Sepsis
What is required before starting antibiotics on a septic patient?
What is needed for most heparin drip dosing?
What is a measured patient weight
All insulins require _____________ prior to patient administration.
What is an independent double check
Where do you physically waste all controlled substances, liquid or solid once documented?
What is Cactus
A yellow label on a patient medication indicates it is...
What is Chemotherapy or NIOSH Class 1 hazardous substance
What is at least one symptom included in SIRS critera?
What is: Temp >38C or <36C
Heart rate > 90 beats per minute
Resp rate > 20 breaths/min or PaCo2 <32mmHg
WBC >12,000/cu mm < 4,000/cu mm or > 10% immature (band) forms
Heparin is a high risk medication, meaning any changes to therapy or new bag placement require a...?
What is a 2-person "independent" double check
What is an indication for administering regular insulin IV Push?
What is hyperkalemia
When should a partial waste be documented for a controlled substance?
What is upon removal from Pyxis with a witness
Where should the package for a blue label medication (NIOSH class 2) be disposed?
What is the Black bin
What lab level needs to be collected within the 3 hour bundle, when a patient comes in with suspected sepsis?
What is initial Lactic acid
If a PTT of 200 is reported, what should be done first?
A patient's glucose level is 72 and they are not wanting to eat their meal. What should be done prior to holding their dose?
What is contact the physician
If an oxycodone pill is dropped on the floor prior to patient administration, what should be done next?
What is waste the whole medication with a witness in Pyxis. Physically waste in Cactus. Then pull another dose.
What garb is needed for administration of a pink label (NIOSH class 3) oral tablet medication ?
What is Single gloves
What are signs of Septic shock?
IF a repeat PTT level is >200, what calculator pathway must be used in documentation?
What is the "Critical PTT Pathway"
How often can insulin sliding scales be administered?
What is q6h or TID before meals
If a single morphine PCA syringe and a blue paper receipt are delivered to the floor by a pharmacy technician, then the PCA is discontinued after partial infusion, where should the waste be documented?
What is the Pyxis station?
NIOSH Class 1 medications should be administered by...
What is a chemo certified RN
What is the first point in which there is documentation of suspected or confirmed infection, 2 or more SIRS criteria and one or more organ dysfunction criteria within a 6-hour window OR if a clinician documents severe sepsis or septic shock.
For what indications can a bolus IV heparin dose given as the heparin drip is initiated?
What is ACS and VTE (DVT/PE)
What is required for resumption of an insulin pump?
What is patient supply of insulin, documentation of pump type and dosing parameters in EPIC, and a physician order, See F1 "once insulin order panel"
You pull a tramadol pill from the Pyxis, upon bedside scanning, you realize the barcode is damaged. Where should this product be returned?
What is return to a member of the pharmacist team once the return is documented in Pyxis, since Pyxis return bin won't open for a damaged product.