Code Status, Bad News and Critically Ill Patient Flashcards
What are the 5 R’s
The Right patient
The Right drug
The Right dose
The Right route of administration
The Right time
Do you need to document adverse events and near misses?
What is a near miss?
Yes
Time when something bad could have happened
What is a sentinel event?
Death or serious injury that could have otherwise been avoided
Are all hospitalized patients at risk for deterioration?
Yes, that is why they are admitted
What is the qualifier for hospice care?
Life expectancy is less than 6 months
Hospice does not cover:
- Curative treatments
- Treatment to extend life
- Longer term inpatient care
- ED visits for illness (unless pre-approved)
What are some predictable signs taht end-of-life is immentent?
- Cessation of eating/drinking
- Loss of bowel/bladder infection
- Fever (autonomic dysregulation)
- Hypotension
- Delirium/hallucinations
- Inability to manage secretions ‘death rattle’
- Mottling
- Agonal respirations
What are the four basic treatments included in a code status?
- CPR
- Defibrillation
- Medications
- Intubation
Work best when used together
What is “Full Code”
Do everything, follow ACLS guidelines in event of code, intubate or advance levels of care prior to code if able
What is a DNR
Do not resuscitate = no CPR or defibrilliation
What is CMO
Care measures only (comfort guided care)
What are some items often discussed in a living will?
- Artificial nutrition
- IV fluids
- Invasive procedures
- Dialysis
- Antibiotics
- Blood products
