TCRN "Key Points" Sample 2020

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· Avoid succinylcholine (Anectine) in patients with hyperkalemia.

· Advocating for speed bumps is an example of primary injury prevention.

· Pad the upper back to horizontally align the external meatus with the shoulders to prevent occlusion of the pediatric patient’s airway.

· Cool molten tar with cold water until completely cooled. Cool prior to ointment application.

· A resuscitative thoracotomy is most effective in penetrating chest trauma.

· Bariatric patients have an increased risk of abdominal compartment syndrome and ARDS.

· Suspect TRALI with acute onset of respiratory distress and hypoxemia during or within six hours of blood transfusion.

· Pediatric patients with autism spectrum disorder are more sensitive to noise and light so reduce stimulus.

· Creatine kinase (CK) and potassium are elevated in rhabdomyolysis.

· Remove tourniquets only at the discretion of the surgeon.

· In disaster (START) triage, the walking wounded are classified as green.

· Fundal height reaches the umbilicus at 20 weeks. Height may be elevated in intrauterine bleeding from placental abruption.

· A hazardous vulnerability assessment is completed in the mitigation phase of disaster management.

· Pediatric packed red blood cells are administered as a bolus of 10 mL/kg.

· Normal ankle-brachial index (ABI) is 0.9-1.2, lower may be an indication of arterial occlusion.

TCRN Resources

  1. Emergency Nurses Association. Trauma Nurse Core Curriculum, 8th ed., 2019.

  2. Emergency Nurses Association. Emergency Nurses Core Curriculum, 7th edition, 2018.

  3. Emergency Nurses Association. Sheehy’s Emergency Nursing Principles and Practice, 7th ed. Elsevier, 2020.

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