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73 Cards in this Set
- Front
- Back
a
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before
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abd
|
abdomen
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ac, AC
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before meals (about to consume)
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ab lib
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as desired
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ADL'S
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activities of daily living
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amb
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ambulation
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AP
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apical pulse (left side of the chest, just below nipple)
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b.i.d, bid
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2x a day
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BM
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bowel movement
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BP, B/P
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Blood pressure
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c
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with
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C
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Centergrade or Celsius
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c/o
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complains of
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CHF
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Congestive heart failure
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CPR
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Cardiopulmonary resuscitation
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dx, DX
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diagnosis
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F
|
Fahrenheit
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FBS
|
fasting blood sugar
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ft
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foot
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FWB
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full weight bearing
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GI
|
gastrointestinal
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H2O
|
water
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h,hr,hr.
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hour
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hs, HS
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hours of sleep
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inc
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incontinence
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I&O
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intake and output
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NKDA
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no know drug allergies
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NPO
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nothing by mouth
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NWB
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non-weight bearing
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O2
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oxygen
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OOB
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out of bed
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p
|
after
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pc, p.c.
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after meals (post consumption)
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PO
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by mouth
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prn, PRN
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as needed
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PWB
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partial weight bearing
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q
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every
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ROM
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range of motion
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s
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without
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SOB
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Shortness of breath
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Stat, STAT
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immediate, now, at once
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t.i.d., tid
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3x a day
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v.s., VS
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vital signs
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w/c, W/C
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wheelchair
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PPE
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Personal protective equipment
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HAI
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Healthcare associated infection
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R. A. C. E.
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*Remove resident *Activate alarm*Contain fire*extinguish
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P.A.S.S.
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*Pull pin*Aim at base *squeeze handle*sweep back and forth
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PHI
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Protected Health Information
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HIPPA
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Health insurance portability and accountability act. (Keep private things private. A person's health info must be kept private.)
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OSHA
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Occupational safety and health administration. (makes rules to protect workers from hazards on the job.)
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OBRA
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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.
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PHI
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protected heath information
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COPD
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Chronic Obstructive Pulmonary Disease
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AKA
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above knee amputation
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DM
|
diabetes mellitus
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MI
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myocardial infarction
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UTI
|
urinary tract infection
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FUO
|
fever of unknown origin
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CVA
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cerebral vascular accident
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CHF
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congestive heart failure
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CA
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cancer
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FX
|
fracture
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URI
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Upper Respiratory infection
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BKA
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below knee amputation
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TIA
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Transient Ischemic attack/accident
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OBS
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Organic Brain Syndrome
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STD
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sexually transmitted disease
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Abuse Policy
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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.
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Residents Rights
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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.
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Standard Precautions
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*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
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Principle of care
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1. Infection control 2. Safety 3.Communication 4.Privacy 5.Dignity 6.Independency 7.Body mechanics 8.Comfort
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Pain Interview
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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?
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