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Questions and Answers
What is the first step in delivering a newborn?
What is the first step in delivering a newborn?
What is the primary method to diagnose endometriosis?
What is the primary method to diagnose endometriosis?
What is the most important infection control measure?
What is the most important infection control measure?
What is the purpose of a travel advisory?
What is the purpose of a travel advisory?
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What is the role of a nurse in identifying a highly infectious disease?
What is the role of a nurse in identifying a highly infectious disease?
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What is the primary complication of endometriosis?
What is the primary complication of endometriosis?
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What is the purpose of isolation precautions?
What is the purpose of isolation precautions?
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What is the definition of a highly infectious disease or high-consequence pathogen?
What is the definition of a highly infectious disease or high-consequence pathogen?
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What is the primary goal of rapid and streamlined triage?
What is the primary goal of rapid and streamlined triage?
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What is the name of the pediatric triage algorithm?
What is the name of the pediatric triage algorithm?
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What is the name of the drills and exercise focused on triage and decanting?
What is the name of the drills and exercise focused on triage and decanting?
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How many patient actors were simulated in the IED scenario?
How many patient actors were simulated in the IED scenario?
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What percentage of patients with potentially survivable wounds could have been saved?
What percentage of patients with potentially survivable wounds could have been saved?
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What is the focus of the discussion-based HRO crisis management drills?
What is the focus of the discussion-based HRO crisis management drills?
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How many departments participated in the full-scale exercise?
How many departments participated in the full-scale exercise?
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What is the primary role of the trauma team?
What is the primary role of the trauma team?
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What is the main purpose of the SBAR tool in the emergency department?
What is the main purpose of the SBAR tool in the emergency department?
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What is the primary benefit of incorporating bedside handovers into nursing practice?
What is the primary benefit of incorporating bedside handovers into nursing practice?
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What is the term used to describe an organization's ability to prioritize safety and continuous improvement?
What is the term used to describe an organization's ability to prioritize safety and continuous improvement?
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What is the primary goal of the pediatric triage system?
What is the primary goal of the pediatric triage system?
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What is the term used to describe the collective mindset of a team?
What is the term used to describe the collective mindset of a team?
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What is the primary benefit of using the ESI triage system in pediatrics?
What is the primary benefit of using the ESI triage system in pediatrics?
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What is the term used to describe the belief that team members will act in ways that promote the aims of the team?
What is the term used to describe the belief that team members will act in ways that promote the aims of the team?
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What is the primary issue with the blood vessels in distributive shock?
What is the primary issue with the blood vessels in distributive shock?
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What is the primary purpose of the 'Stop' step in the questioning attitude process?
What is the primary purpose of the 'Stop' step in the questioning attitude process?
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What is the treatment for anaphylactic shock?
What is the treatment for anaphylactic shock?
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What is the cause of neurogenic shock?
What is the cause of neurogenic shock?
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What is the last stage of sepsis?
What is the last stage of sepsis?
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Why is giving fluids in distributive shock not sufficient?
Why is giving fluids in distributive shock not sufficient?
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What is the role of the FDNY in a Mass Casualty Incident?
What is the role of the FDNY in a Mass Casualty Incident?
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What is the purpose of the Mass Casualty Program?
What is the purpose of the Mass Casualty Program?
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How many members are on the decon team?
How many members are on the decon team?
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What is the first step in comforting a pediatric patient during an IV insertion?
What is the first step in comforting a pediatric patient during an IV insertion?
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What is the purpose of a child life specialist during IV insertion?
What is the purpose of a child life specialist during IV insertion?
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Why is it important to keep the child's elbow straight during IV insertion?
Why is it important to keep the child's elbow straight during IV insertion?
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What is the purpose of a Stat-lock during IV insertion?
What is the purpose of a Stat-lock during IV insertion?
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What is the benefit of using a vein illuminator during IV insertion?
What is the benefit of using a vein illuminator during IV insertion?
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What is the purpose of LifeFlow Hand-operated rapid infusion device?
