Intro to ER and PA Role Flashcards Preview

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Flashcards in Intro to ER and PA Role Deck (32)
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1

What is in the first drawer?

ACLS drugs for adults

2

What is in the second drawer?

IV solutions and ACLS drugs for pediatrics

3

What is in the third drawer?

Adult intubation supplies

4

What is in the fourth drawer?

Pediatric intubation supplies

5

What is in the fifth drawer?

IV start supplies

6

What is in the sixth drawer?

IV supplies and tubing

7

What is in the seventh drawer?

Procedure trays

8

What is in the top basket?

Large gloves
Surgical cone mask
Defibrillator pads
Adult multi-function electrodes
Peds multi-function electrodes

9

What is in the bottom basket?

Adult BVM with adults masks
Peds BVM with #2, 3, 4 masks
5 in 1 connector & 02 tubing

10

Whats on the left side of the cart?

02 tank and gauge
Adult and ped crash cart inventory list
Anaphylaxis tx guide

11

What is on the clipboard on the rear of the cart?

Procedures sheet
Crash cart check off list
Pharmacy charge sheet
Code Blue team sign in sheet
Code blue record sheets

12

Where is the backboard?

Back of the cart

13

What determines a PAs scope of practice?

State laws and regulations
Facility/ institution policies
Experience/ expertise of the PA
Supervising physician delegation

14

Commonly performed procedures in the ER

Wound exploration and debridement
Simple/multiple layer laceration repair
I&D of abscess
Removal of FB
Arthrocentesis
LP
Slit lamp exam
Emergency u/s
Nail trephination/removal
Closed reduction of fractures and dislocations

15

Advanced procedures in the ER

Rapid sequence intubation
Cricothyrotomy
Needle thoracentesis
Chest tube thoracotomy
Central/ arterial line placement
Procedural sedation
Provide medical direction for EMS

16

Important things seen on general appearance

Uncomfortable
Social interaction
Hydration status
Lethargy
Diaphoresis
Skin changes (pallor or jaundice)

17

Other ppl the PA might work with in the ER

Medical residents/ students
RNs
Orthopedic techs
Respiratory therapists
Social workers
Clergy

18

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

19

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

20

Pts seen in fast track

Pts with stable vital signs and minor illnesses
Lacerations
Minor bites/burns
Abscesses and cellulitis
Rashes
HAs (prior)
Earaches, sore throats, cough and congestion
Back pain
Dysuria

21

When is a patient considered to have a more advanced illness?

Deformed extremities
Age <3 mo
Temp > 103 F
Abnormal vital signs
O2 sat <90%
CP, can't breathe, neuro changes, abd pain, pelvic pain, vaginal bleeding
Elderly

22

Different settings of work for PA

Trauma
In rural ED
Fast track
High acuity care
Administrative and teaching roles
Pre-hospital setting

23

Types of documentation in ED

ED note
Informed consent
Procedure note
Admission note
Discharge note
Leaving AMA note (against medical advice)

24

What is the only defense against malpractice in the ED?

ED note

25

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

26

Exceptions to informed consent

Unconscious pt
Incapable of consenting
Imminent harm from non-tx
No surrogate available

27

What is in a procedure note?

Name and DOB
Date/time
Indication
Consent
Description of procedure
Estimated blood loss
Complications (if any)

28

What is on an admit note?

Admit where
Diagnosis
Condition
Vitals
Allergies
Nursing
Diet
IV fluids
Specials
Meds
Activity
Labs
(ADC VANDISMAL)

29

What is on the discharge note?

Discharge diagnosis
Secondary diagnoses
Discharge meds
Discharge instructions
f/u

30

What do you need to review with pt before they leave AMA?

Current medical condition
Specific risks and benefits of proposed tx and alternatives
Specific potential consequences of leaving AMA