is SBAR
Your patient should be taken here within 20 minutes after the Code Stroke is called.
What is CT scan
It's in the refrigerator in the med room and the anesthesiologist may ask for it.
A critical value that is the result of an EKG
What is:
Acute MI, HR less than 35, sustained Vtach, wide complex tachycardia or torsades de pointes.
Format for reporting to physician
What is SBAR
Reaction to a concerning and rapid change in the patient condition
What is call a rapid response
Your patient should be taken here, accompanied by a nurse, for a consult with MGH Teleneurology.
What is the CCU
If you are unable to start an IV, you may need to do this?
Put in an IO.
BONUS: Where are these located?
Critical high: >6
What is Potassium