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ED Camp Pendleton > Emergency Dept > Flashcards

Emergency Dept Flashcards

1
Q

List Patient Rights

A
  1. Right Patient
  2. Right Medication
  3. Right Reason/Indication
  4. Right Dose
  5. Right Time
  6. Right Route
  7. Proper Documentation
  8. Right Response
    * Inform patient of procedure before it happens.
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2
Q

List Vitals

A
  1. SP02
  2. Blood Pressure
  3. Heart Rate
  4. Respiratory Rate
  5. Pain 0-10 Scale
  6. Temperature in Celsius
  7. Weight in Kg
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3
Q

Possible Meaning of low red blood cells

A

Possible Hemorrhage

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4
Q

Possible meaning of high white blood cells

A

Possible infection

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5
Q

Possible reason for high red blood cells

A

Possible too much blood infusion (over-resuscitation)

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6
Q

Possible reason for low white blood cells

A

Possible cancer

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7
Q

Why would a blood sample be put on ice, and what color cap is it?

A

Lactate test. Grey caps always go on ice unless told otherwise. Ice will slow the deterioration of lactate. Shows levels of lactic acid.
Also Ammonia tests. Centrifuge immediately & analyze within 60 minutes of venipuncture.

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8
Q

How often are curtains changed out, & how do you know it’s been changed out?

A

Every six months. There’s a tag on it that shows the date.

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9
Q

How do we know IVs and medications are secure?

A

The carts are locked with codes.

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10
Q

What is ESI & what are its levels?

A

Emergency Severity Index. Groups 1-5 indicate urgency level, with 1 being most urgent, and 5 requiring no resources such as X-Ray, MRI, CT, ultrasound, etc.

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11
Q

Rate of compressions

A

1 person: 30 compressions, 2 breaths (30:2)

2 people: 15:2

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12
Q

Ammonia test. What color vial top, & what are the requirements?

A

Lavender top*. Place on ice. Centrifuge immediately. Analyze within 60 minutes of venipuncture.

*Heparin tube. Prevents blood clots, thins blood. Ensure tube is inverted & mixed 8-10x.

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13
Q

Pro-BNP (B-type natriuretic peptide) test AND/OR HGBA1C (hemoglobin). What color vial top, & what are the requirements?

A 
Lavender top has ethylenediamine tetraacetic acid (EDTA) only. Anticoagulant.
No requirements (e.g. ice is not necessary)

Pro-BNP test detects how much stress the heart is enduring or if damage has occurred.

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14
Q

Contact time for HP wipes

A

1 minute

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15
Q

PTH / PTHIO (Parathyroid) test. What color top?

A

Lavender top. EDTA (ethylenediamine tetraacetic acid) only

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15
Q

PSA (prostate specific antigen) test. What color vial top, & what are the requirements?

A

Gold Top Separator OR Red Tube.
Allow serum to clot completely before centrifugation.

*PSA primarily screens for prostate cancer.

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16
Q

Show the High Level Disinfection Process for contaminated, reusable instruments.

A
  1. Move used instruments to a designated dirty room
  2. Demonstrate use of PPE (gloves, face, shield, & eye protection)
  3. Instruments wiped with moist gauze to remove visible bioburden
  4. Use of enzymatic spray or solution
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17
Q

Describe how to transport dirty instruments to SPD

A

Use puncture-resistant, leak-proof, lidded, and biohazard labeled containers.

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18
Q

Show the Manufacturer’s instructions for Use (IFU)

A

Demonstrate

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19
Q

What procedures in your area require universal protocols to be followed?

A

Any invasive procedure that requires an informed consent.

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20
Q

Describe to me your universal ‘time out’ verification (universal) protocol.

A

Hard stop Time Out with Patient Consent Form verifying correct patient, correct procedure, correct site, correct side - verbalized in front of the patient.

21
Q

When is it necessary to label medications and/or solutions in your procedural area?

A

Always, when not administered immediately

22
Q

When do you initially assess patients for pain?

A

Upon check-in, along with vitals

23
Q

How do you assess pain?

A

Look at the patient’s face, ask the patient

24
Q

What pain scale do you use?

A

Scale 0-10

25
Q

How frequently do you assess for pain?

A

During the procedure and at the completion of the procedure.

26
Q

Do you document the patient’s response to pain interventions after a procedure in the medical record?

A

Yes

27
Q

Do you document how much local anesthesia was used in the medical record?

A

Yes

28
Q

What do the acronyms PASS & RACE stand for?

A

PULL AIM SQUEEZE SWEEP

RESCUE ALARM CONFINE EXTINGUISH/EVACUATE

29
Q

Show me the nearest fire alarm pull box in your area.

A

Ask for locations

30
Q

Show me the nearest fire extinguisher(s) in your area.

A

Ask for locations

31
Q

Show me your “Red Book” (Emergency Management Procedures Book)

A

Ask for location

32
Q

Is your recall roster up to date?

A

Ask

33
Q

Where are your fire exits?

A

Ask

34
Q

Do you know your fire evacuation route & muster site?

A

Ask

35
Q

How often are fire extinguishers checked?

A

Monthly

36
Q

Are tags on fire extinguishers filled out correctly?

A

Yes

37
Q

Fire extinguisher cabinets are not blocked by equipment.

A

No blockage

38
Q

How much clearance (radius) should there be beneath sprinkler heads and shelving/supplies?

A

18 inches

39
Q

Sprinkler heads are clear of dust, debris, or paint?

A

Yes

40
Q

Who do you contact if a sprinkler head is dirty or has paint on it?

A

Facilities

41
Q

How often is each exam room cleaned (floors, cabinets, doors)? Who cleans it?

A

Ask

42
Q

How often do you change out your sharps container?

A

3/4 full

43
Q

How often do you check for expired supplies/meds in drawers or cabinets?

A

Ask

44
Q

Show a cabinet or drawer. Verify no expired items.

A

No expired items

45
Q

How often are the codes for locks changed?

A

Ask

46
Q

What do you do if a piece of equipment malfunctions or fails?

A

Remove or sequester it, call Biomed, submit a safety report, complete a labeling tag.

47
Q

How do you know a medical device is safe to use?

A

Current Green PM sticker showing when it was last inspected by Biomed, and date due for next one.

48
Q

Six P’s of Compartment Syndrome

A
  1. Pain
  2. Pressure
  3. Paresthesia
  4. Paralysis
  5. Pallor
  6. Pulselessness
49
Q

Dilaudid

A

Opioid pain medication. An opioid is sometimes called a narcotic. Dilaudid is used to treat moderate to severe pain. hydromorphone (oral) (HYE droe MOR fone)

50
Q

Concentration for epinephrine administration?

A

1:1,000 (EpiPen)
OR
1:10,000 (IV)

ED Camp Pendleton (4 decks)

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