RQI 2025 ACLS basics and STEMIs Study Guide

Physiologic ADULT pt criteria for determination of when to act: - -Airway Compromise -RR <6/min -RR >30/min -HR <40/min -HR >140/min -SBP <90 -*Symptomatic HTN* -Unexpected dec. in LOC -*Unexplained Agitation* -*Seizure* -Significant dec. in Urine Output The purpose of the Rapid Response Team (RRT) or Medical Emergency Team (MET) is to.. - Improve pt outcomes by identifying and treating early clinical deterioration What are signs of clinical deterioration that would prompt the activation of a rapid response system? - Symptomatic HTN, Seizure, Unexplained Agitation 4 elements of an integrated system of care: - Structure, Processes, System, and patient outcomes Element "Structure" includes what 3 things? - people, education, equipment Element "Process" includes what 3 things? - protocols, policies, procedures Element "System" includes what 3 things? - programs, organization, culture Element "Patient Outcome" includes what 3 things? - Satisfaction, safety, quality What is the primary purpose of the RRT or MET? - To improve patient outcomes by identifying and treating early clinical deterioration In-patient cardiac arrest is often preceded by? - Changes in the pt's vital signs. What happens when teams rapidly assess and intervene when patients have abnormal vital signs? - The number of in-hospital cardiac arrests decreases. The chain of Survival is a metaphor used to organize and describe: - the integrated set of time-sensitive coordinated actions necessary to maximize survival Among others, which of the following factors has been associated with improved survival in pts with cardiac arrest? - immediate high-quality CPR Team Leader Role (focuses on comprehensive pt care) - -organizes the group -Monitors individual performance of the team -backs up team members -trains and coaches -facilitates understanding -focuses on comprehensive pt care -Places advanced airway CPR Coach (supports performance of high-quality BLS skills) - -coordinates initiation of CPR -Coaches to improve quality chest compressions -coaches to improve high quality ventilations -states guideline targets -minimizes length of pauses in compressions which is the best example of a role of a team member? - Prepared to fulfill their role responsibilities To function effectively, a high performance team needs to focus on (4 things): - Timing, Quality, Coordination, and Administration Timing explanation (5): - -Time to first compression -time of first shock -CCF ideally greater than 80% -Minimizing preshock pause -Early EMS response time Quality explanation (5): - -Rate, depth, and recoil -Minimizing interrupt -Switching compressors -Avoiding excess ventilation -Use of a feedback device Coordination explanation (1): - team members working together and being proficient in their roles Administration explanation (4): - -Leadership -Measurement -Continuous improvement -Number of code team members One of the measures of a high-performance team is the ability to achieve: - -Specific performance metrics