Week 1: CC environment Flashcards Preview

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Flashcards in Week 1: CC environment Deck (15):
1

Best "level" for hospital and NICU

Level 1 hospital: good.  Teaching hospital with multiple care pathways and can handle multiple patients.  

NICU: level 3 is the best

2

Open critical care unit

-multiple staff is coming and going, physicians, ancilary staff, nurses, all managing a patient

-most typically used

3

closed unit (ICU)

certain staff including an intensivist who managed your patient.  Great, unless the intensivist missing something, or something special happens that's not in the intensivists realm of specialty.

4

Biggest problems for critical care patients

-they are vulnerable

-communication issues

-technology

-complex, multiple-step process

5

SBAR with another R

Situation, background, assessment, recommendation, and don't forget to recite it back

6

Two rule challenge

if you call the provider and you don't get a reasonable solution, restate what you think is approrpriate, restate why you think it's appropriate, and if you still don't get what you need, contact another provider

7

Who makes national patient safety goals

Joint Commission

8

VAP bundle

prevent ventilator associated pneumonia

*head of bed elevated 30

*oral care every 2 hours

*turn Q2

*sedation vacation every 24 hours

*peptic ulcer prphylaxis within the first 24 hours of mechanical ventilation

*DVT thrombosis w/i 24 hours on vent

9

CLABSI Bundle

prevent central-line associated blood stream infection

10

ABCDE Bundle

improved cognitive and functional outcomes for ICU survivors
       -A: airway  B: breathing  C:coordination D: delirium monitoring E:  exercise/early mobility

11

Sepsis Bundle

prevent sepsis & septic shock

12

The Safe Medical Device Act

  • Require that hospitals report serious or potentially serious device-related injuries to the U.S. Food and Drug Administration (FDA).
  • All implantable devices must be documented and tracked with the FDA.

13

Moral Distress
AACN 4 A’s

  • When you're in a facility and the policies prevent you from doing what you know needs to be done
  • Ask
  • Affirm
  • Assess
  • Act

 

 

14

Conscientious Refusal

  • Personal Moral standard
  • Rightness/wrongness
  • Personal Sanction

15

Compassion Fatigue

  • Intrusive Thoughts
  • Blending of Roles
  • Lowered Tolerance
  • Dread
  • Depression
  • Self-destructive Actions
  • Hyper-vigilance
  • Decreased Functioning
  • Loss of Hope