Week 10: Assessment
Charting questions
The nursing chart is a way that I can gather assessment data. Each shift’s chart at the end of the level will include 1 knowledge question for quantitative data, 1 reflective question for qualitative data, and space for notes. This gives me several metrics to collect on players: knowledge questions, reflective answers, notes, scores, and level completion.
1
What units are Bailey’s medicines measured in?
A) Ounces
B) Teaspoons
C) Milliliters
D) Milligrams
What was the hardest part of the first shift?
2
What determines the depth that you insert the catheter for suctioning?
A) The length from the edge of the trach to the beginning of the flexible part of the tube
B) The length from the edge of the trach to the end of the inside part of the trach tube
C) The length from the edge of the trach to the beginning of the bronchial tubes
D) The length doesn’t matter
Which gives you more information: observing Bailey or reading the vitals?
3
How often should you check the Go Bag to make sure it is packed and nothing has expired?
A) Every shift
B) Every Week
C) Once a month
D) Only when it is used
Why do you think that the Go Bag is important?
4
What is the level of cleanliness that should be used in a routine trach change procedure.
A) It is a sterile procedure. All implements should be sterilized. Wear gloves.
B) It is a clean procedure. All implements should be sterile or clean. Wear gloves.
C) It is a normal clinical procedure. Implements should be basically clean but gloves aren’t necessary.
D) Cleanliness is not a major factor in routine trach changes.
When do you think a trach change would not be considered routine?
5
If the patient presents with slightly thicker, yellow secretions, what is the best immediate course of action?
A) Notify the parents that the child is not at baseline.
B) Immediately call the doctor to get antibiotics.
C) Collect sputum for a trach culture.
D) No action is needed.
How do you think the nurse’s charting notes are used in the child’s care?
6
How do you check to see how much oxygen is in the tank?
A) Turn the regulator dial all the way up and listen to how loud the flow of oxygen is.
B) Put your thumb over the nipple and feel how much pressure is applied to your thumb.
C) Once the regulator is in place, twist open the tank valve and read the amount on the gauge.
D) Once the regulator is in place, twist the regulator dial to 1 and read the amount on the gauge.
If the child is on oxygen and needs to travel, how much oxygen should you take? How do you decide?
7
What is the route of entry for nebulized medication?
A) Ingestion
B) Inhalation
C) Injection
D) Absorption
If your patient continues to stay sick or gets worse, what do you think is the best course of action?
8
What metric do you primarily look at to decide if supplemental oxygen is needed?
A) The Sats on the pulse ox
B) The heart rate on the pulse ox
C) The breath sounds with the stethoscope
D) Temperature with the thermometer
Describe the movement that you make when inserting the new trach.
9
What is the most important aspect of an emergency trach change?
A) Using clean supplies
B) Finding all the supplies quickly
C) Calling for help
D) Stabilizing the airway
What became clear to you while managing an emergency trach change?
10
What is the most important information to convey to the 911 dispatcher and paramedics first?
A) That the child is desatting and has an unstable airway/chronic lung disease
B) The child’s diagnoses
C) The child’s medications
D) The size of the trach
How can you best prepare for paramedics to arrive?
11
No multiple choice because they are in the level.
You have handled routine and two kinds of emergency trach changes. What realizations have you made after these experiences?
12
Questions are in the Epilogue.
