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73 Cards in this Set

  • Front
  • Back
a
before
abd
abdomen
ac, AC
before meals (about to consume)
ab lib
as desired
ADL'S
activities of daily living
amb
ambulation
AP
apical pulse (left side of the chest, just below nipple)
b.i.d, bid
2x a day
BM
bowel movement
BP, B/P
Blood pressure
c
with
C
Centergrade or Celsius
c/o
complains of
CHF
Congestive heart failure
CPR
Cardiopulmonary resuscitation
dx, DX
diagnosis
F
Fahrenheit
FBS
fasting blood sugar
ft
foot
FWB
full weight bearing
GI
gastrointestinal
H2O
water
h,hr,hr.
hour
hs, HS
hours of sleep
inc
incontinence
I&O
intake and output
NKDA
no know drug allergies
NPO
nothing by mouth
NWB
non-weight bearing
O2
oxygen
OOB
out of bed
p
after
pc, p.c.
after meals (post consumption)
PO
by mouth
prn, PRN
as needed
PWB
partial weight bearing
q
every
ROM
range of motion
s
without
SOB
Shortness of breath
Stat, STAT
immediate, now, at once
t.i.d., tid
3x a day
v.s., VS
vital signs
w/c, W/C
wheelchair
PPE
Personal protective equipment
HAI
Healthcare associated infection
R. A. C. E.
*Remove resident *Activate alarm*Contain fire*extinguish
P.A.S.S.
*Pull pin*Aim at base *squeeze handle*sweep back and forth
PHI
Protected Health Information
HIPPA
Health insurance portability and accountability act. (Keep private things private. A person's health info must be kept private.)
OSHA
Occupational safety and health administration. (makes rules to protect workers from hazards on the job.)
OBRA
Omnibus budget reconciliation act. (Requires, NATCEP (Nurse aid training and competency evaluation program ) set minimum standards 75 hrs training, pass competency evaluation. 12 hours in service per year, state registry, minimum staff requirement.
PHI
protected heath information
COPD
Chronic Obstructive Pulmonary Disease
AKA
above knee amputation
DM
diabetes mellitus
MI
myocardial infarction
UTI
urinary tract infection
FUO
fever of unknown origin
CVA
cerebral vascular accident
CHF
congestive heart failure
CA
cancer
FX
fracture
URI
Upper Respiratory infection
BKA
below knee amputation
TIA
Transient Ischemic attack/accident
OBS
Organic Brain Syndrome
STD
sexually transmitted disease
Abuse Policy
Never abuse a resident. You must always try to protect residents from others who abuse them. If abuse is suspected must report to nurse in charge immediately. Reporting abuse is not an option -it is the law.
Residents Rights
1.qualify of life 2. services and activities to maintain a high level of wellness 3. right to be fully informed about rights and services. 4.right to participate in care. 5. informed consent. 6. right to make independent choices. 7. Privacy and confidentiality.
Standard Precautions
*Wash hands (before gloves) *Wear gloves(if contamination probable) *remove gloves (immediatly after finished )*Immediately wash(all contaminated skin) *wear disposal gown*wear mask and googles*wear gloves when handling sharps*never recap needles*avoid nicks and cuts when shaving client *carefully bag contaminated supplies *clearly label body fluids*dispose of contaminated waste
Principle of care
1. Infection control 2. Safety 3.Communication 4.Privacy 5.Dignity 6.Independency 7.Body mechanics 8.Comfort
Pain Interview
1. Where is the pain 2. When did it start 3.Is the pain mild, moderate, or severe? 0-10 0 being no pain 10 being the worse pain imaginable. 4.Describe the pain, dull,achy,sharp or piercing. 5.What were you doing before the pain started? 6.How long does it last? How often? 7.What makes it better or worse?