lecture 12 prioritization/guessing Flashcards
to make room for incoming pts after disaster u have to kick out which priority of pt
lowest priority
which pt should u check on first when u get a handoff report
highest priority
pts post op under how many hrs are priority over everybody else
12 hrs post op pts
what are the S rank lab abnormalities
INR
K
pH
CO2
ANC
CD4
platelets
is a newly diagnosed pt stable or unstable
unstable
is a newly admitted pt stable or unstable
unstable
is a pt admitted less than 24 hrs stable or unstable
unstable
are hemorrhage pts stable or unstable
unstable
are fevers over 105 F stable or unstable
unstable
is hypoglycemia stable or unstable
unstable
is v-fib stable or unstable
unstable
is asystole stable or unstable
unstable
3 ways u know its black tag in a casualty
pulseless
breathless
fixed and dilated pupils
the more vital the organ
the higher the priority
which is more importany kidney or pancreas
kidney
which is more important heart or lung
lung
which is more important brain or lung
brain
which is more important brain or lungs
brain
can an LPN deal w central lines
no
can an lpn change dressings
no
can lpns start IVs
no
can LPNs hang or mix IV meds
no
can LPNs push IV meds
no
can an LPN maintain an IV and document the flow
yes
can LPNs do the first of anything
no
can LPN give stroke pt FIRST feeding
no only after the nurse did it
What kind of meds can UAP give
topical meds and OTC
Can UAP give enemas
yes
dont let pts or family members do nything that has to do w safety if they werent taught
make sure all safety stuff is done before u leave no exeptions
should u ever ignore inapropriate behavior
no
when should u snitch on inapropriate behavior
illegal
when should u confront and do it for them asap
anyone is in harms way
when should u wait to talk to them
no ones in danger and its just inappropriate
what should u do if 2 pts are having sex or masturbating
give them privacy
what intercostal space do the heart valves start (all pts eat too much)
2nd intercostal space
when guessing for nutrition questions always pick what kind chicken
baked
when guessing for nurtrition pick what if theres no chicken and what kind
fish that arent shell fish
what is shellfish high in
cholesterol
should u ever give kids casseroles
no
what kind of food should u pick for toddlers
finger foods (they can eat it on the run)
is one meal a day okay for preschoolers
yes
if you dont know what a drug is and its PO what side effect should you choose
GI side effects
what is the first thing u should assess before ABC
LOC
what is the first thing u should do
establish an airway
pt with worst outcome has what priority
highest priority
