Code Status, Bad News & Critically Ill Patients Flashcards
What is the leading cause of medical mistakes that ultimately result in patient harm
poor communication
What is SBAR
Situation
Background
Assessment
Recommendation
What is a sentinel event
death or serious injury that could have otherwise been avoided
What is palliative care
assists during times of chronic illness or life threatening illness
helps to identify goals of care
What is hospice
end-of-care for terminal care.
covers ‘comfort measures’
What does hospice not cover
currative treatments
treatment to extend life
longer term inpatient care
ED care for illness (unless pre-approved)
what are some predictable signs that end-of-life is imminent
cessation of eating/drinking
loss of bowel/bladder function
fever
hypotension
delirium/hallucinations
inability to manage secretions-‘death rattle’
mottling of extremities
agonal respirations
What is the NURSE mnemonic for expressing empathy
Name emotion
Understand (active listening, allow silence)
Respect (validation)
Support (resouces, team approach)
Explore (elicit more information)
What are the four basic treatments for code status
CPR
Defibrillation
Medication
Intubation
What is CMO
Care Mesasures only (comfort guided care)
What does every person admitted to the hospital have to have assigned
code status
What is a surrogate ultimately has the power to ovveride the patients documents
duracble power of attorney