What is the purpose of LifeFlow Hand-operated rapid infusion device?
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How much fluid can be delivered using the LifeFlow device in less than 2 minutes?
How much fluid can be delivered using the LifeFlow device in less than 2 minutes?
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What is a benefit of using sucrose during IV insertion for babies under 12 months?
What is a benefit of using sucrose during IV insertion for babies under 12 months?
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Study Notes
Delivery Complications and Gynecological Emergencies
- Support perineum controlled descent: a crucial step in delivery to prevent complications
- Head resistutes: a critical moment in delivery that requires careful attention
- Check for nuchal cord: a potential complication during delivery
- Oxytocin 10U IM: a medication used to manage delivery complications
- Delivery of posterior shoulder: a crucial step in delivery that requires careful attention
- Delivery of lower body and umbilical cord: a critical step in delivery that requires proper technique
- Clamp and cut cord at 30-60 seconds: a crucial step in delivery to prevent complications
Ruptured Ovarian Cysts and Endometriosis
- Ruptured ovarian cysts: a gynecological emergency that requires prompt attention
- Ectopic pregnancy: a potential complication that requires rule-out
- Pain management: a crucial aspect of managing gynecological emergencies
- Endometriosis: a common complication that requires proper diagnosis and management
- Diagnostic tools: US or CT scan are used to diagnose endometriosis
- Management: pain and bleeding can be managed with contraceptives, and in some cases, DNC or surgery is required to remove some of the cells
Highly Infectious Diseases and High Consequence Pathogens
- Highly infectious disease or pathogen: a serious hazard that requires specific control measures
- Three steps for success:
- Identify: recognition of outbreaks and pathogens is crucial
- Isolate: isolation is a critical step in controlling the spread of disease
- Contain: containment is key to preventing further spread of disease
Infectious Disease Outbreaks
- US-based outbreaks: listeria, Covid-19, fungal meningitis, measles, monkeypox
- International outbreaks: ebola, dengue, diphtheria, chikungunya, marburg
- Nursing role:
- Identification and isolation
- Real-life anecdote: Covid-19 symptoms and travel advisories
- Current state: remaining hypervigilant to symptoms and masking policies
Mass Casualty Incidents and Triage
- Mass casualty incident: a serious situation that requires immediate attention and response
- START Triage Algorithm: a critical tool for managing mass casualty incidents
- JumpSTART Pediatric Triage: a triage system specifically designed for pediatric patients
- Management of Mass Casualty Incidents:
- Decon team comms drills
- Functional exercise: focus on triage and decanting
- Full-scale decontamination scenario
Trauma and Emergency Department Management
- Trauma team structure and roles: a critical aspect of emergency department management
- Communication:
- Debriefing
- Trauma?Huddle: teamwork SBAR for escalating a concern
- Patient Safety in the Emergency Department:
- Nursing Teamwork Survey Subscales
- Key Concepts for Success: communication, improvement models, continuous learning, accountability, transparency
Pediatric Triage and Care
- Pediatric triage: a standardized approach that takes into account appearance, work of breathing, and circulation
- Airway, breathing, circulation, disability, exposure (ABCDE)
- Pertinent history, vaccination, vital signs, fever, and pain
- Pediatric high-risk situations:
- Seizures
- Accessory muscle use, retractions, nasal flaring
- Sepsis
- Burns, suspected child abuse
- Fever in newborns
- Head trauma
Pediatric Vital Signs and Management
- Pediatric vital signs: pulse, RR, SpO2, and temperature
- Management of pediatric emergencies:
- Distributive shock
- Anaphylactic shock
- Neurogenic shock
- Septic shock
- IV insertion in pediatric patients:
- Minimize pain of the procedure
- Positioning and comfort measures
- Numbing options and distractions
- Sucrose use
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Description
Learn how to make IV insertion a more comfortable experience for pediatric patients. This quiz covers various techniques to minimize pain and discomfort, including comforting positions, numbing options, distractions, and sucrose administration. Test your knowledge and improve your care for young patients.