WorksheetsRecognizing the Distressed Patient (Nurse)
Total questions: 10
Worksheet time: 32mins
Goals of Pediatric Early Warning Score (PEWS)
Identifies patients at risk for clinical deterioration and provides needed interventions
Reduce code events and establish baseline
Improve communication between between Nurse, RT, and Provider
All of the above
How do you call a Rapid Response? Select all that apply.
Dial 5-TEAM (5-8326) from any Cisco or Voalte phone
Dial 5-9111 from any Cisco or Voalte phone
Using Responder 5 in the patient's room
Dial 5-6161 from any Cisco or Voalte phone
Where is the code cart located?
Treatment room
Clean utility room
Across from nurses station
Medication room
At what point should you activate a Rapid Response? Select all that apply.
When your patient is not breathing
When the patient has a PEWS score of 6
When a parent or caregiver express concern due to child's condition
When your patient no longer has a pulse
when based on your clinical judgment, the patient is in need of a second set of eyes
What error prevention skill should be used to give report to both the MD and Rapid Response Team?
ARCC
SBAR
Closed Loop Communication
STAR
These are critical indicators of deterioration in a pediatric patient :
Respiratory rate and blood pressure
Respiratory rate and heart rate
Respiratory rate and Sp02
Respiratory rate and capillary refill of 5-6 seconds
A 26 day old male admitted for observation due to increased WOB and slight decrease in appetite. At time of admission, the patient's vital signs are as followed: HR: 159, RR 40, Temp. 37.6, BP 80/53, and SpO2 of 98% on RA. Patient has no retractions and cap refill is 4 seconds. Calculate the PEWS score?
3
1
2
4
A 13 year old female was admitted for cough and SOB. She received 2 continuous breathing treatments, 1 dose of albuterol via inhaler, 1 dose of decadron, 1 dose magnesium, and a NS bolus. She was admitted for observation as her symptoms improved i n the ED with treatments. Upon admission, her vital signs were as followed: HR: 125, RR: 24, Temp: 37.0, BP 116/50, and 99% on RA. Calculate the PEWS score?
2
6
4
5
A 13 month old male presented to ED with congestion, increased WOB with tachypnea and subcostal retractions. He received two doses of racemic epi, tylenol given for 38.8 temp. Patient was placed on 2L HFNC and admitted. Upon admission, his vital signs were as followed: HR: 154, RR: 48, Temp. 37.9, BP 123/67, and 100 % on 5L (25%) HFNC. Calculate the PEWS score?
2
1
3
5
Now let's calculate the 13 month old's CRS score from question #9. His vitals are as followed: HR: 154, RR: 48, Temp. 37.9, BP 123/67, and 100 % on 5L (25%) HFNC. He has moderate dyspnea and moderate WOB. He does not have a cough nor wheezing. What is his CRS score?
4
6
5
2
