S.P.A.N.C.

This blog is meant to be a place for Sunnybrook Peri-Anesthesia Nurses (Pre-Admission Centre, Same Day Surgery, Post Anesthetic Are Unit and Surgical Short Stay Unit) to stay in communication with each other and to be up-to-date with concerns regarding the Peri-Anesthesia Department. The Purpose of S.P.A.N.C is •To re-implement a unit based council •to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do •to create a collegial atmosphere for sharing our professional experiences within the subgroups of Peri-anesthesia •to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and thereby affect positive outcomes for our patients and their families.

Tuesday, December 2, 2008

Quiz of the Month

Laurie Mahoney has been so kind as to forward a Neuro Quiz from The Foothills Hospital in Calgary. Thought I'd pass it on to you (though I tweaked it a bit)


1. The internal reference point, when levelling intracranial EVD’s is called:____________
2. The external reference point, when levelling intracranial EVD’s, is located: ____________
3. Lumbar EVDs are “typically” levelled to the area of insertion site or area of injury.
True or False
4. Flushing of the EVD transducer may only be performed when the waveform is dampened or is absent and other, less invasive, troubleshooting methods have been tried. List 5 less invasive, troubleshooting methods that must be tried prior to flushing the transducer.
5. Is it possible for a Richmond Screw to have a drainage system attached? Y or N
6. Is it possible to monitor ICP with a Richmond Screw? Y or N

7. You are setting the ICP alarm limits on the monitor but the physician has given you no guidelines. What should you set your high ICP alarm at?

8. List 3 common nursing interventions that are employed in PACU for control/maintenance/management of ICP.

9. What does CPP tell us?
10.What is considered to be an acceptable CPP?
11. What are the 4 major components of a neurological assessment?

12. The Glasgow Coma Scale is:
a. is always a 15 point scale
b. measures level of conscious sedation
c. less valid when used by inexperienced users
d. only scale where you can be dead and still score a 3

13. When assessing pupil size, it is most appropriate to measure and document AFTER testing reactivity to light. True or False



ANSWERS:
1. Foramen of Monroe
2. Between the outer aspect of the eye and top of the ear
3. True
4. http://sunnynet.ca/Default.aspx?cid=100244-100445-100446-100675
5. http://sunnynet.ca/Default.aspx?cid=100676&lang=1
6. http://sunnynet.ca/Default.aspx?cid=100749&lang=1
7. http://sunnynet.ca/Default.aspx?cid=100749&lang=1
8.
Adequate oxygenation, maintaining normal C02 levels
Control of N+V
HOB 30 or as ordered
Head and neck properly aligned
Normothermia
Accurate I+O
Adequate pain control
Seizure prophylaxis
Quiet environment
9. The adequacy of the perfusion to the brain
10. 60-70, 70 being more ideal for adequate perfusion
11. pupil response, GCS, VS, sensory and motor power
12. c
13. False
Posted by at
Labels:

No comments:

Post a Comment

Subscribe to: Post Comments (Atom)