Prep
How do you find which procedures a physician has privileges for? (show another colleague)
Everyone must stop what they are doing.
What MUST happen during a time out?
2:1
What is the patient to nurse ratio for phase 1 patients?
gloves, impervious gown, mask with shield, hat and shoe covers optional
What PPE must you wear in the decontamination room?
CUC, Techs, Nurses, Doctors... YOU
Who is part of this successful team?
wash hands with soap and water
How do you perform hand hygiene for contact enteric patients or when visibly dirty?
gloves, impervious gown, mask with shield
What PPE must staff who are in the "splash zone" must wear?
45 minutes
How many minutes do you need to recover (minimally) after a medication reversal? i.e. Narcan
Alcohol flush through the endoscope.
What is the last cycle the AER performs prior to completion? (Used to enhance/support drying of internal channels)
The Charge Respiratory Therapist or RT assigned.
Nursing and Facilities personnel may close the valves once they receive authorization.
Who can turn off the oxygen valves?
Pre-procedure phone call, pre-procedure, when asked questions, post-procedure with discharge instructions.
When do you educate your patients?
To name a few: tripod, guidewire, savory brush, endoscope tubing in washroom
What is a reusable instrument/supply?
Return to baseline.
impervious gown, gloves, mask with shield
What PPE must be worn when changing chemicals?
In the media tab in EPIC, most likely labeled "consent".
Where can you find the ECT consent?
Create care plans based on each patient. Not all care plans are the same.
How do you individualize care plans?
This is a red hard bin that we transport dirty instruments and endoscopes in.
What is a biohazard bin?
Drowsy: sustained awakening, eye-opening, contact to voice (<10 seconds).
What is a score of -1 in RASS?
Immediately after removing from AER.
(make sure you dry all exterior surfaces with a lint free cloth/wipe)
When should you hang the endoscope for storage?
charge nurse -> Hanna -> manager -> director
What is the chain of command?
Where is the oxygen shut off valve located?
30 seconds at stage 1 and 30 seconds at stage 2.
How long do you have to suction an EUS scope for?
A set of GI discharge instructions.
What is ProvationMD discharge instructions?
Must call facilities to adjust these.
Who can turn/move/adjust the water valves?
Used when incidents happen to find the root of the problem. Not used to place blame.
What is, the Just Culture Algorithm?