Cross Training for COVID-19, Summaries of Animal Anatomy and Physiology

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PAH Clinical Nurse Education Specialists

Permission for use granted by PPMC Nursing Education Cross Training for COVID- 19

Thank you for your

dedication

to our patients!

Nurse Leaders

 4 Cathcart (6 Schiedt)

• CNES: Amanda Pfaff
  • 267 - 591 - 2627
• Manager: Tony Zapisek
  • 215 - 605 - 3586

 5 Cathcart

• CNES: Angela Ross
  • 215 - 531 - 0113
• Manager: Ruth Dileo
  • 267 - 650 - 9306

 6 Cathcart (moved)

• CNES: Tami Proctor
  • 267 - 591 - 2630
• Manager: Tony Giorgio
  • 215 - 767 - 2448

 7 Cathcart (moved)

• CNES: Ali Shapiro
  • 267 - 591 - 2626
• Manager: George Shafer
  • 215 - 800 - 6933

 7 Schiedt

• CNES: Angela Ross
  • 215 - 531 - 0113
• Manager: Carrie Marvill
  • 267 - 591 - 2621

 ICCU

• CNES: Amanda Pfaff
  • 267 - 591 - 2627
• Manager: Bonita Ball
  • 267 - 716 - 8890

 ICU

• CNES: Diane Angelos
  • 267 - 591 - 2616
• Manager: Chris Huot
  • 215 - 828 - 3143

 Mother Baby

• CNES: Aida Schumacher
  • 267 - 591 - 2628
• Manager: Beth Anne Pyle
  • 267 - 593 - 1873

 L&D

• CNES: Raluca Anca
  • 267 - 591 - 2622
• Manager: Jamillah Washington
  • 267 - 804 - 2425

 ICN

• CNES: Rebecca DeGraff
  • 609 - 617 - 6331
• Manager: Betsie Quigley
  • 215 - 828 - 4695

Communication and Unit Expectations  Daily huddle

• Change of shift
• Expectation that you attend  Documentation should be done in real time (vital signs, etc.)  Each floor has specific patient populations and protocols  Please check with the charge RN and/or CNES for additional resources  Throughout your shift, keep the lines of communication open with:
• Primary RN
• Charge nurse
• CNES (when applicable)  Do not be afraid to speak up:
• If you are hesitant or unsure about something
• We want you to feel safe, comfortable and supported!

Clinical Alarms  Alarm volumes should be set at a level so that staff can hear them  Anytime you hear an alarm you should go to room to assess the patient  Alert the primary RN to the situation

Advanced Directives  Ask patient about their advanced directive and place a copy in their chart  Patients or family members who request additional information about advance directives can be referred to

• Clinical Resource Management & Social Work
• Patient and Guest Relations

Code Status in Penn Chart

• Complete all resuscitation efforts
• Chest compressions, intubation

Full Code

• Patient may be intubated, but does not

want compressions

May intubate,

do not

resuscitate

• Treatment limitations and goals of care

discussion in Advance Care Planning Note

• No ACLS

Do not

intubate, do

not resuscitate

Click for more details Document goals of care in Advance Care Planning (ACP) Note *In the event of an emergency, “Not on file” and “Prior” should be treated as full code

CRT Activation Criteria  CRT

• Pulseless
• Unresponsive
• Not Breathing  What to do next
• Immediately call 5050
• Begin CPR
• Bring Code Cart to Hallway
• Apply and use AED  Critical Care RN will document assessment and interventions

• Sudden weakness (one/both sides)
• Change in Vision (double, blurry, hemianopsia)
• Change in Speech (aphasia, slurred, garbled)
• Facial droop
• Drift, neglect, loss of sensation Recognize S/S of Stroke
• Call RRT x Call • RRT Team initiates stroke alert
• Neurologist
• CT Scan
• Transport
• Stroke Coordinator
• NAC Stroke alert notifies Stroke

Accu Check Inform II System Features Power Button Base/Charger Strip Guide and Barcode scanner Touch Screen Data downloads wirelessly

 Meter reading range: 10 - 600 mg/dL

• “LO” or “HI” if outside range – also possible with an operator error
• A serum glucose specimen MUST be sent to the Lab for a “LO” or “HI”  Critical patient values: less than 40 and greater than 500
• MUST be reported to RN/MD immediately
• Must enter comment
• A serum glucose specimen must be sent to the Lab Point of Care Blood Glucose Testing

 Scan your glucometer badge:

• Operator ID is your Penn ID number  Scan patient’s ID band (if doing patient test)
• CSN # is located below patient’s name on wristband
• Only scan the patient’s wristband- never scan a label that is not attached to the patient Point of Care Blood Glucose Testing

 Choose lateral side of finger for site  Clean with alcohol and let air dry  Wipe away 1

st

drop of blood – with GAUZE (not alcohol prep)

• 1

st

drop contains interstitial fluid

• 1

st

drop may contain alcohol (from cleaning)

• Helps more blood to flow  Apply sample to strip (top loading like a straw)  Return meter to base unit when testing complete
• Recharges battery & automatically uploads the result to Epic Point of Care Blood Glucose Testing