Emergency Dept

Question 1

List Patient Rights

Answer 1

1. Right Patient
2. Right Medication
3. Right Reason/Indication
4. Right Dose
5. Right Time
6. Right Route
7. Proper Documentation
8. Right Response
   * Inform patient of procedure before it happens.

Question 2

List Vitals

Answer 2

1. SP02
2. Blood Pressure
3. Heart Rate
4. Respiratory Rate
5. Pain 0-10 Scale
6. Temperature in Celsius
7. Weight in Kg

Question 3

Possible Meaning of low red blood cells

Answer 3

Possible Hemorrhage

Question 4

Possible meaning of high white blood cells

Answer 4

Possible infection

Question 5

Possible reason for high red blood cells

Answer 5

Possible too much blood infusion (over-resuscitation)

Question 6

Possible reason for low white blood cells

Answer 6

Possible cancer

Question 7

Why would a blood sample be put on ice, and what color cap is it?

Answer 7

Lactate test. Grey caps always go on ice unless told otherwise. Ice will slow the deterioration of lactate. Shows levels of lactic acid.
Also Ammonia tests. Centrifuge immediately & analyze within 60 minutes of venipuncture.

Question 8

How often are curtains changed out, & how do you know it’s been changed out?

Answer 8

Every six months. There’s a tag on it that shows the date.

Question 9

How do we know IVs and medications are secure?

Answer 9

The carts are locked with codes.

Question 10

What is ESI & what are its levels?

Answer 10

Emergency Severity Index. Groups 1-5 indicate urgency level, with 1 being most urgent, and 5 requiring no resources such as X-Ray, MRI, CT, ultrasound, etc.

Question 11

Rate of compressions

Answer 11

1 person: 30 compressions, 2 breaths (30:2)

2 people: 15:2

Question 12

Ammonia test. What color vial top, & what are the requirements?

Answer 12

Lavender top*. Place on ice. Centrifuge immediately. Analyze within 60 minutes of venipuncture.

*Heparin tube. Prevents blood clots, thins blood. Ensure tube is inverted & mixed 8-10x.

Question 13

Pro-BNP (B-type natriuretic peptide) test AND/OR HGBA1C (hemoglobin). What color vial top, & what are the requirements?

Answer 13

Lavender top has ethylenediamine tetraacetic acid (EDTA) only. Anticoagulant.
No requirements (e.g. ice is not necessary)

Pro-BNP test detects how much stress the heart is enduring or if damage has occurred.

Question 14

Contact time for HP wipes

Answer 14

1 minute

Question 15

PTH / PTHIO (Parathyroid) test. What color top?

Answer 15

Lavender top. EDTA (ethylenediamine tetraacetic acid) only

Question 15

PSA (prostate specific antigen) test. What color vial top, & what are the requirements?

Answer 15

Gold Top Separator OR Red Tube.
Allow serum to clot completely before centrifugation.

*PSA primarily screens for prostate cancer.

Question 16

Show the High Level Disinfection Process for contaminated, reusable instruments.

Answer 16

1. Move used instruments to a designated dirty room
2. Demonstrate use of PPE (gloves, face, shield, & eye protection)
3. Instruments wiped with moist gauze to remove visible bioburden
4. Use of enzymatic spray or solution

Question 17

Describe how to transport dirty instruments to SPD

Answer 17

Use puncture-resistant, leak-proof, lidded, and biohazard labeled containers.

Question 18

Show the Manufacturer’s instructions for Use (IFU)

Answer 18

Demonstrate

Question 19

What procedures in your area require universal protocols to be followed?

Answer 19

Any invasive procedure that requires an informed consent.

Question 20

Describe to me your universal ‘time out’ verification (universal) protocol.

Answer 20

Hard stop Time Out with Patient Consent Form verifying correct patient, correct procedure, correct site, correct side - verbalized in front of the patient.

Question 21

When is it necessary to label medications and/or solutions in your procedural area?

Answer 21

Always, when not administered immediately

Question 22

When do you initially assess patients for pain?

Answer 22

Upon check-in, along with vitals

Question 23

How do you assess pain?

Answer 23

Look at the patient’s face, ask the patient

Question 24

What pain scale do you use?

Answer 24

Scale 0-10

Question 25

How frequently do you assess for pain?

Answer 25

During the procedure and at the completion of the procedure.

Question 26

Do you document the patient’s response to pain interventions after a procedure in the medical record?

Answer 26

Yes

Question 27

Do you document how much local anesthesia was used in the medical record?

Answer 27

Yes

Question 28

What do the acronyms PASS & RACE stand for?

Answer 28

PULL AIM SQUEEZE SWEEP RESCUE ALARM CONFINE EXTINGUISH/EVACUATE

Question 29

Show me the nearest fire alarm pull box in your area.

Answer 29

Ask for locations

Question 30

Show me the nearest fire extinguisher(s) in your area.

Answer 30

Ask for locations

Question 31

Show me your “Red Book” (Emergency Management Procedures Book)

Answer 31

Ask for location

Question 32

Is your recall roster up to date?

Answer 32

Ask

Question 33

Where are your fire exits?

Answer 33

Ask

Question 34

Do you know your fire evacuation route & muster site?

Answer 34

Ask

Question 35

How often are fire extinguishers checked?

Answer 35

Monthly

Question 36

Are tags on fire extinguishers filled out correctly?

Answer 36

Yes

Question 37

Fire extinguisher cabinets are not blocked by equipment.

Answer 37

No blockage

Question 38

How much clearance (radius) should there be beneath sprinkler heads and shelving/supplies?

Answer 38

18 inches

Question 39

Sprinkler heads are clear of dust, debris, or paint?

Answer 39

Yes

Question 40

Who do you contact if a sprinkler head is dirty or has paint on it?

Answer 40

Facilities

Question 41

How often is each exam room cleaned (floors, cabinets, doors)? Who cleans it?

Answer 41

Ask

Question 42

How often do you change out your sharps container?

Answer 42

3/4 full

Question 43

How often do you check for expired supplies/meds in drawers or cabinets?

Answer 43

Ask

Question 44

Show a cabinet or drawer. Verify no expired items.

Answer 44

No expired items

Question 45

How often are the codes for locks changed?

Answer 45

Ask

Question 46

What do you do if a piece of equipment malfunctions or fails?

Answer 46

Remove or sequester it, call Biomed, submit a safety report, complete a labeling tag.

Question 47

How do you know a medical device is safe to use?

Answer 47

Current Green PM sticker showing when it was last inspected by Biomed, and date due for next one.

Question 48

Six P’s of Compartment Syndrome

Answer 48

1. Pain 2. Pressure 3. Paresthesia 4. Paralysis 5. Pallor 6. Pulselessness

Question 49

Dilaudid

Answer 49

Opioid pain medication. An opioid is sometimes called a narcotic. Dilaudid is used to treat moderate to severe pain. hydromorphone (oral) (HYE droe MOR fone)

Question 50

Concentration for epinephrine administration?

Answer 50

1:1,000 (EpiPen) OR 1:10,000 (IV)