| A | B |
|---|
| Name the exceptions to Epic documentation...these things are still charted on paper... | Trauma, codes, suicide risk assessment, disposition of body form, any consents or waivers |
| This is where you can find a quick overview of the downtime procedure if the computer system goes down... | Appendix F in the downtime procedure manual - link is on Quia ED Orientation page. |
| Cardiac arrest is a type of this consent... | Implied |
| Remember these 2 things when getting phone consent... | have 2 witnesses; there is a specific format to follow when documenting in the chart |
| Other than emancipated or married, these are the only 4 other reasons we may treat a minor without legal guardian consent... | pregnancy, birth control, STD, substance abuse |
| This law makes it very important to document a waiver of medical screening should the patient choose to leave... | EMTALA |
| When transferring to another facility, make sure these things are done... | Medical screening, stabalize patient, receiving MD name, bed number, consents to treat and transfer are signed (COBRA), medical chart sent with patient, nurse-to-nurse report |
| In order to go to triage, TNCC and CEN are preferred certifications. However, these two certifications are a must... | ACLS and PALS |
| You have no prior ER experience. You can go to triage... | after 6 months of work in the ED and a formal class |
| Our triage system and levels... | ESI (Emergency Severity Index) with 5 levels (1 being the most severe) |
| Pivot nurse will take a patient directly to a bed if open and have the primary nurse do the "triage". This is called... | Immediate bedding |
| These are procedures set in place to begin treatment prior to being seen by a provider...they are an expectation, not an option... | Advanced Triage Protocols (ATPs) |
| This is how a code STEMI is determined in the field... | EMS will transmit the EKG for the ED doc to interpret and call |
| This person makes the decision to call a Code STEMI... | The ED doc or any physician who responds to a Rapid Response |
| This is how pagers are activated for Code Stroke... | Charge nurse or unit secretary will call 3-1911 (control center emergency number) |
| The paging system alerts these members of the Code STEMI team... | cath lab staff, hospitalists, lab, radiology, nursing supervisor, bed coordinator, ED Nurse Manager, ICU nurse manager, bed coordinator |
| Transport of a Code STEMI patient is with the following team members... | hospitalist or cardiologist, cath lab staff, someone from ED (to bring back stretcher and equipment) |
| Don't forget this when a Code STEMI is called... | THE PATIENT AND FAMILY |
| This is how many IV's the Code STEMI patient needs... | At least 2 large bore |
| Retrieve THIS box for at least these medications... | Clot box (green box on top of omnicel) and will give baby ASA and maybe NTG |
| Attach the Code STEMI patient to all of these... | Zoll monitor, bedside monitor, NIBP, pulse ox, oxygen |
| This is why radiology and lab are part of the Code STEMI team... | PCXR prior to cath lab and blood work (either from EMS, IV start, or lab will draw) |
| Door to BALLOON time goal is... | 90 minutes |
| These 2 people meet initially with a patient to determine the need to call a Code Stroke... | Charge nurse and ED doc |
| This department needs notified ASAP if Code Stroke is anticipated... | CT |
| Number the unit secretary will call to activate Code Stroke... | 3-1911 |
| Stroke team consists of... | neurologist, lab, radiology (tech and CT), patient access, nursing supervisor |
| To save time do this concerning a patient coming in via EMS... | leave on EMS stretcher - EMS crew will assist in transfer to CT |
| Repeat this on a possible Code Stroke patient, even if EMS already did one... | Fingerstick glucose |
| This must be determined as accurately as possible if a Code Stroke is anticipated... | Time of onset of symptoms |
| Remember this about any blood obtained from EMS... | They MUST appropriately label each tube |
| Every nurse must be certified in this due to our anticipation of becoming a stroke center... | NIHSS |
| This individual must do the first stroke scale assessment... | ED doc or neurologist |
| Renew NIHSS certification every... | Year - this is done free online |
| Time frame to be met for EKG on all chest pain patients... | 10 minutes or less |
| This information is given to the physician along with the EKG... | Brief but concise history of patients chest pain |
| All patients with chest pain are transported this way... | Wheelchair - even if they say they can walk (do education) |
| When a patient walks in triage with chest pain, do the EKG... | IN triage - do not bring them back to a bed first. |
| Remember this about documenting time with everything, especially, codes of any kind... | Accurate time should be used - do not round off |
| With immediate bedding, this person is responsible for completing the triage questions... | the primary nurse |
