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31 Cards in this Set

  • Front
  • Back
The Health Care Team
Order of operations
Physicians
Orders treatments, medications, and care.
Radiologist
Reads diagnostic studies, performs cauterizations in interventional radiology.
Oncologist
Cancer doctor
Cardiologist
Heart doctor
Pharmacist
Prepares and dispenses medications
Medical Technologies
Receives and analyzes laboratory specimens.
Allied Health
Respiratory Technologist, Physical and Occupational Therapist & Imaging Technologies
Ethics
A set of moral principles that govern one's action
Moral Principles
A set of standards that establish what is right or good.
Ethics
A combination of honesty, integrity, fairness, caring, respect, fidelity, citizenship & accountability.
Professional Guidelines
Report to work on time, work cooperatively with other employees, treat patients with dignity, don't tell your story, lab coat.
Areas where a health care professional can be held liable
Acting in the role of a diagnostic.
Failing to obtain consent from women of pregnancy prior to performing a diagnostic imaging procedure.
Failing to obtain complete history before administrating an agent.
Areas where a health care professional can be held liable cont.
Identifying wrong patients.
Failing to explaining the diagnostic procedure to a patient before the procedure.
Failing to document technical factors used to makes dose calculations for a procedure.
Areas where a health care professional can be held liable cont.
Failing to maintain a patient's physical privacy during the procedure.
Failing to maintain the highest quality images with the lowest possible radiation dose to the patient.
Patients have responsibilities too:
To provide a complete and accurate history.
Keeping appointments and notifying ASAP when unable to do so.
Responsibilities for his/her action when refusing a procedure.
Fulfilling financial obligations.
Professional Guidelines
Immobilization use of restraints.
Must be ordered by a physician.
Least restrictive to patient's movement and freedom.
Request after all safe methods have obtaining images have been exhausted.
Monitor constantly and document use.
Medications: only in extreme circumstances.
Incident Report
Your record of what happened, panic attack during test.
Informed Consent
For studies that speed up the heart rate.
For specific procedures.
Identifies risks and benefits of procedure.
Parents sign for minors.
Patient has the opportunity to ask questions about procedure.
HIPAA/Confidentiality
Health Insurance Portability & Accountability Act =
Enacted by the U.S Congress
Tide I
Ensures that health insurance is potable for those who lose coverage when changing jobs
Tide II
Regulations for the use and disclosure of protected health information PHI
Practical Consideration in your workplace
- Call patients by first names
- Two forms of ID required.
- Last name verifying the spelling.
- Date of birth
- Medical Record number for hospitals you will find mismatched wristbands, wrong patients.
- Of an error is found, contact administration and do not perform the procedure.
Patient Communications
1. Introduce yourself
2. Reduce distance
3. Make eye contact, keep your body open
4. Make the patient feel involved
5. Listen
6. Use silence, give them a chance to think, give them a chance to arrange his/her thoughts.
Patient Communications cont.
Patient Education: Language level should be that of someone with a 5th grade education.
- Non English Speaking
-Be careful about using family members to translate.
-Use in house or hospital translators
- Use simple grammar, do not use slang.
- If your patients have difficultly understanding you, communicate more clearly and speak slowly.
Cultural Consideration
People in the USA have different racial, cultural and ethnic backgrounds.
- Understandings different cultures, the values, history and tradition of your patients, is essential in providing patient care.
Cultural Consideration cont.
Example: A patient that does not make eye contact. Patients with saris, burkas, etc.
- Be open to cultural differences
- Patients should receive quality care irrespective of their cultural or linguistic backgrounds.
Lab: Tools of the Trade
-Needles
Size is the gauge, the larger the number, the smaller the needle.
- Common sizes for venipentures: 25 ga for pediatrics/geriatrics
16 ga for blood transfusions
- Length .5 inch to 1 and .5 inch
- Type: Straight or butterfly
- Made of bevel and shaft, bevel up when injecting.
Needle Safety
Do not take your eye of the needle from the time it's unsheathed until it's disposed of.
- Needles have safety devices
- Dispose used needles in sharps container only!
- Never put your hand into a sharp container
- All needles sticks must be reported and incident report filled out.
Tools
IV Catheter = common needles, and flexible catheter that remains in patient for a procedure or to deliver fluids.
-Lancet for finger sticks
- Tourniquet - prepares veins for venipuncture
- Gloves = never touch anything without them and never stick without gloves.
Syringes
-Various sizes for injecting.
- To measure correctly use the top black line on the plunger.