UNACCEPTABLE: Using the AED mode of the defibrillator After diagnosis of LAST, adjusts ACLS ACCEPTABLE: management as Verbalizes that they are adjusting medication doses due to the recommended by diagnosis of LAST. ASRA (Reduced dose AND/OR epinephrine of 200 mcg instead of 1 mg, Administers reduced of epinephrine (e.g., 200 mcg) avoid use of AND vasopressin, calcium Does not administer vasopressin, calcium channel channel and or local anesthetics blockers, and local anesthetics) Endoscopic retrograde cholangiopancreatography with post-operative malignant hyperthermia CPE ACCEPTABLE/UNACCEPTABLE ACTIONS ACCEPTABLE: Assesses patient mental status (e.g., to the patient and asks about ongoing problems talks to the patient). Assesses patient ACCEPTABLE: physiological status Observes and/or touches the monitors (e.g., checks vital Cycles the blood pressure cuff or asks to cycle the blood pressure signs.) cuff Mentions relevant signs ACCEPTABLE: Examines patient [Observes patient as Observes patient as conversing with her conversing with her; Places on patient and speaks with her Places hands on Listens to patient's lungs patient; Listens to Asks what the bedside nurse what they're seeing patient's lungs, asks what they're seeing] Reviews patient's ACCEPTABLE: anesthesia record and Observes and/or handles anesthesia record and pre-op records preoperative history
UNACCEPTABLE: Using the AED mode of the defibrillator After diagnosis of LAST, adjusts ACLS management as recommended by ASRA (Reduced dose epinephrine of 200 mcg instead of 1 mg, avoid use of vasopressin, calcium channel and and local anesthetics) ACCEPTABLE: Verbalizes that they are adjusting medication doses due to the diagnosis of LAST. AND/OR Administers reduced of epinephrine (e.g., 200 mcg) AND Does not administer vasopressin, calcium channel blockers, or local anesthetics Endoscopic retrograde cholangiopancreatography with post-operative malignant hyperthermia CPE ACCEPTABLE/UNACCEPTABLE ACTIONS Assesses patient mental status (e.g., talks to the patient). ACCEPTABLE: to the patient and asks about ongoing problems Assesses patient physiological status (e.g., checks vital signs.) ACCEPTABLE: Observes and/or touches the monitors Cycles the blood pressure cuff or asks to cycle the blood pressure cuff Mentions relevant signs Examines patient [Observes patient as conversing with her; Places hands on patient; Listens to patient's lungs, asks what they're seeing] ACCEPTABLE: Observes patient as conversing with her Places on patient and speaks with her Listens to patient's lungs Asks what the bedside nurse what they're seeing Reviews patient's anesthesia record and preoperative history ACCEPTABLE: Observes and/or handles anesthesia record and pre-op records
ALN_2017_05_15_WEINGER_ALN-D-16-01184_SDC4.docx