Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
83 Cards in this Set
- Front
- Back
transacional analysis
P A C parent adolesence child so what? This is about how to speak/handle a bad situation with a co worker in a patient's room |
the way people act in a meeting
parent mode..."Pick that up!" adolscent mode..."I'll do it which will give you time to pick this up Child "I don'tt want to do that!" |
|
Marsha mentioned playing a game called "YaButt"
what is yabutt? |
each person can contribute somehow so you say yeah your right BUT ...
|
|
the characteristics of a TEAM is what this is about
* more than an individual * recognition of individual skills * what is the team goal? |
know where the team is going and beleive in the goal!
small steps or big ones? dedication to achievement self centered or team centered? self edification or team edification? |
|
what is the definition of a team?
|
a group of people who collaborate & interact to reach a common goal
|
|
tips in a group:
treat everyone as if they are the most important member in the team be receptive to new ideas rudeness is never appropiate treat everyone as a pro persuassive assertive not a... |
agrressive
|
|
dignity & civility of each student what?
|
empowers everyone to do the best possible job, treating each other w/ respect & civility
|
|
attributes of a team Marsha brought up Bias of people
we are to have a positive attitude, responsible ... able to answer for one's conduct or obligations accountable...liable to be called to answer supportive means.. |
to uphold advocate champion
|
|
there are internal langauges
reactive and proactive can you expand on this? |
reactive:
there's nothing i can do thats just the way i am he makes me so mad i have to do that i can't I must |
|
what are some examples of proactive speech?
|
let's look at alternatives
i can choose a diff. approach i control my feelings i am creative i will chase an appropiate response I prefer i will |
|
the expectations of the student ande employee are what?
|
very similar
skills critical thinking reliable accountable postive supportive compassionate |
|
rules & consequences:
there are rules and policies and they ... |
change from hospital to hospital!
|
|
Marsha drew a 4 box rectangle thing with dots in it. what was that about?
|
the dots in the boxes reflected issues that are walled off from the other issues. so each issue is fenced in from the others. Asian concept of a way of thinking
|
|
she then drew a hook and said that this was offend. what was this about?
|
greek work for affend was a fishing hook. it means BAIT
|
|
INFCTION CONTROLL:
what is the purpose of infection control? |
protect
clients health care workers the public FROM DISEASE |
|
whose at risk to infection?
|
people w/
lowered resistance like old age nutrition challanged stressed out heredity medical therapy ie chemo people already w/ a disease! |
|
what are some risk factors with older folk and getting an infection?
|
old people have thinner skin
reduced peripheral sensitivity decreased cardio function so they can get pneumonia dehydration causes dry mouth decreased cough reflex age related change to urinary system drug therapy impared immune response increased exposure in a hospital malnutrition goes w/ impaired immune system |
|
the nature of infection
the word here is asympotomatic what does that mean? |
lack of clinical signs!
colonization w/o injury to cells or tissue! ex. long term indwelling cathetur injury to cells w/o symptoms: immunosuprressed drugs age disase |
|
the nature of infection by symptomatic
what does symptomatic mean? |
local inflamation:
swelling redness heat pain tenderness WBCs up serous...clear puss sanguinous...contains RBCs purulent...conains WBCs & bacteria PUS!!! |
|
Systemic means like???
|
fever WBCs malaise anorxia nausia vomiting lympth nodes enlarged confusion change in behavior
|
|
there is a chain of infection
infectous agent reservior portal of exit mode of transmission portal of entry Host what is this about? |
the chain is how something gets an infection. a virus to a body to a cut in the body to the blood to the body's heart to the host ex ex
|
|
what are some body system defenses?
|
normal flora
don't overdo antibacterial soap adverse effects from improperly used prescibed meds for a cold or improperly administered antibiotics organ defense system, respiratory, GI, skin inflammation |
|
Immune Response is the second body defense give examples
|
cell mediated immunity
T lumphocytes CD4T...bind w/ antigens release lymphoines that attract macrophages to attack antigens |
|
what is a nosocomial infection?
|
can happen from
acrylic nails rings long hair failure to wash hands right soiled clothes placing dirty on clean bad procedures |
|
they mention risk management and the infection control nurse.
