Englewood Values

Question 0

INR

Answer 0

Greater than 4.0

Question 1

What type of blood transfusion to watch out for…

Answer 1

Non autologous

Question 2

Tests a person might have to undergo to be cleared from the suspended list

Answer 2

EKG, cardiac enzymes, vascular studies, or X-Ray to rule out a fracture

If the results are negative PT can continue.
If the results are positive new orders with clearance is required.

Question 3

Pulse oximetry

Answer 3

Less than 90 with or without O2 that is not resolved by deep breathing.

Question 4

When a CT scan comes back as positive for a bleed for someone with suspected CVA

Answer 4

Therapy has to be held until there is another scan confirming that the bleed is stable.

Question 5

Vitals for clearance after CVA or TIA

Answer 5

If either is suspected or has actually occurred

Systolic greater than 200
Diastolic greater than 100

Question 6

What to look for with CVA or TIA aside from blood pressure

Answer 6

Are they neurologically stable or unstable

Question 6

What type of heart event and what is the time frame

Answer 6

Ventricular tachycardia in last 8 hours

Question 8

Positive for DVT

Answer 8

If they test positive for DVT in any vessel theroay will be held until the patient is cleared to resume functional activities by the MD, NP, PA

Question 9

What type of minor surgical procedures might call for a hold on PT

Answer 9

PEG or PICC line placement or removal. Pacemaker placement. Colonoscopy. Endoscopy. AV shunt placement.

Question 10

Dependent or weaned from….

Answer 10

Ventilation

Question 11

What to do what a patient is given tpa

Answer 11

Patient has had a CT scan. Negative for bleed and received tpa may not receive therapy for a minimum of 24 hours and a second CT confirms the patient is negative for hemorrhagic conversion.

Question 12

Potassium levels!

Answer 12

Less than 3.3 or greater than 5.5

For patients in chronic renal failure or receiving hemodialysis the potassium range is 3.3 to 6.0

Question 13

Vitals for PT after orthopedic surgery

Answer 13

Systolic less than 80
Diastolic less than 50

And who are symptomatic

Question 13

Atrial Pressure…

Answer 13

Less than 60

Question 15

Platelet count contraindication.

Answer 15

If it is below 20,000 the patients physician will be contacted for clearance prior to therapy

Question 16

A patient’s PT/OT may be modified and based on patient reaction held for a limited period of time doe any of the following

4 reasons

Answer 16

Resting heart rate of greater than 120 bpm

Resting respiratory rate of greater than 45 bpm

Resting systolic blood pressure of less than 90 or
180

Resting diastolic blood pressure less 50 or greater than 100.

Question 18

Pacemaker leads pulled. Time from to start up therapy.

Answer 18

One hour

Question 19

Femoral lines

Answer 19

If a patient has a femoral line the physician who places the line must clear the patient to participate in therapy and OOB activity.

Question 20

The seven reasons why a patient will be discharged until new orders are written

Answer 20

1. CAC
2. Respiratory Arrest
3. Major surgical procedure
4. Patient transfers from one level of care to a more intensive level of care
5. Patient refuses to participate in program, or refuses 3 consecutive visits
6. MI
7. Patient has a VAC dressing change in the operating room.

Question 20

Steps to take when a diagnosis of CVA is suspected

Answer 20

They will be seen after the initial CT scan if that scan is negative for a bleed. If a MRI was also ordered therapy can continue as long as the CT was negative.

Question 21

Hemoglobin

Answer 21

Less than 6.9

Question 22

Blood glucose value that is high enough to seek action.

Answer 22

If it is over 300 the therapist will speak with the nurse and as necessary obtain a recent glucose level. If it is still more than 300 the therapy will be delayed until the level is under 300