ACLS basics and STEMIs, Questions and answers, Rated A+. 2022 update

ACLS basics and STEMIs, Questions and answers, Rated A+. 2022 update Physiologic ADULT pt criteria for determination of when to act: - ✔✔-Airway Compromise -RR 30/min -HR 140/min -SBP

ACLS basics and STEMIs, Questions and answers, Rated A+. 2022 update 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 -High chest compression fraction (CCF) You can only achieve high chest compression fraction (CCF) by: - ✔✔minimizing pauses during high-quality CPR 15 seconds before pausing compressions at the end of each 2--minute cycle, high-performance teams should: - ✔✔Check for a pulse, precharge the defibrillator, and be prepared to deliver a shock in 10 seconds or less. When switching compressors the second compressor should: - ✔✔come in behind the first compressor so he/she has the same view of the team and defibrillator Switching compressors between cycles of every ___ minutes is best - ✔✔2 What is the primary purpose of the CPR Coach on a resuscitation team? - ✔✔Increasing CPR quality which member of a high-performance team has the responsibility for assigning roles? - ✔✔Team Leader what is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? - ✔✔Activation of emergency responses Only give drugs after.. - ✔✔Verbally confirming the order with the team leader. What is the best example of a role of the team leader? - ✔✔models excellent team behavior which high-performance team member is part of the resuscitation triangle? timer/recorder team leader monitor/defibrillator/CPR coach IV/IO/Medications - ✔✔monitor/defibrillator/ CPR coach CPR compression inches and rate - ✔✔-compress 2 inches