Emergency Cardiac Care
Trach/02 Delivery
Pleurx & Chest Tubes
Telemetry
Potpourri
100
The number to call a Code Blue (or any other emergency)
What is 2-1212
100
This O2 delivery device requires an O2 liter flow of at least 6LPM.
What is a simple face mask?
100
This type of chest tube can be irrigated but not aspirated by the RN.
What is a small bore chest tube?
100
These patients required off-unit monitoring and RN/MD accompaniment.
Who are: patients with Class I telemetry indications?
100
This is changed every 96 hours, when bloody, or when drawing cultures.
What are caps on central lines?
200
In order to _________, one must use an ETC02 device, auscultate bilateral lung fields, and document on the code sheet
What is: How do you confirm advanced airway placement during a code?
200
The cuff of the trach must always be deflated prior to using this device.
What is a speaking valve (passe muir)?
200
Bubbling in the water seal chamber is seen when this exists.
What is an air leak or resolving pneumothorax
200
These must be renewed or discontinued by LIP daily.
What are telemetry orders?
200
How do we describe a patient, who, on a prior admission had a stage IV ulcer, and is now admitted with skin that is intact and red (non blanchable)
What is a Healed Stage IV? * We do not reverse stage and ulcer
300
In these two instances Cataldo Ambulance service is automatically paged to respond on BIDMC Campuses:
What are all First Aid events and outpatient area Code Blues?
300
Use of this O2 delivery device is a trigger.
What is a non-rebreather (NRB)?
300
Four (4) Types of Chest Tube drainage:
What are: 1. Dry suction 2. Wet suction 3. Water seal 4. Gravity
300
These have been modified to better mimic HR Trigger criteria and clinically relevant thresholds.
What are default telemetry alarms?
300
The person responsible for checking the port needle insertion date and ensuring the needle is changed every 7 days.
Who is the clinical nurse caring for the patient?
400
When this is in place, you do not need to stop compressions to give breaths
What is an advanced airway?
400
This monitoring is mandatory for a patient with a trach.
What is continuous O2 and ECG monitoring
400
This tube is commonly used to treat malignant effusions
What is a Pleurx catheter?
400
These patients require an order to suspend or d/c telemetry with each trip off unit without monitoring.
What are patients with Class II telemetry indications?
400
The 5 steps to take if your patient has a Stage II pressure ulcer on the coccyx:
What is: 1. Reposition every 1-2 hrs off the coccyx 2. Limit sit time to 1 hr & sit on a pressure redistribution cushion (Gaymar) 3. Initiate interventions for risk factors noted on Braden Scale 4. Protect the wound to facilitate healing by applying a Mepilex sacral foam boarder dressing 5. Complete a Patient Safety Report
500
The first 5 steps to BLS:
What is: 1. Assess safety 2. Check for responsiveness 3. Check carotid pulse 4. Call for help 5. Start compressions
500
This is the ideal mask for CO2 retainers.
What is the venti mask?
500
This is the maximum amount of fluid that should be drained from a tunneled abdominal catheter (abdominal Pleurx) in a single sitting.
What is 2 liters?
500
These patients have Class II telemetry indications but require continuous O2 Sat monitoring for transport.
Who are patients with tracheostomies, OSA patients post anesthesia, or OSA patients with CPAP orders?
500
The ability to infuse fluids or meds but inability to draw blood.
What is a partial occlusion of a lumen?