What is ASEPSIS? |
Asepsis:
Medical and Surgical medical- clean technique to minimize pathogens procedures to prevent infection and spread Surgical- sterile technique eliminate pathogens or spores IV therapy |
|
so, there is medical asepsis which is the clean technique and then there is surgical asepsis which is the .......
|
sterile technique
|
|
controlling infectious agents in medical asepsis. what's up here?
|
cleaning- removing foreign material from stuff w/ friction and soap and protective clothes
disinfection using chemicals sterilization like steam, etc |
|
there are 3 categories
critical semi critical noncritical whats critical |
items that will be entered into a body are critical to be sterile
iv cathetures urinary cathetures needles |
|
what are some semi critical things?
|
respiratory suction stuff
GI endoscopes glass themometers etc |
|
what are some non critical things?
|
items that contact skin but NOT muccous membranes
like bedpans BP cuffs Linens stethescopes food utensils linens |
|
how do you control or reduce reservoirs?
|
remove drainage, secretions, gross stuff
proper dressings room surfaces clean and dry proper handling of bottled solutions proper handling of drainage tubes, ... don't touch the floor |
|
how do you control portals of exit?
|
coughing over wounds
disposable wipes wearing a mask careful handling of shit urine blood personnal protection, with gowns, eye shields, masks |
|
how do you control transmission?
|
be aware of modes of transmission:
patient personal care items equipment must not touch nurse's clothing |
|
most important method of preventing the spread of infections is ...
|
hand hygene
|
|
how do you wash your hands?
|
warm water & soap
friction 20 second thorough important to teach patient and their family |
|
how do you control portals of entry?
what are portals of entry? |
respiratory
muccous membranes urinary wounds invasive procedures prevent by: cover your mouth proper suctioning / secrection handling proper wound care proper urinary catherization |
|
protection of host
tier one standard precautions don't touch what? |
blood
all body fluids secretions excretions non intact skin mucoous membranes |
|
tier one protection of of host is like:
|
hand hygene
personal protection devices clean equipment prevent cross contamination deal w/ sharps correctly |
|
there is a chart on page 5 dealing w/ airborne, dropletts, and contact precautions. what kind of shit is airborne?
|
chicken pox
measles TB Varicella Zoster |
|
what kind of shit is droplett ?
|
diptheria
rubella strep phrayngitis mumps pneumonia plague |
|
what kind of precautions ether direct or enviroment stops all this stuff?
|
colonization of infection w/ resistant organizms, wound infections, private room or cohort clients, gloves, gowns
|
|
Isolation Barrier is for what?
|
private room
negative pressure personal protection bagging & disposal of contaminated stuff knowledge of disease process family education psycological impacts |
|
where is sterile principles practiced?
|
in surgery
labor and delivery diagnostic areas bedside |
|
the client has to cooperate with sterile stuff too! how?
|
avoid coughing talking over sterile field
avoid touching supplies, drapes, nurse's gown or gloves, like dont help out by handing stuff or talking during a procedure |
|
how does client prep help out?
|
pain management
elimination needs most comfortable position possible |
|
there are the principles of Asepsis:
a sterile object remains sterile only when touched by another sterile thing whats another principle? |
sterile touching clean becomes infected!
like clean glove to a sterile tip of syringe! |
|
whats another Asepsis no no?
|
sterile touching questionable is contaminated
prolonged exposure to air! a sterile thing out of range of vision! |
|
Whats another Asepsis Principle fuck up?
|
when sterile thing touches something wet
remember fluid flows in direction of gravity the edges of a sterile field considered dirty: border of a drape lip of bottle |
|
how does client prep help out?
|
pain management
elimination needs most comfortable position possible |
|
there are the principles of Asepsis:
a sterile object remains sterile only when touched by another sterile thing whats another principle? |
sterile touching clean becomes infected!
like clean glove to a sterile tip of syringe! |
|
whats another Asepsis no no?
|
sterile touching questionable is contaminated
prolonged exposure to air! a sterile thing out of range of vision! |
|
Whats another Asepsis Principle fuck up?
|
when sterile thing touches something wet
remember fluid flows in direction of gravity the edges of a sterile field considered dirty: border of a drape lip of bottle |
|
what is transactional analysis?
|
psyco therapy using role playing in an attempt to understand client & therapist thus some day b/t client and reality
|
|
what is transactional analysis?
