Peds ARU June Education - Standards and policies

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Across
  1. 2. Discharge instructions should be provided to patient and accompanying individual and should include instructions to not _____, drink any alcoholic beverages, and/or make important decisions for the next 12 hours.
  2. 3. Phase 1 recovery is the period beginning at the ________ of the procedure, until the patient meets the following criteria as applicable:
  3. 4. Home discharge criteria regardless of level of sedation evaluates many things including the absence of, or control with _______, of nausea and vomiting
  4. 6. *The modified aldrete score will total _____ or pre-sedation total
  5. 7. For phase 2 care, the bedside nurse is expected to monitor vital signs every 15 minutes for a minimum of ______ minutes and until +/- 20% of baseline blood pressure.
  6. 8. *Systolic BP/HR/RR +/- 20% baseline *Orientation to person, place and time or return to the pre-anesthetic level of consciousness *Satisfactory airway and respiratory function *Absence of _________ bleeding *Stabilization or resolution of any acute problem *Based on nursing assessment patient shows evidence of receding pain level and increased comfort with pharmacologic and non-pharmacologic
  7. 9. Per our discharge policy, we are to give appropriate discharge instructions to whom?
  8. 10. Patients who receive a reversal agent such as Nalozone or Flumazenil will return to phase I criteria with documentation of modified aldrete and VS every 15 minutes for a minimum of _____ minutes following the last dose of the reversal agent.
  9. 12. Required monitoring and documentation during phase 1 Recovery: *Modified aldrete score every ____ minutes *Vital signs every _____ minutes including: BP, RR, HR and Rhythm, Spo2
  10. 13. There are four different levels of sedation. These include: minimal sedation (anxiolysis), _________ sedation/analgesia, deep sedation/analgesia, and general anesthesia.
  11. 14. Minimum requirements for rescue includes having the crash cart immediately available within the procedure area, assuring suction set up, advanced airway equipment, vascular access and pharmacological ______ for benzodiazepines and opioids are immediately available.
Down
  1. 1. This is a drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanying by light tactile stimulation.
  2. 2. We are required to complete the _________ criteria scoring on the EMR with consideration to patient’s baseline from admission.
  3. 4. For pediatric patients, medication dosages shall be calculated on _____ patient weight.
  4. 5. Discharge should never occur until at least ____ minutes since the time of the last sedative/analgesic medication.
  5. 11. Part of the pre-procedure assessment of the patient undergoing moderate or deep sedation includes baseline _______ and modified aldrete.