Week 1: CC environment Flashcards

1
Q

Best “level” for hospital and NICU

A

Level 1 hospital: good. Teaching hospital with multiple care pathways and can handle multiple patients.

NICU: level 3 is the best

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2
Q

Open critical care unit

A
  • multiple staff is coming and going, physicians, ancilary staff, nurses, all managing a patient
  • most typically used
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3
Q

closed unit (ICU)

A

certain staff including an intensivist who managed your patient. Great, unless the intensivist missing something, or something special happens that’s not in the intensivists realm of specialty.

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4
Q

Biggest problems for critical care patients

A
  • they are vulnerable
  • communication issues
  • technology
  • complex, multiple-step process
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5
Q

SBAR with another R

A

Situation, background, assessment, recommendation, and don’t forget to recite it back

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6
Q

Two rule challenge

A

if you call the provider and you don’t get a reasonable solution, restate what you think is approrpriate, restate why you think it’s appropriate, and if you still don’t get what you need, contact another provider

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7
Q

Who makes national patient safety goals

A

Joint Commission

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8
Q

VAP bundle

A

prevent ventilator associated pneumonia

*head of bed elevated 30

*oral care every 2 hours

*turn Q2

*sedation vacation every 24 hours

*peptic ulcer prphylaxis within the first 24 hours of mechanical ventilation

*DVT thrombosis w/i 24 hours on vent

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9
Q

CLABSI Bundle

A

prevent central-line associated blood stream infection

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10
Q

ABCDE Bundle

A

improved cognitive and functional outcomes for ICU survivors
-A: airway B: breathing C:coordination D: delirium monitoring E: exercise/early mobility

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11
Q

Sepsis Bundle

A

prevent sepsis & septic shock

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12
Q

The Safe Medical Device Act

A
  • Require that hospitals report serious or potentially serious device-related injuries to the U.S. Food and Drug Administration (FDA).
  • All implantable devices must be documented and tracked with the FDA.
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13
Q

Moral Distress
AACN 4 A’s

A
  • When you’re in a facility and the policies prevent you from doing what you know needs to be done
  • Ask
  • Affirm
  • Assess
  • Act
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14
Q

Conscientious Refusal

A
  • Personal Moral standard
  • Rightness/wrongness
  • Personal Sanction
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15
Q

Compassion Fatigue

A
  • Intrusive Thoughts
  • Blending of Roles
  • Lowered Tolerance
  • Dread
  • Depression
  • Self-destructive Actions
  • Hyper-vigilance
  • Decreased Functioning
  • Loss of Hope
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