Patient Care Outcome 1

Front 1

What is the purpose of charting?

Back 1

provide a medical, legal, and multidisciplinary function; record relevant patient care info; for the treatment and care of a patient; for the teaching of a patient

Front 2

Why is charting useful?

Back 2

future admissions to hospital; teaching purposes; guide to doctors for improving diagnosis and treatment; guide to all health personnel; research tool

Front 3

What should a technologist chart?

Back 3

documenting all MR procedures performed; patient's condition upon arrival in MR; regular monitoring during patient's stay in MRI; patient's condition upon discharge from MRI; medications administered; adverse reactions to medications; names and credentials of people performing procedures; any other info received from patient

Front 4

What to do if an error is written on record

Back 4

draw line through mistaken entry, write "mistaken entry" above it, initial/sign above error, then write correct entry

Front 5

Why are requisitions important?

Back 5

a doctor will write up a requisition looking for something; have to have doctor monitoring how much diagnostic imaging someone receives; every MR scan will involve a requisition and legally cannot be done without one; legal document

Front 6

What must a requisition include?

Back 6

patient name, age, gender, LMP (last menstrual period), identification number, patient's doctor, clinical history pertaining to procedure, name of facility where images are taken, MRI contraindications, surgical history, examination requested with history

Front 7

What are the 3 types of consent?

Back 7

informed consent, implied consent, expressed consent

Front 8

Why are incident reports filled out?

Back 8

accident/injury to patient/staff/visitor, loss of/damage to property/patient/staff/visitor/hospital, incorrect drug or procedure administration, incorrect events that occur during a procedure

Front 9

What to do if an incident occurs?

Back 9

care for patient, notify physician or healthcare worker, complete incident form, use patient quotes of pertinent, evaluate situation, forward forms, follow WCB if staff member is injured

Front 10

What should be recorded on an incident report?

Back 10

what occurred, how it occured, time, date, room, department, to whom, who was present, what was done to alleviate situation at the time, condition of individual involved, signature of all witnesses or participants involved

Front 11

Who must all incidents be reported to?

Back 11

Risk management program to look for changes needed to improve safety

Front 12

Non-verbal communication functions in the following ways:

Back 12

may repeat/stress spoken word, accent spoken word, regulate spoken word, substitute for spoken word

Front 13

When should humor not be used?

Back 13

Life-threatening situations, when there are cultural differences, when there is possibility of legal actions

Front 14

When is oral reporting used?

Back 14

in emergency situations when results are needed quickly, to discuss pertinent and specific patient care questions, to coordinate with other health care providers and to clarify patient treatment and care

Front 15

Advantages and Disadvantages of Oral Reporting

Back 15

quick method of delivering info, can be easily misunderstood especially when passing through people

Front 16

What must be done when oral reporting on the phone?

Back 16

Verify who you are talking to; ask person to read back what you said to ensure they have correct info; even write down who you talked to, date/time, what was discussed

Front 17

What can be done to ensure accuracy when oral reporting?

Back 17

repeat more than once to ensure accuracy

Front 18

Define the NOD approach

Back 18

use name when greeting patient, tell them your occupation and explain what you're going to do

Front 19

Ways to be an active listener:

Back 19

make eye contact, take listening position, paraphrase speaker's message, ask clarifying questions, make comments, answer questions, provide feedback, empathy, openness, awareness

Front 20

Give all the legal concerns stated in the textbook

Back 20

assault, battery, negligence, (vicarious liability), false imprisonment, defamation (libel, slander), invasion of privacy

Front 21

Libel

Back 21

written defamation

Front 22

Slander

Back 22

spoken defamation

Front 23

False imprisonment

Back 23

illegal detention of a person without their consent

Front 24

Assault

Back 24

unlawful act that places another person (without their consent) in fear of bodily harm or battery, threat of touching in an injurious way

Front 25

Battery

Back 25

touching a person without permission

Front 26

Negligence

Back 26

failure to perform duties/activities with due diligence and attention or to meet the standards of regular care

Front 27

defamation

Back 27

written or spoken statement that is untrue or harmful to a person's reputation in the community

Front 28

vicarious liability

Back 28

hospital/clinic is legally responsible for conduct of employees who are negligent in the course of their duties

Front 29

Define SBAR

Back 29

Situation, Background, Assessment, Recommendation

Front 30

Ethical Principles

Back 30

autonomy, beneficence, confidentiality, double effect, fidelity, justice, nonmaleficence, paternalism, sanctity of life, veracity, respect for property

Front 31

autonomy

Back 31

refers to right of all persons to make rational decisions free from external pressures

Front 32

beneficence

Back 32

all acts must be meant to attain good result or to be beneficial

Front 33

confidentiality

Back 33

refers to concept of privacy, must not disclose facts of personal information to anyone uninvolved in patient's care

Front 34

double effect

Back 34

some actions may produce both a good and bad effect

Front 35

fidelity

Back 35

refers to duty to fulfill one's commitments and applies to keeping promises both stated and implied

Front 36

justice

Back 36

refers to all persons being treated equally or receiving equal benefits according to need

Front 37

nonmaleficence

Back 37

refers to duty to abstain from inflicting harm and duty to prevent harm

Front 38

paternalism

Back 38

refers to the attitude that sometimes prompts health care workers to make decisions regarding a person’s care without consulting the person affected

Front 39

sanctity of life

Back 39

refers to the belief that life is the highest good and nobody has the right to judge that another person’s quality of life is so poor that his life is not of value and should be terminated

Front 40

veracity

Back 40

refers to honesty in all aspects of one's professional life

Front 41

respect for property

Back 41

refers to keeping the patient’s belongings safe and taking care not to intentionally damage or waste equipment or supplies with which one works

Front 42

Why are medical records kept?

Back 42

to transmit information about patient between health care workers, protect patient from medical errors and duplication of treatments, provide info for medical research, protect health care worker in cases of litigation, provide info concerning quality of patient care for institutional evaluation teams

Front 43

Radiographic images must have

Back 43

patient name, identification number, name of facility where taken, right or left marker correctly placed

Front 44

4 Modes of Thinking

Back 44

Recall, habit, inquiry, creativity

Front 45

therapeutic communication techniques

Back 45

establishing guidelines, reducing distance, listening, using silence, responding to the underlying message, restating the main idea, reflecting the main idea, seeking and providing clarification, making observations, exploring, validating, focusing

Front 46

ACMDTT 3 principles

Back 46

responsibility to the public, profession and to oneself

Front 47

ACMDTT responsibility to the public

Back 47

competent care, diversity, dignity, confidentiality, collaboration, informed consent, professional judgement, professional boundaries, record management

Front 48

ACMDTT responsibility to the profession

Back 48

personal responsibility, honesty, boundaries of competence, duty to report, conflict of interest, advancing the profession, integrity and respect, legislative requirements, professional comunication

Front 49

ACMDTT responsibility to oneself

Back 49

personal conduct, accountability, personal capacity