Approach to Inpatient Admission and PE Review Flashcards
1
Q
What is the primary ACLS survey?
A
- ABCDE
- Airway
- Breathing
- Circulation
- Disability
- Exposure
2
Q
What are the inpatient admission components?
A
- History
- ROS
- PE
- Assessment
- Orders
- Documentation of plan
3
Q
Why does the ROS matter?
A
- Asking the right questions and being thorough allows the clinician to make an accurate diagnosis
- Biling –> justifies complexity of illness, time spent with patient and how much to get paid for services
4
Q
What does ADC VANDALISM stand for?
A
- Admit to
- Diagnosis
- Condition
- Vitals
- Allergies
- Nursing instructions
- Diet
- Activity
- Labs
- IV fluids
- Special instructions, studies
- Medications and monitoring
5
Q
What is ADC VANDALISM used for?
A
- Admission orders
6
Q
What is considered for the admit to in treating a patient?
A
- Look into which service –> IM, hospitalist, surgical team
- Level of care –> Observation, general medicine floor, telemetry
- Code status
7
Q
What is the difference between serious and critical in terms of severity of illness?
A
- Serious: Vital signs may be unstable and are not WNL. Patient is acutely ill and indicators are questionable
- Critical: Vital signs are unstable and not WNL. Patient is acutely ill and indicators are unfavorable
8
Q
What are the PPE requirements for contact?
A
- Gloves and apron
9
Q
What are the PPE requirements for droplet precaution?
A
- Surgical mask
- Gloves and apron
- Use FFP3 mask for AGP
10
Q
What are the PPE requirements for airborne?
A
- FFP3 mask
- Gloves and apron
11
Q
What is the biggest risk when someone is being admitted to hospital?
A
- Medication errors
- Decide whether to continue home meds or HOLD
12
Q
What are some personal prevention methods to prevent burnout?
A
- Do not ignore your stress
- Give your struggle a name
- Reduce “drain”, increase the ability to recharge
- Be true to yourself, be true to your loved one and be true to your parents
13
Q
What are some institutional changes that can help prevent burnout?
A
- Providing a safe space to seek help
- Reduce unnecessary paperwork
- Reform medical licensing
