A little touch never hurt
What does TLC stand for
What is touch look and compare
Interpret the strip of Image # 1
SVT
Name 3 room safety checks for a patient with a tracheostomy
same size trach and downsize trach, obturator, airway card, ambu bag, facemask
Why do nurses not strip chest tubes?
generates significant negative pressure in the chest cavity (pleural space) which can cause harm
what does ROSC stand for
return of spontaneous circulation
When an IV infiltrates, where do you look up information to see if it is a vesicant
What is the extravasation management chart in Lexicomp
Interpret the rhythm of image #2
Vtach
You notice some skin breakdown under your patient's trach ties. List your next steps
notify provider
contact CNS team
Take a photo
Document assessment
List emergency equipment you want at the bedside for a patient with a chest tube
2 clamps, Vaseline gauze, sterile gauze, foam tape
Describe your priority actions for a chest tube dislodgment for an unstable patient
staff assist
Vaseline gauze over the site
tape on 3 sides
Describe the formula for IV infiltration measurement
What is swelling in cm divided by length of arm in cm (armpit to fingertip) times 100 percent
Look at image #3. Name the rhythm and determine your top 2 priorities
V fib
CPR
Defibrillation
What is the name of the tool used to help guide a new trach back in AND where should it be located in the room
obturator
at the patient's bedside
Your patient's chest tube is suddenly bubbling in the water chamber. Describe how you would determine where the leak is coming from
clamp close to patient, if it stops it's a patient problem.
State the code dose of epi and determine how many mLs to give a 15kg patient if epi is 1mg/10ml
1.5mL
What is the difference between phlebitis, infiltration and extravasation
what is
phlebitis= injury to the vein caused by mechanical or chemical irritants
infiltration= inadvertent administration of a non-vesicant solution or medication into surrounding tissue
extravasation= inadvertent administration of a vesicant solution or medication into surrounding tissue
Name the initial J/kg for both cardioversion and defibrillation
0.05-0.1j/Kg
2j/kg
You suspect your patient's trach is dislodged and you are unable to place it back in. The patient is sating 50% and no providers or RTs are at bedside. What are your priority actions?
staff assist
cover stoma
bag face
Name the life‑threatening condition involving air trapping that requires emergent needle decompression followed by a chest tube.
tension pneumothorax
State where the IO insertion kits are located on the unit and give 1 example of when an IO would be needed
med room
code- lost IV access
Describe the reassessment documentation requirements for a moderate IV infiltration
What is every 30 minutes for 2 hours then every 8 hours for 24 hours or until resolved.
You have a 12-year-old patient in SVT that is alert and awake. Name 3 interventions from least to most invasive to break this rhythm
bear down/vagal/ice
adenosine
cardioversion
What does the acronym DOPE stand for?
Dislodgement
Obstruction
Pneumothorax
Equipment
what is the difference between a wet suction and a dry suction chest tube
wet suction uses a water column to determine suction and regulate negative pressure, not a dial
Your patient needs a needle decompression. State the anatomical site of the needle insertion
second ICS mid clavicular