|
psyco therapy using role playing in an attempt to understand client & therapist thus some day b/t client and reality
|
|
what is the purpose of the CDC control?
|
protect clients health care workers and public from disease.
|
|
where / how do you dispose of antiboitics?
|
you don't squirt antibiotics on the floor. it gets into the water system and ends up in a penquin thus eventually desensitizing humans to the orgional purpose of antibiotics. only dispose of antibiotics not in a sink or floor but something that doens't pollute the enviroment
|
|
americans are too clean...so we get sick why?
|
we are washing ourselves too much, esp. with antibacterial soap so don't use this at home! use it on countertops only
|
|
what are antibodies?
|
antibodies are proteins so older people loose protein (muscle) and so our resistence goes down
being pissed off all day affects our immune system too so laugh your way thru life. |
|
what are some things that compromise our immunity?
|
injections
trac's catetures not enough sleep burns unjuries cause stress |
|
what are some risks for older people?
|
skin is thin so it tears b/c of dermal loss.
older people have less muscle (muscle holds water) so they are more apt to be dehydrated you see more UTI in old people |
|
what is anticholinergic mean?
|
reverse effects / side effects from drugs on old people
|
|
theses a confussed old person. whats up?
|
septic meaning they have an infection probably in the blood stream too.
confusion could be result of dehydration. do they drink coffee all day? what about personal hygene |
|
what are the 2 types of infections?
|
colonized meaning local and that's ok
and then the kind thats gotten loose and everywhere |
|
Vectors are like mosquitoes. what does Vector mean?
|
a carrier of disease for us nurses
|
|
what does virilent mean?
|
able to produce a disease
the bogs in China are not virulent to the Chinesse but are to Americans. so virilent depends on who and where what thing |
|
flies cause H pyloric thats a new disease in america wheres it from?
|
southern hemishpere,
|
|
why shouldn't we use neosporin and bascitracine?
|
our bodies can handle the infection
all were doing is breaking down our immune system. hydrgen piroxide is useless but great drain cleaner and takes blood out of clothes. |
|
where do bacteria like to live? warm moist areas or
|
in wet dark mosit areas like basements, around people w/ poor nutrition, homeless people, crowded conjested areas,
|
|
never short cut clean technique. learn modes of transmission. there is direct and air and vehicles vectors, page 776 green book. what about this?
|
this is how people get sick.
air (less than 5 micro meters) droplets (sneezing) and direct contact. right? |
|
what are some examples of direct contact mode of transmission
|
fecal matter
oral touching client |
|
what is indirect / direct mode of transmission?
|
wound dressing is indirect
sharps |
|
what are examples of air mode of transmission?
|
droplet nuclei, coughing, sneezing, dust particles
|
|
what are some vehicles for mode of transmission?
|
water drugs blood food that hasn't been properly prepared
|
|
what are some examples of vectors?
|
mosquito
louse flea tick |
|
what kind of disease comes from direct contact?
|
hep a
staph herpes |
|
what kind of stuff comes from indirect contact?
|
hep b hep c hiv
|
|
what kind of stuff comes from droplet mode of transmission?
|
influenza rubella
|
|
what can we get from air mode of transmission?
|
tb chicken pox measles
|
|
what do/can we get from vehicles of disease (water, blood, food, drugs)
|
hep b hep c kiv cholera e coli shyphllis
|
|
what is portal of entry?
|
needle prick
organsizms can use the same portal to enter as they used to exit. an obstruction of a cath tube allows bacteria to travel up the utheria. anything that reduces body's defenses enhances the chances of pathogens entering |
|
the nurse see's an infection and works to stop its spread. this is pathogenicity of the microbes and the susceptibility of the host
whats the difference b/t localized and systemic? |
a wound could be just a localized infection. pain and tenderness. if the infection affects the entire body instead of just one organ, Houston, we have a problem
|
|
what are the stages of the course of infection?
|
incubation period (days, weeks, etc)
prodromal stage (from onset w/ stuff like fever to more specific symptoms)(this is the time microbes start to really grow) Prodromal stage |
|
what is the illness stage?
|
when client manifest signs and symptions specific to that type of infection! coughing, high fever, swollen glands
|
|
what next? the convalescence stage. what is this?
|
convalecence is b/t acute symptoms and infection begins to disappear length of recovery time
|