Flashcards in Intro to ER and PA Role Deck (32)
What is in the first drawer?
ACLS drugs for adults
What is in the second drawer?
IV solutions and ACLS drugs for pediatrics
What is in the third drawer?
Adult intubation supplies
What is in the fourth drawer?
Pediatric intubation supplies
What is in the fifth drawer?
IV start supplies
What is in the sixth drawer?
IV supplies and tubing
What is in the seventh drawer?
What is in the top basket?
Surgical cone mask
Adult multi-function electrodes
Peds multi-function electrodes
What is in the bottom basket?
Adult BVM with adults masks
Peds BVM with #2, 3, 4 masks
5 in 1 connector & 02 tubing
Whats on the left side of the cart?
02 tank and gauge
Adult and ped crash cart inventory list
Anaphylaxis tx guide
What is on the clipboard on the rear of the cart?
Crash cart check off list
Pharmacy charge sheet
Code Blue team sign in sheet
Code blue record sheets
Where is the backboard?
Back of the cart
What determines a PAs scope of practice?
State laws and regulations
Facility/ institution policies
Experience/ expertise of the PA
Supervising physician delegation
Commonly performed procedures in the ER
Wound exploration and debridement
Simple/multiple layer laceration repair
I&D of abscess
Removal of FB
Slit lamp exam
Closed reduction of fractures and dislocations
Advanced procedures in the ER
Rapid sequence intubation
Chest tube thoracotomy
Central/ arterial line placement
Provide medical direction for EMS
Important things seen on general appearance
Skin changes (pallor or jaundice)
Other ppl the PA might work with in the ER
Medical residents/ students
Advantage of PAs in triage
Can examine and discharge pts with minor conditions in triage
Reduces the number of pts that leave without being seen
How does EMTALA relate to PAs?
PAs may perform the medical screening exams to determine if it is an emergency
Also can order hospital transfers if there is an SP consult
Pts seen in fast track
Pts with stable vital signs and minor illnesses
Abscesses and cellulitis
Earaches, sore throats, cough and congestion
When is a patient considered to have a more advanced illness?
Age <3 mo
Temp > 103 F
Abnormal vital signs
O2 sat <90%
CP, can't breathe, neuro changes, abd pain, pelvic pain, vaginal bleeding
Different settings of work for PA
In rural ED
High acuity care
Administrative and teaching roles
Types of documentation in ED
Leaving AMA note (against medical advice)
What is the only defense against malpractice in the ED?
What is the disposition on the ED note?
Where the pt is going- exact diagnosis is not always possible and not always necessary
Discharge, leaving AMA, to OR, admit to observation etc, transfer
Exceptions to informed consent
Incapable of consenting
Imminent harm from non-tx
No surrogate available
What is in a procedure note?
Name and DOB
Description of procedure
Estimated blood loss
Complications (if any)
What is on an admit note?
What is on the discharge note?