Challenge Your Knowledge and Skills!

During the pre procedural TIME OUT for pacing wire removal, the following is shared: no post-op arrhythmias or pacing needs, on low molecular weight heparin, last given 4 hours ago, no bleeding disorder. Which is the BEST next action?

• Proceed with the procedure

• Postpone the procedure

After cleaning the exit sites and allowing to fully dry, identify the SAFEST area to cut the wire? [use the drawing tool]

After removal, you inspect the wires as shown. Which of the following is the MOST accurate description?

• no evidence of fragmentation

• evidence of fragmentation

Before leaving the bedside, you place the patient on continuous ECG monitoring for 4 hours. Which arrhythmia would MOST likely be the earliest sign of cardiac tamponade?

During the pre procedural TIME OUT for pleural chest tube removal, the following is shared: no effusion or pneumothorax on today's chest X-ray, right atrial line access, no increase in drainage over the last 4 hours, CVS available in-house. Which of the following is the BEST next action?

• Proceed with the procedure

• Postpone the procedure

An assisting trainee asks you which personal protective equipment (PPE) they should wear during the procedure. Which of the following are the MOST appropriate to recommend? [there may be more than one correct response]

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After cleaning the insertion site and have allowed it to fully dry, which of the following shows the MOST appropriate suture to cut?

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Which of the following would be the MOST effective interventions to prevent a pneumothorax while removing the chest tube?

• Apply pressure below tube, ask patient to take big breath in and hold it 

• Apply pressure above tube, ask patient to exhale fully and hold it

• Apply pressure above tube, ask patient to take big breath in and hold it

• Apply pressure below tube, ask patient to exhale fully and hold it