Clinical Solutions Flashcards

1
Q

What do our licensed clinical resource managers do?

A

Discovery assessments,
Education and training
Practice standardization
Formulary standardization
QA investigations

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2
Q

What types of education do we offer?

A
  1. On-site workshops,
  2. Continuing education courses through Medline University
  3. Facility led education that is pre-built.
  4. Supportive clinical tools
  5. Expert-led webinars
  6. Bite sized practice videos
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3
Q

What is our five finger approach to customizing solution assessments for a customer?

A
  1. Observe
  2. Analyze
  3. Recommend
  4. Implement
  5. Refine
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4
Q

What are the three holistic goals in our clinical solutions approach?

A

Best practice guidance,

Education, and training

System of products

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5
Q

What needs to be completed before a discovery assessment can be scheduled?

A

HCP acknowledgement

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6
Q

What our six modules of CAUTI prevention education

A

1) Fundamentals of CAUTI prevention
2) prevention of catheter use
3) general insertion
4) general maintenance
5) multiple disciplinary CAUTI support
6) special populations.

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7
Q

What are our four modules of CLABSI prevention education

A

1) fundamentals of CLABSI prevention
2) catheter line preparation
3) catheter line maintenance
4) multidisciplinary CLABSI support

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8
Q

What are our four modules of skin health education

A

1) pressure injuries
2) skin care
3) wound etiologies
4) special populations

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9
Q

 What are the five components of education module training?

A
  1. Microburst Training
  2. Activity
  3. Bulletin board
  4. Tools
  5. Competency assessments
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10
Q

What 3 things does our Medlline university contain for clinician education

A

Ce courses
Resource center
Digital binders

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11
Q

What are nudge principles?

A

Hints or tips within products to help use them correctly

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12
Q

What are the four components of our CAUTI prevention bundle?

A

Intermittent catheter trays
Proper insertion maintenance
External catheters
Bladder, scanners

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13
Q

Our HAPI prevention bundle is designed to reduce what four components?

A

Pressure
Friction
Shear
Moisture

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14
Q

What’s another name for nudge principles?

A

Forced function

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15
Q

A model based on three main principles: ownership, empowerment, and accountability. The model emphasizes that competencies are collaboratively identified. The learner is the center of the process and leaders created cultural success with dual focus on positive employee behavior and organizational mission.

A

Wright competency model

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16
Q

What is the NPIAP?

A

National pressure injury, advisory panel

17
Q

What is the customer requirement to qualify for our urological program?

A

80% of total urological spend or committed to both male and female externals, regardless of percentage

18
Q

How does a customer qualify for the vascular access program?

A

10% percent of business and maintenance kits or insertion kits

19
Q

What are the necessary customer qualifications for the skin health program?

A

Category minimum at 80% spent commitment, one category must be new

20
Q

What is the interpretation and response to a PaCO2 above 45?

A

Patient NOT ventilating

Initiate ventilation
Remove, or decrease dead Space
Increase current ventilation

21
Q

What is the interpretation and response to PCO2 below 35

A

Patient ventilating too much.

Don’t initiate mechanical ventilation

Decrease ventilation if PaO2 is high or consider other causes of hyperventilation (hypoxia, metabolic, acidosis, etc.)

22
Q

What is the interpretation and response if PO2 is below 80 and FiO2 is less than .60?

A

Hypoxemia
1. Poor ventilation (high PCO2)
2. V/Q mismatch (normal or low PCO2)

-Increase ventilation
-increase FiO2 up to .60

23
Q

What is the interpretation and response if PaO2 is less than 80 and FiO2 is greater than .60?

A

Hypoxemia
Shunt
Refractory hypoxemia
Venous admixture

Start or increase CPAP or PEEP

24
Q

What is the interpretation in response to a PaO2 of over 100

A

Over oxygenation

Decrease FiO2 to 60 or less and then start decreasing PEEP/CPAP

25
What are the exceptions to the blood gas rules ? ABG is good/Patient bad (3) ABG is bad/Patient looks good (1)
1. CO poisoning- co-oximetry: 100% O2, hyperbaric 2. Anemia-evaluate Hemoglobin. Give O2 and blood 3. pulmonary embolism-pulmonary angiogram, support ventilation and oxygenation, heparin, thrombolytics 1. Chronic obstructive lung disease-decrease the FiO2
26
What is on the X and Y axis on the O2- Hb dissociation curve
X axis= PaO2 Y axis= Hb saturation
27
A shift to the right in the O2-Hb curve marks increased or decreased affinity for oxygen and how does it impact H+, PCO2, temperature, and 2-3 DPG?
Decreased affinity Increased H+, decreased pH Increased PCO2 Increased temperature Increased 2-3 DPG
28
What is 2-3 DPG
Is a mule found in red blood cells that plays a vital role in oxygen delivery throughout the body. When it binds to hemoglobin it decreases its affinity for oxygen and releases it to the tissues.