DHA Nursing Critical Care and Emergency Nursing — Questions and Answers
Question 1: What is the DHA protocol for managing a patient on mechanical ventilation?
- Set ventilator and check once daily
- Continuous monitoring of ventilator parameters, regular ABG analysis, oral care every 4 hours, and VAP prevention bundle compliance (Correct answer)
- Only monitor oxygen saturation
- Mechanical ventilation does not require nursing assessment
Correct answer: Continuous monitoring of ventilator parameters, regular ABG analysis, oral care every 4 hours, and VAP prevention bundle compliance
DHA ICU nursing requires continuous ventilator monitoring (tidal volumes, pressures, FiO2), regular ABG analysis, oral care with chlorhexidine every 4 hours, head-of-bed elevation, and full VAP prevention bundle compliance.
Question 2: What is the DHA rapid response team activation criteria?
- Only when cardiac arrest occurs
- Defined triggers including acute change in heart rate, blood pressure, respiratory rate, oxygen saturation, or consciousness level (Correct answer)
- Only senior nurses can activate the team
- There are no specific criteria
Correct answer: Defined triggers including acute change in heart rate, blood pressure, respiratory rate, oxygen saturation, or consciousness level
DHA rapid response team activation is triggered by specific physiological criteria including acute changes in vital signs or consciousness level, allowing any concerned staff member to activate the team.
Question 3: What is the DHA nursing role in managing patients receiving continuous renal replacement therapy (CRRT)?
- CRRT is managed only by physicians
- Monitor circuit pressures, anticoagulation, fluid balance hourly, electrolyte levels, and access site integrity (Correct answer)
- Only check the machine once per shift
- CRRT does not require nursing monitoring
Correct answer: Monitor circuit pressures, anticoagulation, fluid balance hourly, electrolyte levels, and access site integrity
DHA ICU nurses managing CRRT must monitor circuit pressures and patency, anticoagulation therapy, strict hourly fluid balance calculations, electrolyte monitoring, and vascular access site assessment.
Question 4: What is the DHA protocol for targeted temperature management after cardiac arrest?
- Only use ice packs
- Maintain target temperature of 32-36°C using cooling devices, continuous temperature monitoring, and sedation management (Correct answer)
- Temperature management is not performed in Dubai
- Only cool the patient to room temperature
Correct answer: Maintain target temperature of 32-36°C using cooling devices, continuous temperature monitoring, and sedation management
DHA post-cardiac arrest care includes targeted temperature management at 32-36°C using specialized cooling devices, continuous core temperature monitoring, appropriate sedation, and prevention of shivering.
Question 5: What hemodynamic monitoring parameters must DHA ICU nurses understand?
- Only blood pressure and heart rate
- Arterial blood pressure, central venous pressure, cardiac output, mean arterial pressure, and their clinical significance (Correct answer)
- Only oxygen saturation
- Hemodynamic monitoring is only for physicians
Correct answer: Arterial blood pressure, central venous pressure, cardiac output, mean arterial pressure, and their clinical significance
DHA ICU nurses must understand and monitor multiple hemodynamic parameters including arterial BP, CVP, cardiac output/index, MAP, SVR, and their significance for guiding fluid and vasopressor therapy.
Question 6: What is the DHA protocol for safe patient transport within the hospital?
- No special preparations are needed
- Pre-transport assessment, appropriate monitoring equipment, emergency medications, trained escort, and communication with receiving area (Correct answer)
- Only send the patient with a porter
- Only ICU patients need transport preparation
Correct answer: Pre-transport assessment, appropriate monitoring equipment, emergency medications, trained escort, and communication with receiving area
DHA requires pre-transport stability assessment, portable monitoring equipment, emergency medications and airway equipment, trained clinical escort appropriate to acuity, and prior communication with the receiving department.
DHA Nursing Critical Care and Emergency Nursing
What is the DHA protocol for managing a patient on mechanical ventilation?