1,620 Posts
43 Posts
I will add monitor use to my clinical check off list, great idea! I have now added epi to the med list, thanks!
I imply narcan and flumazenil on the questions below the list, it would indeed be a bad one to leave off! I do have a module that runs through each proctocal/ standing orders while in clinicals as well as the crash carts (and we have "stat" drug boxes as well). Really makes a good intro to cardiac and ACLS for the student.
The sheet itself is to give to the student before they come to the ER.
Thanks for all the ideas! I will keep check back for more!
1,850 Posts
I would add kidney stones and cholecystitis to your GI/Abdomen systems; we see lots of those.
They should know that magnesium is also used to treat acute asthma.
As for peds, they should know how to dose tylenol and motrin, and they should have a cheat sheet they can refer to for peds vitals.
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I would also include knowing some labs:
Cardiac markers: what are they and what do they indicate? Why do they have to measured over a period of time?
CBC: What are some things that may be going on with my patient i.e. Hgb/Hct?
Chemistries: Why is a high/low potassium a problem?
The suggestion of having some of the ED's protocols to review is excellent especially in regard to abd pain, GI bleed, chest pain, and stroke. Going over some of the tests involved with those workups will help the students have a better idea of what is going on with the patient, where the doctor may be headed treatment wise and how to educate patients and families.
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Placement of the Leads: White on the right grass under clouds (white and green leads), smoke over fire (Black and red leads) poor brown in the middle (brown lead) :)
12lead is another story but the placement in important so just memory with those.
Maybe add what to give for an anaphylaxis reaction.
GREAT LIST!!!
105 Posts
nedlloyd
25 Posts
i think it would be a good idea for you to include the protocols of your ED, for example chest pain protocol where i worked you give 02, chewable ASA, get a line in and then give nitro etc. once you've been doing it awhile it just comes to you, but for some of the students it seems to help to see it written down. then if there is any down time (ya right) they can review it. also anaphylaxis and stroke protocols
and do a demonstration on how to operate the monitors! when i first started out i knew how to read them but i couldn't work some of the controls. so a monitor would be beeping and i couldn't figure out how to adjust the parameters...
and also add epi to your list of meds.
what items would you expect to find in a crash cart? hands on activities such as stocking the (already stocked) crash cart, check to make sure all supplies are there, ask students to explain their uses.