Pediatric Emergency Care

Informed Consent

100

_{Parents are requesting an STD test for their 16-year-old daughter, what is needed?}

_{What is the patient's consent?}

200

_{If a parent or guardian refuses to consent to a SANE exam, then this individual can give consent.}

_{What is the minor patient?}

300

_{A 15-year-old female presents to the ED at 19 weeks pregnant for abdominal pain and cramping, who consents for treatment?}

_{What is the patient?}

400

_{A pediatric patient requires life-sustaining treatment, both parents are refusing. The care team should contact...}

_{What is CPS (Child Protective Services)?}

500

_{A 10-year-old presents from the school suffering an asthma attack, no parents are present or reachable. What do we do?}

_{What is perform a medical screening exam?}

Communication

100

_{This is an effective communication tool to utilize with patients and visitors.}

What is AIDET?

200

_{This communication tool is named after the number of feet you visually acknowledge and the number of feet your verbally acknowledge.}

What is 10:5?

300

_{A pediatric patient on a TDO is admitted to a hospital, and the parents have requested an update regarding the patient's placement. You can...}

_{What is share the information?}

400

_{When reporting to CPS, healthcare providers can share information about the patient's condition, observations, and...}

_{What is relevant medical history?}

500

_{Parents want to go home and leave their child in the ED who is pending behavioral health placement. Staff should...}

_{What is assess patient for safety, assign a 1:1 sitter, ensure a contact plan with the parents, and establish expectations?}  

ECO/TDO

100

_{Minor patients are not eligible for this type of ECO or TDO.}

_{What is medical?}

200

_{Patients under an ECO/TDO are not under arrest; they are...}

_{What is detained?} 

300

_{Under this law, a patient undergoing a TDO evaluation can have a family member or legal guardian present for support and decision making during the evaluation.}

_{What is Irvo's law?}

400

_{Orders for hospital restraints are time limited and expires for a pediatric patient less than 9 years of age after...}

_{What is 1 hour?} 

_{2 hours for children ages 9-17}

500

_{Forensic restraints should be assessed at this frequency}

_{What is every 2 hours?}

Grab Bag

100

_{Patients who may lack capacity require an assessment by this many providers.}

_{What is 2?} 

_{The attending provider and a capacity reviewer}

200

_{A medical power of attorney is only valid when the individual lacks this.}

_{What is capacity?}

300

_{If an inmate reports sexual or physical violence in jail, staff should notify...}

_{What is Risk Management?} 

_{Inmates have different reporting guidelines}

400

_{Parents of a minor refuse medication, staff should partner with the provider to complete this form.}

_{What is an AMA form?}

500

_{In the state of VA, a deceased individual can be released to a funeral home or...}

_{What is to the legal decision maker/family member?} 

Risky Business

100

_{Risk Management is a 24/7 resource available to team members, you can locate the on-call number here.}

_{What is the RM intranet page?} 

_{What is the nursing supervisor?}

_{What is the operator?}

_{What is your leader?}

200

_{A patient and their family are upset and requesting a patient advocate. You should contact...}

_{What is Patient Relations? (during business hours)}

_{What is the Nursing Supervisor? (after hours)}

300

_{A law enforcement officer brings a subpoena/warrant to the department you should direct them to this department to serve the document.}

_{What is Medical Records?}

400

_{A law enforcement officer requests a copy of medical records for a patient that is in their custody. You should direct the officer to...}

_{What is file a subpoena or warrant with medical records?}

500

_{True or False: An inmate can request for the ADC guards to leave the room and they have to comply.}

_{False, ADC guards will remain with the patient and there is a carve-out in HIPAA for this.}