Falling Down on the Job
What should all fall-risk patients in the ED be wearing?
Yellow armband - CALL DONT FALL.
Not a substitute for visual and clinical assessment by nurses and providers?
What is automatic monitoring devices.
In the Emergency Department, when is an appropriate time to use the PCA pump?
What is NEVER!
A 16-year-old male wearing swim trunks walks into the ED. He tells you that he dove into a pool and his face struck the bottom. You notice an abrasion over his forehead and nose as he tells you that both of his hands “feel tingly". He is alert, anxious, pale, breathing 28/min, HR 50 BPM. What is your first action?
What is C-spine immobilization.
Name two contraindications for I/O placement.
What is (name 2)
1. OI
2. Fracture
3. Recent IO placement within the last 24 hours
4. Infection or Tumor of the extremity
NINE THOUSAND POINTS OFF IF YOU SAY TRAUMATIC AMPUTATION TO THAT LEG.
A 13-month-old patient walking down the hallway falls onto her hands and knees. What forms need to be filled out?
None! this is a developmental fall.
Not involved in the conduct of the procedure but plays a major role in the procedure
What is the RN monitoring the patient
Born in Florence Italy in the year 1820, this "lady of the lamp" rose to prominence during the Crimean War.
Who is Florence Nightingale
“The smoke was so bad; she’s been having trouble breathing ever since,” reports the father of a 6-year-old who ran through her burning house to rescue her cat. You note that she is hoarse, has a frequent cough, an audible wheeze, and is breathing 50 times a minute with retractions. SpO2 is 82% RA. H/o asthma with PRN albuterol. What is her ESI level?
What is ESI Level 2.
What products can be infused into an I/O by gravity?
What is NONE. You must always use a pressure-delivery system or an IV pump.
Age greater than 70 yrs of age
Administered by the treating physician at the time of the procedure and NOT the RN
What is general anesthetics such as Ketamine or propofol
Mandates of EMTALA
What are a Medical screening exam by a qualified provider, Stabilization of an emergency medical condition and appropriate transfer when indicated.
A three-year-old boy presents to triage with a 3cm jagged cut to the palm of his hand from knocking over a glass vase from the table. There is no active bleeding. The patient is screaming, crying, and hitting at you as you try to examine his hand. What is his ESI level?
What is ESI Level 3.
After removal of an IO, when can a patient resume normal activities?
What is Immediately.
What is the hospital signage to show that a patient is at risk for falls?
A yellow falling star.
When should LOC documentation occur?
What is BEFORE, DURING and AFTER sedation
What does EMTALA stand for?
What is Emergency Medical Treatment and Active Labor Act.
A 6-month-old is brought in by his parents for increased fussiness. The patient has hydrocephalus and a VP shunt. His fontanel is noted to be bulging, and he seems fussy. HR 130. RR 28. No fever. What is his ESI level?
What is ESI Level 2.
What is the only fluid that can never be given through an IO?
Hypertonic saline.
Who is responsible for jumping off their stool and helping a patient who appears unsteady on their feet or is walking alone with yellow armband on?
EVERYONE!!!!!
Should be immediately available during procedural sedation.
What is an emergency cart with defibrillator, emergency drugs and other equipment adequate to provide cardiopulmonary resuscitation.
It is estimated that more than 500 million (one fifth the worlds population at the time) were infected and 50 million died of this, in the _________ pandemic during 1918.
What is the Spanish Flu
A patient's mother walks into triage and reports "our pediatrician sent me and my son here for his belly pain". Per the patient's mother, he has had three days of worsening abdominal pain, and started vomiting this morning. No fevers. The child is pale and clutching an emesis basin. Temp 37.9C, HR 110, RR 20 BP 103/62. What is his ESI level?
What is ESI Level 3.
The Proximal tibia, Distal tibia and Proximal humerus.
What are three locations to place IOs?