Quiz 1 Concepts

Question 1

6 interventions for HC Improvement

Answer 1

1) deploy rapid response teams
2) improve care of pts with AMI
3) prevent ADE through med reconciliation
4) prevent central line infections
5) prevent surgical site infections
6) prevent ventilator associated pneumonia

Question 2

joint commission 2016 national pt safety goals

Answer 2

1) identify pts correctly
2) improve staff communication
3) use medications safely
4) prevent infection
5) identify pt safety risks
6) prevent mistakes in surgery
7) use alarms safely

Question 3

who is on the rapid response team

Answer 3

critical care nurse, respiratory therapist, critical care physician as back up

Question 4

what is the role of the rapid response team

Answer 4

• intervene quickly in emergency situations
• follow up on high risk pts
• educate the staff

Question 5

who is critical to the RRT

Answer 5

bedside nurses because they initiate the call

Question 6

who can initiate the RRT call

Answer 6

any staff can initiate call if pt exhibits criteria

Question 7

what is the highest priority of the RRT

Answer 7

BP and O2 status

Question 8

RRT will initiate what

Answer 8

• ABGs
• initiate pulse ox
• O2 at appropriate level
• ECG
• basic labs
• IV fluids NSS

Question 9

what is the rapid response criteria

Answer 9

• heart rate > 140 bpm or <40 bpm
• RR >28 or <8
• systolic BP >180 or <90
• O2 sat <90 % with supplementation
• acute change in mental status
• urine output of <50 cc in 4 hrs
• staff member has significant concern
• chest pain unrelieved by nitro
• threatened airway
• seizure
• uncontrolled pain

Question 10

how long does a typical RR last

Answer 10

30-40 min

Question 11

what is the most common time that RR are called

Answer 11

nights and at shift change

Question 12

what units are RR most commonly called on

Answer 12

CV, PCU, surgical and units with new staff

Question 13

most common reasons for RR

Answer 13

• altered mental state
• SOB
• tachycardia
• staff worried about pt
• hypoxemia
• hypotension

Question 14

what are the two most common reasons RR are called

Answer 14

rapid deterioration of pt and too much care for the floor setting

Question 15

what to tell physician about pt

Answer 15

• diagnosis (medical and surgical)
• most recent labs
• meds

Question 16

what is the most common treatment for RR pt

Answer 16

• IV fluid bolus
• medications changed
• supplemental O2

Question 17

what diagnostic measures are typically done for RR

Answer 17

-ABG/pulse Ox, cardiac monitor, CBG, EKG, CXR

Question 18

why are RR called for surgical pts most often

Answer 18

• hypoxia

- decreased BP d/t dehydration

Question 19

what are the 5 Hs

Answer 19

• hypovolemia (decreased BP, give fluids)
• hypoxemia (O2 stat, give oxygen)
• hyper/hypokalemia
• hypo/hyperglycemia
• hypothermia

Question 20

what does high and low K cause on the EKG

Answer 20

high K= high T wave

low K= PVCs

Question 21

what are the 5 Ts

Answer 21

• tables, overdose, sedation, med induced
• tamponade, cardiac
• tension, pneumothorax
• thrombosis, myocardial infarction
• thrombosis, pulmonary

Question 22

what does SBAR stand for

Answer 22

Situation, Background, Assessment, Recommendation

Question 23

describe tampondade cardiac

Answer 23

• after open heart surgery
• blood fills up space and stops the heart
• caused by increased pressure in the intrathoracic cavity

Question 24

how to treat tamponade, cardiac

Answer 24

remove blood from space with needle

Question 25

describe tension pneumothrorax

Answer 25

air in the lung/ increased pressure in lungs causes lungs to collapse

Question 26

how to treat tension pneumothorax

Answer 26

chest tube to allow air to escape lungs

Question 27

what is the key in BOTH tension pneumothorax and tampondade cardiac

Answer 27

relieve pressure