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I WONDER
222 CODE BLUE
BLOOD, SWEAT, AND TEARS
AAA (ACRONYMS, ACRONYMS, ACRONYMS)
AT ANY TIME
100
The purposeful use of current best evidence integrated with your clinical expertise and the wants and needs of the patient when caring for individual patients?
What is Evidence-Based Practice?
100
Push hard--at least 2 inches in adults, push fast--at least 100/min, allow complete chest recoil, minimize interruptions.
What are high quality chest compressions?
100
Volume of ~340 mL, ABO/Rh compatible and used to treat symptomatic anemia.
What are red blood cell (RBC) transfusions?
100
Thrombocytopenia related to patient exposure to heparin.
What is HIT?
100
Decreased level of consciousness, pupil changes; widening pulse pressure and decreased heart rate.
What is Cushing's Triad?
200
The ongoing process of questioning, evaluating, and informing clinical practice,
What is clinical inquiry?
200
Knowing what is going on around you.
What is situational awareness?
200
Used for patients not achieving glycemic control with Standard Dose Insulin Infusion Orders in critical care units and acute care units X 3 or more consecutive hours.
What is High Dose Insulin Infusion Orders/Algorithm Table?
200
Stroke warning signs that include facial droop, arm weakness, difficulty with speech, and responding urgently.
What is (Act) FAST?
200
The default method of communicating when the practitioner and patient speak different languages.
What is a telephonic interpreter?
300
The shared leadership/governance body that is responsible for oversight of UWMC clinical nursing practice. The liaison between the unit/local practice council and nursing executive council.
What is the UWMC Professional Practice Council?
300
Ventricular fibrillation/ventricular tachycardia vs. pulseless electrical activity (PEA)/asystole.
What are shockable/shock-indicated cardiac rhythms vs. no-shock-indicated cardiac rhythms?
300
Bed locked and in lowest position, bed brakes applied, clear path to bathroom, hourly rounding, call light/phone/possessions within reach, gait belt for mobilization, top 2 siderails up, proper footwear, encourage patients/families to call for assistance when needed.
What are standard fall prevention interventions?
300
A communication tool that can be used to by the nurse when talking with a physician about a patient problem. It involves stating the problem, pertinent clinical information, the nurses assessment and request/recommendaton.
What is SBAR?.
300
Used every time when assisting a patient with mobility.
What is a gait belt?
400
Manual blood pressure measurement and preventing pressure ulcer development in the OR.
What are examples of UWMC nursing clinical practice inquiries?
400
Call-Out, Cross-Checks, and Check-Back.
What are types/examples of closed-loop communication?
400
Cardiology MD, medication administration nurse, documenting nurse.
Who are members of Code Blue team?
400
In blood pressure measurement--palpate the brachial artery to align cuff bladder; arm supported at heart level; cuff place on bare skin; size of cuff proper for patient limb size.
What is PASS? (palpate, arm, skin, size)
400
Process of notifying key UWMC staff of sudden onset stroke symptoms in patients in inpatient, ED or main campus/surgical pavilion care areas who need urgent evaluation to determine eligibility for reperfusion therapy (IV tPA or neuro-interventional procedure) or escalation to higher level of care.
What is call "222" Code Stroke?
500
What is the most common patient population on your unit? What is the most common nursing intervention/piece of equipment for that population? Do you really know the evidence for the intervention?
What are the triggers/topics for nursing evidence-based/clinical inquiry?
500
Pushing the code button, calling for help.
What is the next step after recognizing that your patient is newly unresponsive.
500
The current approach in acute ischemic stroke in which antihypertensive treatment is warranted in patients with systolic blood pressure greater than 220 mm Hg or diastolic blood pressure is greater than 120 mmHg.
What is permissive hypertension?
500
Type of noninvasive positive pressure ventilation. Used for patients needing positive pressure for oxygenation AND to reduce blood levels of CO2.
What is bilevel positive airway pressure ventilation--BiPAP?
500
Medication given in the setting of decreased respiratory rate/over-sedation in a patient receiving narcotic pain medications. Can cause chest rigidity if given too quickly.
What is Narcan?