BLOCK III - UNIT 4. Transport Considerations

Question 1

What is the abbreviation ISBAR?

Answer 1

Identification
Situation
Background
Assessment
Recommendations

Question 2

What falls under identification for ISBAR?

Answer 2

Identification- Introduce yourself to all personnel in the patient’s room including your patient.

Question 3

What falls under situation for ISBAR?

Answer 3

Situation- Address the situation at hand with the patient.
• What is the patient’s current health status?
• Have there been any recent changes that need to be addressed?

Question 4

What falls under background for ISBAR?

Answer 4

Background- Go over any relevant background on the patient; anything relevant for determining a course of action on the patient’s course of treatment
• Baseline vital signs
• Surgical history
• Allergies
• Medical history
• Reason for admission

Question 5

What falls under assessment for ISBAR?

Answer 5

Assessment- Discuss any observations or findings about your patient.

• Make sure that the patient hasn’t had any significant changes in their health that you need to bring up to the providers.
• Doing a thorough assessment helps to make sure that the patient has the best care possible and the best course of treatment.

Question 6

What falls under recommendation for ISBAR?

Answer 6

Recommendation- Consider all the things that you have seen and learned about your patient, make any recommendations about your patient’s course of treatment.

• Ensuring they are getting the best possible care without neglecting or missing anything important that needs medical attention.

Question 7

For a stable patient that had an abnormal assessment, what are some things that you should be asking yourself before transport determination?

Answer 7

is the condition unchanged or low risk of changing during transport is injury or escalation in the symptoms avoidable or prevented during transport?

Question 8

What tool is used to assess a patient’s neurological status and impaired consciousness by obtaining a score for each category, then totaling the points from all three categories?

Answer 8

GCS

The patient can have an overall score ranging from 3-15.

Question 9

If the patient is opening their eyes spontaneously, your GCS of this behavior is what?

Answer 9

the patient scores 4 points.

Question 10

If the patient’s eyes open in response to the sound of your voice, they score what on the GCS?

Answer 10

3 points

Question 11

If the patient’s eyes open in response to a painful stimulus, they score what on the GCS?

Answer 11

they score 2 points.

Question 12

If the patient does not open their eyes to a painful stimulus, they score what on the GCS?

Answer 12

they score 1 point.

Question 13

If the patient is able to answer your questions appropriately, they score what on the GCS?

Answer 13

with the patient scoring 5 points.

Question 14

• If the patient is able to reply, but their responses doesn’t seem quite right, they score what on the GCS?

Answer 14

this would be classified as confused conversation, and they would score 4 points.

Question 15

If the patient responds with seemingly random words that are completely unrelated to the question you asked, they score what on the GCS?

Answer 15

this would be classified as inappropriate words, and they would score 3 points.

Question 16

If the patient is making sounds, rather than speaking words, they score what on the GCS?

Answer 16

this would be classified as incomprehensible sounds, with the patient scoring 2 points.

Question 17

If the patient has no response to your questions, they score what on the GCS?

Answer 17

they will score 1 point.

Question 18

If they are able to follow this command correctly,
they score what on the GCS?

Answer 18

they would score 6 points and the assessment would be over.

Question 19

If the patient makes attempts to reach towards the site at which you are applying a painful stimulus and brings their hand above their clavicle, they score what on the GCS?

Answer 19

this would be classed as localizing pain, with the patient scoring 5

Question 20

Withdrawal to pain scores what on the Glasgow Coma Scale?

Answer 20

4 points

Question 21

Abnormal extension to a painful stimulus is also known as decerebrate posturing scores what on the Glasgow Coma Scale?

Answer 21

scores a 2 on the Glasgow Coma Scale

• decerebrate posturing, the head is extended, with the arms and legs also extended and internally rotated.

Question 22

The complete absence of a motor response to a painful stimulus scores what on the Glasgow Coma Scale?

Answer 22

scores 1 point.

Question 23

For intubated patients, at the end of the score what letter denotes that the patient is intubated
and is unable to perform the tasks under the verbal response?

Answer 23

“T”

Question 24

The first thing to do when preparing for transport is what ?

Answer 24

observe if the patient has any lines attached, such as an arterial line (A-Line), a pump managing your (intravenous) IV medications, or intracranial pressure (ICP).

Question 25

What has Greater accuracy during decreased perfusion?

Answer 25

Forehead Sensor

Question 26

What’s the equation to make sure that you have enough in the oxygen tank during transport?

Answer 26

(Tank pressure (Psi) – 200) x (cylinder conversion factor tank (for a D tank it is 0.16)) / flow rate in liters per minute.