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7 Cards in this Set

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General Guidelines Adult 1-1

For ages less than ___, pediatric orders should always apply.
General Guidelines Adult 1-1

13

Between the ages of 13 and 18, judgement should be used, although the pediatric guidelines will usually apply.

It is recognized that the exact age of a pt is not always known.
General Guidelines Adult 1-3

For pt refusal, a pt is mentally competant and able to refuse care if what 3 conditions apply
General Guidelines Adult 1-3

A. The pt is capable of understanding the nature and consequences of the proposed tx and...

B. has sufficient emotional control, judgement, and discretion to manage their own affairs

C. is not "impaired" by drugs or alcohol and/or is not currently experiencing a medical condition that may influence A or B.
General Guidelines Adult 1-3

True or False? A minor may refuse treatment or transport.
General Guidelines Adult 1-3

False

Consent or refusal must be given by the pt's parent or legal guardian. Although less desireable, consent or refusal may be given by a responsible adult (over 18). If unsure, contact medical control.
General Guidelines Adult 1-3

In what 2 situations may CPR be withheld?
General Guidelines Adult 1-3

A. Reliable criteria for the determination of death are present, or...

B. A valad DNR order exists
General Guidelines Adult 1-3

Name the 4 things that are considered "reliable criteria for the determination of death"
General Guidelines Adult 1-3

1. Lividity
2. Rigor
3. Obviously fatal truama
4. absence of vital signs in a trauma victim despite a patent airway.
General Guidelines Adult 1-3

True or False? Photo copies of a valid DNR order are valid
General Guidelines Adult 1-3

True
General Guidelines Adult 1-3

True or False? In a health care facility a DNR order is valid if written in the orders section of the pt chart
General Guidelines Adult 1-3

True

The order must be signed by a physician, Nurse Practioner, PA.