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55 Cards in this Set

  • Front
  • Back

Stages of grief

Denial/isolation


Anger


Bargaining


Depression


Acceptance

4 stages of facilitating communication

1. Setting the stage


2. Insuring mutual understanding


3. Understanding body language


4. Suspending judgement

Behaviors that support effective listening

Maintaining relaxed body posture


Leaning slightly forward


Making eye contact


Maintaining appropriate distance


Providing non distracting environment

Behaviors that are a barrier to effective listening

Acting distracted


Criticizing


Interrupting


Judging


Diagnosing

Sthenic

Normal body size

Asthenic

Small frail body size

Hyperstentic

Big body size

What are some special challenges?

Visually impaired


Speech impaired


Hearing impaired


Non English speaker


Developmental disability


Terminally ill

Example of signs

BP, heart rate, temperature

Examples of symptoms

Pain, nausea, vertigo

Mental status- how to assess

AVPU


Alert, verbal, pain, unconscious

Pulse locations

Unconscious Adult- carotid “quick check”


Infants- brachial artery


Regular adult- radial pulse

What is adult respiration rate?

16-20 breaths per minute

Cheyne-Stokes

Gradually increasing rate and tidal volume which increases to a maximum then gradually decreases, can have apnea

Biot’s

Irregular pattern and volume w intermittent apnea

Agonal

Slow shallow gasping, irregular breath, last breath

Kussmaul’s

Feel grasping respiration’s, ketoacidosis- body trying to get rid of excess carbon dioxide bc of abnormal accumulation of metabolic acids in the blood, hyperventilation

Where should blood pressure cuff be?

At level of the heart

Optimal adult blood pressure

120/80

Systolic

Peak pressure in left ventricle when it contracts

Diastolic

Remaining pressure when left ventricle relaxes

What do you check blood pressure with?

Stethoscope and sphygmomanometer

Hypotension

Less than 90/60

Hypertension

More than 140/90

Pulse oximetry

Non invasive technique using an infrared light beam to measure oxygen saturation of blood. Normal 95% or more

Airborne precautions

Precautions taken to prevent the spread of pathogens through the air

Airborne transmission

Transmission method of either airborne droplet nuclei or particles small enough to be inhaled that contain infectious agents that remain infective over time and distance

Blood borne pathogen

A disease causing microorganism that is contained within the human blood

CDC

Centers for disease control and prevention

Clostridium difficile

A spore forming bacterium that releases toxins into the bowel

Communicable

Capable of being transmitted between persons

Contact precautions

Measures used to block the spread of pathogens by either direct or indirect contact

Contact transmission

Transference of microorganisms from one infected person to another by direct touch or by indirect transmission

3 levels of infection control

1. Sanitation- lowest level


2. Disinfection- inactivated microorganisms


3. Sterilization- highest level, kills microorganisms

6 cycles of infection

1. Pathogen


2. Reservoir


3. Portal exit


4. Method of transmission


5. Portal of entry


6. Susceptible host

Droplet transmission

From respiratory tract of infected person- coughing sneezing

3 Modes of pathogen transmission

Contact transmission


Droplet transmission


Airborne transmission

4 stages of infectikn

1. Incubation


2. Prodromal- most contagious, symptoms appear


3. Full disease


4. Convalescent

Nosocomial infections

Hospital acquired infections, most common is UTI

List a few ways to break cycle of infection

Hand washing


Use of PPE


Hand hygiene


Safe injection practices


Infection control precautions


Standard precautions

Gowning ordef

Gown


Mask


Eye protection


Gloves

Degowning order

Gloves


Gown


Eye protection


Mask

5 types of precautions

Standard precautions


Airborne precautions


Droplet precautions


Enteric precautions


Expanded precautions

Sepsis

Life threading immune response that is the result of bacterial infection

Epidemic, pandemic

Spread of disease to a large number of individuals vs around the world

MRSA

Type of antibiotic resistant bacteria that colonized skin and transmits from patient to patient

CAAHEP

Commission on accreditation of allied health education programs

JRCDMS

Joint review committee on DMS

AIUM

American institute of ultrasound medicine

SDMS

Society of DMS

SVT

Society of vascular technologists

HIPAA

Health insurance portability and accountability act of 1996

HIPAA rights

Right to privacy


Right to confidential use of health information


Right to access and amend their health information upon request

EHR’s

Electronic health records

PHI

Protected health information