Lab 5 code management

Question 1

What is code yellow

Answer 1

missing patient

Question 2

what is code green

Answer 2

Evacuation

Question 3

What is code orange

Answer 3

Mass casualty event has occurred alerts everyone to prepare for a lot of patients

Question 4

what is a code brown

Answer 4

hazardous spill

Question 5

what is a code grey

Answer 5

System failure ie water electricity

Question 6

what is a code silver

Answer 6

means there is an active attacker in the hospital

Question 7

what rate should you perform chest compressions at

Answer 7

100-120 bpm

Question 8

to what depth should you compress an adults chest while performing compressions

Answer 8

compress at least 2 inches

Question 9

what is the breaths to compression ratio

Answer 9

30 compressions: 2 breaths

Question 10

What are the 5 rights of clinical reasoning

Answer 10

Right Cues
Right action
Right patient
Right reason
Right time

Question 11

what are the steps of the clinical reasoning cycle

Answer 11

-Consider the patient situation
-Information collection
-Process information
-Identify the problem
-Establish goals
-Take action
-Evaluate outcomes
-Reflect on process and new learning
Consider the patient, take a good look,
Collect all the info, like reading a book.
Process the data, think what it shows,
Identify the problem, see where it goes.
Establish your goals, clear and precise,
Take action now, don’t think twice.
Evaluate outcomes, check what’s been done,
Reflect on your learning, improvement begun.

Question 12

what is failure to rescue

Answer 12

The inability of clinicians to save a patient’s life by timely diagnosis and treatment when a complication develops

Question 13

what are the 4 major causes of failure to rescue

Answer 13

-failure to recognize clinical deterioration
-Failure to communicate and escalate concerns
-Failure to physically assess the patient
-failure to diagnose and treat the patient appropriately

Question 14

What are the 4 steps to preventing failure to rescue

Answer 14

-Surveillance/ assessment
-Timely identification of complications
-Taking action
-Activating a team response

Question 15

What is usually the first sign of neurological deterioration

Answer 15

Restlessness

Question 16

What is one of the earliest signs of instability?

Answer 16

Resp rate increase to above 20 per/min

Question 17

How much oxygen can nasal cannula provide per minute

Answer 17

1-6 L/min

Question 18

How much oxygen can a simple face mask provide per minute

Answer 18

6-10 L/min

Question 19

How much oxygen can a non rebreather mask provide per minute

Answer 19

10-15 L/minute

Question 20

what are two ways to improve ventilation in a patient that is experiencing acute respiratory failure

Answer 20

-create positive end expiratory pressure with a device during resp failure
-Endotracheal intubation

Question 21

what 4 main elements are required for the heart to function properly

Answer 21

-oxygenation
-Perfusion
-electrolytes
-acid/base balance

Question 22

what is the first sign of cardiac deterioration

Answer 22

heart rate increases to above 100 bpm

Question 23

When would you call the MRP in regards to the patients resp rate

Answer 23

if they had resp rate greater than 25 or less than 8 or increased work of breathing

Question 24

When would you call the MRP in regards to a patients blood pressure

Answer 24

if there is a systolic pressure less than 90 or a drop of more than 30

Question 25

when would you call the MRP in regards to a patient's heart rate

Answer 25

if they had a heart rate greater than 120 or less than 50

Question 26

When would you call the MRP in regards to a patient's LOC

Answer 26

if they had a sudden change in LOC or had a GCS score less than 10

Question 27

When would you call the MRP in regards to a patient's O2 saturation

Answer 27

if the have an SPO2 of less than 90% and the patient is on around 8L of O2 (50% FiO2)

Question 28

When would you call the MRP in regards to a patient's urine output

Answer 28

if they had a urine output of less the 80 mL over the last 4 hours

Question 29

When would you call the MRP in regards to seizures

Answer 29

if they had new repeated or prolonged seizures

Question 30

when would you call the MRP in regards to chest pain

Answer 30

if they had chest pain that wasn't relieved by nitro spray as ordered

Question 31

When would you call the MRP for things not related to the patient's vital signs or output

Answer 31

-If they were exhibiting FAST VAN stroke symptoms -If they had unexpected significant bleeding -The patient is failing to respond to treatment ie BP not coming up after administering a fluid bolus

Question 32

when would you start to suspect sepsis in a patient

Answer 32

If the patient had two of the following: -HR greater than 90 -RR greater than 20 -Temp of 38 or greater or less than 36 -WBC greater than 12 or less than 4.0x10^9 -Change in LOC AND confirmed or suspected source of infection

Question 33

What is always the prefered method of communication

Answer 33

Always communicate with SBAR

Question 34

What are the components of a primary survey during a code

Answer 34

-Rapid assessment of the patient and the environment -ABC -D (AVPU)

Question 35

What are the 4 different levels of responsiveness in an AVPU assessment

Answer 35

-Alert -Verbal stimuli -Painful stimuli -U-Unresponsive

Question 36

What are the most common reversible causes of cardiac arrest

Answer 36

H's -Hypovolemia -Hypoxia -Hydrogen (acidosis) -Hypo/hyperkalemia -Hypothermia T's -Tension pneumo -Tamponade cardiac -Toxins -Thrombosis, pulmonary -Thrombosis, coronary

Question 37

Should the family be present during a code situation

Answer 37

Yes there is overwhelming evidence that it has the best outcomes if the family is present during the code

Question 38

what is the emphasis of the post resuscitation period

Answer 38

-maintain optimal tissue oxygenation and perfusion -identify the cause of the arrest -initiate treatment

Question 39

When should you call a code blue

Answer 39

-When your patient is in respiratory or cardiac arrest -When your assessment suggests early warning signs of arrest -When directed to do so

Question 40

What health care staff compose CCOT

Answer 40

-Critically trained RN from ICU -Respiratory therapist

Question 41

What are the different stages in the respiratory bell curve

Answer 41

-20 RR -24 RR -30 RR -Increasing through 40's -Decreases to 4-10 -Apnea

Question 42

What are the different stages of neurological deterioration

Answer 42

-Restless -Anxious -Irritable -Agitated -Confused -Combative -Lethargic -Unresponsive

Question 43

when would you stop performing abdominal thrusts on a patient

Answer 43

when the item they are choking on becomes dislodged or the person loses consciousness

Question 44

What are the three steps in performing CPR

Answer 44

-Chest compressions -Airway -Breaths *remember CAB abbreviation (this is also kind of the priorities ie the #1 priority should be chest compressions)

Question 45

What is the chest compression to ventilation ratio

Answer 45

30 compressions : for every 2 breaths

Question 46

what technique is used to open the airway of an unresponsive patient

Answer 46

head tilt/chin lift

Question 47

after delivering a shock with an AED how long should CPR be performed for until the next rhythm check

Answer 47

2 minutes

Question 48

When would you stop CPR if a patient begins to breath on their own

Answer 48

when they start breathing on their own 10 times per min

Question 49

is there any difference in the number of compressions or the rate at which you perform compressions for a child vs an adult

Answer 49

No all the same