SDU HCMANE May 2026

HC-MANE Patient Monitoring Activity

Heart SDU - May 2026

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Your Admission:

In addition to vital signs and groin site assessment, what should be included in handoff?

• You are receiving bedside handoff on a transfer from 7East...

• 75 y/o female with cardiogenic shock s/p impella via right groin

• PMH: DM, CAD s/p CABG x3, and HFrEF (35%)

• HR 98, BP 90/64, RR 18, SpO2 95% 3L NC

• Current infusions: Amiodarone infusion 1mg/min for atrial fibrillation and heparin 800units/hr.

Neurovascular Assessment

Continuous Infusion Handoff

Click PREVIEW to interact with the buttons and learn more about the structure and tips.

Which pump is programmed correctly to match the order?

Continuous Infusion Verification

During the verification you trace the heparin infusion from the pump to the patient and notice that it is connected to the y-site of the amiodarone tubing. What resource should you use from the MAR to check compatibility to prevent druh interactions?

What is your next action?

Medication Administration Guideline

Lexi-Comp

Hypoglycemia Event: Patient Case #2

Room 7 has sliding scale insulin correction dose. You notice that the patient is a little more lethargic than expected & appears diaphoretic. You check their blood sugar and it is 48 mg/dL.

What is your next action?

Administer 25g D50 IV

Give her 8oz of juice PO (30g carbohydrates)

That's right! Per the hypoglycemia protocol, all patients with BG < 50mg/dL will receive 25g D50 IV (or 1mg glucagon IM/SUBQ if no IV access).

NEXT

What is the administration action for the 0800 insulin dose?

Hypoglycemia Event: Patient Case #2

Administer 2 units of regular insulin

You perform a recheck 15 minutes later and the Blood sugar is now 201. You document the event using the smartphrase (.rnhypoglycemia) and notifiy the provider. The patient's meal tray has just arrived and the patient starts eating immediately.

Mark the administration as NOT given per hypoglycemia protocol.

DUHS Hypoglycemia Protocol

Medication Administration: Patient Case #3

Later in your shift, you are passing meds with your new admission. Your patient is NPO for a procedure. Based on your insulin order, what do you do?

Administer 4 units

Administer 1 units

Hold dose

Tube feed interruption protocol

Your buddy comes to you because their patient is going to IR later and the provider has held the TF. The patient has sliding scale insulin only. Your buddy knows that there has been a recent update to the TF Interruption protocol, but asks you to verify with them.

What is the correct action for this patient?

Stop the TF. Check a BG and start IV D10.

Stop the TF. No action is needed for patients with sliding scale insulin ONLY.

Chest Tube

A patient in room 9 has a chest tube for hemothorax. They begin to call for help complaining of sudden onset of dyspnea. On exam, the patient is begining to wheeze and swell around the face. The chest tube has continuous, vigorous bubbling in the water seal chamber.

You suspect an air leak in the system. You should do all of the following EXCEPT:

Notify the first call provider

Immediately clamp the chest tube

Check and tighten the connections

Assess entire system from patient to atrium

Medication Administration: Patient Case #4

Administer dose #3

Your patient is admitted for a drug load on tiksoyn for atrial fibrillation. Today at 1200 is dose #3. The patient received an EKG last night 2 hours after dose #2 and the provider reviwed the QTc on rounds this morning. The patients labs are as follows: K+ 4.1, Mag 2.2, Cr 2.4 Based on your orders and this information, what do you do?

Hold dose #3 and notify provider

Await for the ok to administer order

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