Sample interview questions: How do you handle patients who are in need of emergency intraosseous access?
Sample answer:
- Assess the Situation:
- Evaluate the patient’s condition, including their level of consciousness, respiratory status, and pulse.
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Check for signs of shock, such as hypotension, tachycardia, and cool, clammy skin.
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Choose the Appropriate Site:
- Select an appropriate site for intraosseous access, typically the proximal tibia or humerus.
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Avoid areas with obvious infection, edema, or deformity.
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Prepare the Site:
- Cleanse the skin with an antiseptic solution and allow it to dry.
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Shave the hair at the site if necessary.
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Insert the Intraosseous Needle:
- Use a sterile intraosseous needle with a stylet.
- Stabilize the bone with one hand while inserting the needle with the other hand.
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Advance the needle with a slow, rotating motion until you feel a “pop” or loss of resistance.
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Secure the Needle:
- Remove the stylet and attach a syringe filled with sterile saline or normal saline.
- Gently aspirate to confirm placement and then flush the needle with saline.
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Secure the needle with tape or a commercial stabilization device.
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Administer Fluids and Medications:
- Infuse fluids, such as normal saline or lactated Ringer’s solution, as ordered by the physician.
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Administer medications through the intra… Read full answer
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