complete solution;(Actual questions and answers)
You use critical thinking when you:
Perform a rapid assessment and determine a course of action.
Anticipate roles and functions as part of a team based on the patient's presentation and
condition.
Re-evaluate the situation for changes, interpret these changes and modify care
accordingly.
Closed-loop communication
A communication technique used to prevent misunderstandings; the receiver confirms
that the message has been received and understood.
Team Leader Responsibilities
Assigns and understands team roles.
Sets clear expectations.
Prioritizes, directs and acts decisively.
Encourages and allows team input and interaction.
Focuses on the big picture.
Monitors performance while providing support.
Acts as a role model.
Coaches the team.
Re-evaluates and summarizes progress.
Leads a debriefing session.
Asses
Perform visual survey, check for responsiveness, and simultaneously check for
breathing and pulse.
When checking pulse and breathing, you check for at least 5 seconds but no
more than
10 seconds
Shoot-tap-shoot
Used to check for patient responsiveness. On an adult or child, you tap the shoulder.
On infant, you tap bottom of the foot.
Recognize
, Patient may be experiencing a life-threatening emergency. Injury, respiratory arrest,
cardiac arrest, obstructed airway, or opioid overdose.
Care
Provide care and Reassess and document
What do you do for a patient in respiratory arrest?
Deliver ventilations, no compressions. (when has pulse as well)
What do you do for a patient in cardiac arrest?
Start 30 compressions within 10 seconds of identification. Get AED and activate
response team.
Open the airway
To check for breathing and a pulse, you must first open the patient's airway using either
the head-tilt/chin-lift technique or the modified jaw-thrust maneuver.
Modified jaw-thrust maneuver
When patient as an expected neck or head injury.
You are about to start your morning rounds, when you hear a loud crash in Mrs.
Bailey's room. When you enter her doorway, you see her lying on the floor with
her walker tipped over next to her. You must first perform a visual survey. What
actions should you take?
Scan the patient's room for any obvious hazards, determine whether any additional help
is needed, and observe for any signs of illness or injury, including life-threatening
bleeding.
The room is safe to enter. As you approach Mrs. Bailey you do not see any signs
of life-threatening bleeding, but she appears unresponsive. Which action should
you perform next?
Use the shoot-tap-shoot sequence to determine responsiveness.
Mrs. Bailey is unresponsive. You suspect she may have a head injury. Which
technique should you use to open Mrs. Bailey's airway?
Modified Jaw Thrust
As you check Mrs. Bailey's breathing, you look to see whether her chest rises and
falls, listen for escaping air and feel for breathing against the side of your cheek.
Is this the correct course of action?
Yes
Rapid assessment of Mrs. Bailey's breathing reveals irregular, gasping breaths.
You correctly identify this pattern of breathing as:
Agonal Breaths
Adult In-Hospital Cardiac Chain of Survival
Surveillance and prevention
Recognition of a cardiac emergency and activation of the emergency response system
Early CPR to keep oxygen-rich blood flowing and to help delay brain damage and death
Early defibrillation to help restore an effective heart rhythm and significantly increase the
patient's chance for survival.