Agent Smart
A Transporter MAY NOT do a 1:1 with this type of patient
Patient who is:
Suicidal
Violent
Danger to self or others
In regard to disinfection....What is meant by the term "Wet Time" and how do you determine what that is for a particular product?
Wet Time is the amount of time you need to keep the product wet with the disinfectant in order to properly disinfect it.
Wet time can be found on the product label
A new admission has been wheeled into a room on the nursing unit and is clearly a Fall Risk. What can you do to immediately alert staff of the patient's risk for fall?
Depress the orange-yellow button on the Mini-Dome light
What is the Emergency Number to call for any emergency at PHC?
What is 711
Presents as a hypermetabolic response to potent volatile anesthetic gases or medications such as succinylcholine
What is: Malignant Hyperthermia
Why can't Maxi-Slide Flite Sheets be left underneath a patient who will be transported in a bed or stretcher?
They are so slippery that the patient may fall off the bed or stretcher and get injured.
Use of Hand-Gel is not permitted for which 2 conditions?
What are:
Visibly soiled hands
Patient has C-Diff
You walk into a patient's room and find them sitting on the floor. Which button inside the room should be pressed to get immediate assistance?
What is the Emergency Button located on the wall console
Define RACE and PASS
R= Rescue all persons in immediate danger
A= Alarm
C= Confine
E= Extinguish
P= Pull the pin
A= Aim at base of fire
S= Squeeze the handle of extinguisher
S= Sweep
What drug is administered to a patient having Malignant Hyperthermia?
Name 4 things an Observer MAY NOT do while sitting 1:1 with a patient
What are:
Sleep
Eat
Recline and use pillow and blankets
Use personal electronic devices
Wear a coat
Discuss patient's medical condition
Leave the patient unattended at any time
Adjust the TV stations to their favorite show
Name at least 2 poor practices associated with Hand-Washing
Does not use soap
Does not wash for at least 20 seconds
Turns faucets off with bare hands
Touches inside of sink or sink area after washing
Does not use friction and wash hands fully
What lights AND sounds will occur if the Code Blue Button is pressed inside the patient's room?
Loud audible alarm on the unit
Scrolling Blue Lights on the corridor Dome Light
A gallon of formaldehyde is spilled in the hallway. What actions should you take?
Dial 711 - Code Orange
Block off area
Close any windows or doors
Contact EVS to properly clean up spill
Refer to Code Orange Policy
Complete Midas report
Where is the Malignant Hyperthermia Emergency Cart located at PHC?
PACU by Bay 10 wall
If an Observer is going to monitor 3 patients for safety, what is the most important thing that must be accomplished before this can be done?
The Observer must be able to visualize ALL 3 patients at one time
May need to move patient rooms to accomplish view of all 3 patients
While moving a patient in a bed, the wheel accidentally rolls over your foot and you do not feel any injury. What should you do?
Inform your immediate Supervisor
Go to ED to be evaluated- right away
Complete online Employee Incident Report
Contact Employee Health
What 3 call options does the patient have when using the Patient Call Bell with our new system?
What are:
Pain
Bathroom
Routine Call
Your co-worker is very upset about not getting their week of vacation approved and begins to scream, punch the walls and throw furniture around the room. What 2 things should you do immediately?
Leave the room
Call 711- Code Gray
Name at least 4 signs and symptoms of Malignant Hyperthermia
What are:
Hyperthermia
Tachycardia
Tachypnea
Increased C02 and 02 Consumption
Acidosis
Muscle Rigidity
Rhabdomyolysis = damaged muscle tissue releases its proteins and electrolytes into the blood stream
When sitting with a Suicidal patient, at what times does the RN & PCT Need to complete the Room Safety Checklist? Name all 5!
On admission to room
When the patient temporarily leaves the room for test/procedure
When the patient is transferred to another room
After EACH visitor
If you suspect a problem
"Uses Alarms Safely" is a National Patient Safety Goal. What 2 things are required when using an alarm for medical equipment?
Alarm must be turned on and audible
Staff must respond to alarm in a timely fashion
When the Call Bell is disconnected from the plug in the patient room, a flashing Magenta colored light will appear on the dome light. It does not clear when you hit the CANCEL button. How do you reset the system?
Depress the small Black Re-Set button to the right of the area where the bed plug connects to the wall jack
You receive a call and the person tells you that they have placed a Bomb somewhere in the hospital. What should you do?
Motion to another person to call 711 - Code Yellow
Keep the person talking and take notes
Ask questions and try to obtain any information
Male or female?
Approximate age of person?
What are they upset about?
Recent admission for them or family member?
Out-patient experience?
Where are they calling from?
Any background noises?
Tone should be calm and re-assuring - try to help
Ask them what happened to make them upset?
List at least 3 items found on the Malignant Hyperthermia Cart
What are:
Dantrolene
Foley
Lab supplies
ABG Kit
IV supplies
Calcium, Bicarbonate and Lidocaine