MedSurg II Exam 4 | Introduction to Critical Care & Emergency Nursing Study Guide

MedSurg II Exam 4: Introduction to Critical Care and Emergency Nursing

ABCDEF daily rounding tool? Assess, prevent, and manage pain
Breathing, spontaneous awakening trials (SAT), and spontaneous
breathing trials (SBT)
Choice of analgesia and sedation
Delirium: assess, prevent, and manage
Early mobility
Family engagement


Assessment in a trauma situation? Primary survey
ABCDE assessment




Assessment in disaster? Primary survey
Secondary survey
Tertiary survey


Assessment in the ED? Vital signs
Chief complaint
History of present illness
Focused assessment

, MedSurg II Exam 4: Introduction to Critical Care and Emergency Nursing
Black tag? Deceased or death is expected/imminent


Code blue? Code blue is called for a client who is in full respiratory/cardiac arrest
Runner, provider, medication administrator, respiratory support person,
compression person, helper at start of code, code leader, recorder


Code cart? Nurses must maintain life support skills and the equipment used in code
blue situations
Code cart must be checked every 24 hours and replenished after a code
Defibrillator function
Resuscitation supplies
Medications
IV supplies


Emergency operation plan? Prepare
Respond
Recover
Mitigate