ED Orientation Quiz Survey

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* 1. Name

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* 2. Program

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* 3. Email Address

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* 4. Phone Number

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* 5. What resources are available to check medication dosing? (check all that apply)

CNMC Formulary

ED Pharmacist (Josh Heffren, x 1137)

Your attending or fellow

Just Google it.

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* 6. When should the SOUND mnemonic be used?

In communicating with the family

At safety huddle only

When presenting the patient to your attending or fellow

When discussing a question with a consultant

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* 7. When should you communicate with a family?

To introduce yourself with your title and role

To discuss the plan of care (once discussed with your attending or fellow)

To inform the family of any changes to the plan of care

ONLY when the nurse asks you to

TO update the family with info as available (once discussed with your attending or fellow)

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* 8. When should you contact the Primary Care Provider (PCP)?

Only if a patient is admitted to the ICU

Only if a patient is discharged to police custody

For all admitted patients and complicated patients (e.g. triage level 3 or higher, urgent follow up needed, etc).

Only for discharged patients

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* 9. Which of these behaviors can help you to order medications and tests safety and efficiently in the ED?

Using the ED Common Meds Folder to order medications

Using Communication orders if you can't find a medication in the EMR

Using the ED Power Plans for sets of orders and medications for specific medical problems

Ordering any medications not found in the ED Common Meds Folder as "Stat, Once".

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* 10. What are the important components of good discharge instructions? (Check all that apply)

Follow up interval

Return precautions

Results of all the labs and tests done in the ED

Expected course of illness

Medication instructions and doses

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* 11. Which of these is appropriate, HIPAA compliant behavior for our patients in subwaiting (check all that apply)

Clean the room after using the Consult Room

Leave the patient in the Consult Room until the attending and any consultants see the patient.

Take your history and physical in the sub-waiting room with other patients and families around.

Discuss with the charge nurse about another room you can use to see a patient if the consult room is in use.

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* 12. How should you decide what patient to sign up for?

Always take the patient waiting the longest

Consider both acuity and length of waiting

Take the most interesting patient first

Take the most complicated patient first

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* 13. Who do you contact if an emergency or illness occurs and you can't make it to your scheduled shift that day?

Charge Doc for the day 202 476 8198

Emergency Communications and Information Center (ECIC) 202 476 5433

Hilda Rojas, Senior ED Administrator 202 476 4177

Just emailing the rotation director is enough.

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* 14. What does SOUND stand for when we use it during safety huddle?

Summary, Objective, Upcoming Tasks, Nursing Input, Double-check

Synthesis, Objective, Upcoming Tasks, Nursing Input, Double-check

Synthesis, Overall, Upcoming Tasks, Nursing Input, Double-check

Synthesis, Objective, Unresulted Tests, Nursing Input, Double-check

Synthesis, Objective, Upcoming tasks, Needed tasks, Double-check

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* 15. When is it ok to discuss patient care, patient information and test results (check all that apply)

In the ED, with providers who are directly responsible for that patient.

In the ED, with consultants that have been specifically consulted for that patient.

On the shuttle bus with other medical students or residents.

In the hospital elevator with your attending on the way to the cafeteria.

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* 16. What is a shared mental model?

Two way communication about a statement

The method to double check an order

A hand-off tool

A mutual understanding of the problems, goals and strategies needed to reach a solution

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* 17. What are examples of the "S" component of SOUND? (check all that apply)

11 year old female with 2 days of fever, 4 days of cough and a remote history of asthma.

14 year old male with abdominal pain, suspect appendicitis versus gastroenteritis.

6 month old female with leukocytosis, fever and not drinking well.

10 year old male who punched the wall and has a suspected finger fracture