Standards Of Care Flashcards
All patients should have a documented ……………. before treatment or practical procedure
clinical risk assessment
Staff dealing with emergencies arising during the provision SRH, should have evidence of what?
Training and regular updates in resuscitation
What should all healthcare staff be trained to recognise in terms of emergency care?
Vasovagal or syncope episodes and anaphylaxis
Annual BLS training
For emergency drugs in resuscitation, what is the minimum requirement??
Availability in line with primary care or community clinic
Must be accessible, clearly labelled, adequately maintained and location known to all staff
For emergency drugs, what should be on the label?
Dosage regimes
How often should emergency drugs be checked?
Monthly as a minimum, to check expiry date
When must oxygen be available?
For intra uterine instrumentation
What are the requirements for oxygen supply?
Can be via wall/pipe or cylinder.
Sufficient size to be portable.
Allow adequate flow rate 10-15 litres/min for up to 30 minutes
For emergency equipment, what is the minimum requirement?
In line with primary care or community clinic standards
Managing airway + administering drugs
Should be accessible and maintained and location known to staff
Where possible emergency equipment should be …. and …..?
Single use and latex free
Minimum suggested emergency equipment
PPE
Pocket mask
Oxygen cylinder and tubes
Stethoscope
Pulse oximeter
Glucose monitor
Face mask (size 0-4)
AED
Adhesive pads
Razor
Supraglottic airway device
Absorbent towel
Portable suction
Oropharyngeal Airway sizes 0 to 4
Self inflating bag (adult + child)
Algorithms for emergency drugs
Sharps box
Scissors
Named individual responsible for resuscitation coordination, including
Maintaining emergency equipment and drugs.
Coordinating training
Can Nurses give certain drugs without a prescription for the purpose of saving a life in an emergency?
Yes, according to the human medicines act 2012
An appropriately trained assistant should be present during cervical instrumentation
True
May be required to call for additional assistance, monitor patient, perform basic life support
Bradycardia is a heart rate less than…?
60 bpm
Most people do not get symptoms until heart <40
Vasovagal syncope and subsequent loss of consciousness may be associated with transient twitching or brief seizure. Should this be treated as epilepsy?
No, usually resolve as bradycardia results
Airway assessment
- check patency, talk to patient listen for sounds of obstruction
- conscious level deteriorating/signs of obstruction provide airway manoeuvre or insert or oropharyngealairway
- High flow oxygen
Breathing assessment
- check for breathing/listen
- Pulse oximeter (aim for 94 - 98%).
- If not breathing for ventilation with pocket mask and call 999
Circulation assessment
- look for signs of shock (pallor, sweating, feeling, faint, nausea)
- Check pulse centrally
- BP
- Lay flat
- IV atropine 500 to 600 mcg up to Max 3 mg
- Meant to be IV, but IM is acceptable
Disability assessment
AVPU score
Alert
Response to voice
Response to pain
Unresponsive
Exposure assessment
Check skin for rashes
CPR
30:2
Chest compressions depth 5 to 6 cm
Rate 100 to 120/min
Attach AED
Anaphylaxis treatment
ABCDE assessment.
Call for help.
Remove trigger and reposition (flat or sitting or left side if pregnant)
IM adrenaline 1 mg/1 ml (1:1000)
Give 500 mcg (0.5 ml) anterolateral thigh
