CITYMD training

transmission based precautions

airborne

contact

droplets

erythema

redness

ecchymosis

bruising/discoloration of the skin

lymphadenopathy

swollen lymph nodes

pyelonephritis

kidney infection

organomegaly

enlarged organs

hepatosplenomegaly

enlargement of spleen and liver

dysuria

painful/burning urination

rapid strep

also do throat culture,

symptoms: painful swallowing, sore throat

time: 5 min

rapid flu time

10 min

rapid covid time

15 min

BD combo time

15 min

symptoms for rapid flu/rapid covid (combo)

flu like symptoms- fever, body aches, chills, URI symptoms

urinanalysis/Urine culture/pregnancy (only F)

do all 3 ( esp if female)

symptoms: dysuria, urgency, frequency, abdominal pain IN FEMALE, flank pain, hematuria

UCG test: 3-5 min

hematuria

blood in urine

visual acuity test

snellens chart

symptoms: blurriness, floaters, temporary loss of vision, foreign body in eye, eye trauma

childbearing age

12-55

tmax

max temp measures

SOB

shortness of breath

c/o

complains of

dyslipidemia

high cholesterol

hypertension (HTN)

high BP

diabetes mellitus (DM)

diabetes (in mom or dad)

Black flag

Scribe needed

Blue flag

Scribe in room

Yellow

Provider flag

Green flag

Provider flag

White

X-ray, procedure of 10 min or more

Red flag

Next for provider

Needed for venipuncture

3 2 1

Tourniquet, bandaid, alcohol wipe

Vacutainer, butterfly needle

Gauze

Dysphagia

Difficulty swallowing

dyspnea

Shortness of breath

Aptima (orange)

Vaginal collection only

Aptima (white swab)

Swab test (eyes, male genitals, rectal or throat)

roche

Urine test for GC/chlamydia, trich

E-swab

Swab used to identify bacterial infections - throat/wound cultures

VOD

Right eye

VOS

Left eye

VOU

Both eyes

QD

Everyday or once a day

BID

twice a day

TID

Three times a day

What is in note to imaging facility for X RAYS

PE findings and evaluation

What is the complete read for X-RAY

PE and eval (in note to imaging facility)

X ray wet read

Result and initials of doctor

What is in note to imaging facility for ADVANCED IMAGING

1. STAT (type of imaging study)

2. With/without contract

3. WET READ REQUIRED (write this)

4. PE findings

5. EVAL for

What is needed to add for vaccines/injections

1) lot #

2) exp date

3) site - (ex: deltoid)

4) route (IM OR SQ)

5) administered

When is an AMA form needed

-refusing physical exam

-refusing treatment

-refusing to go to ER

Age that is legally allowed to come in for STD/pregnancy testing

13-17 without parents (otherwise parent is needed)

For medical emergencies make sure patient

Is roomed immediately with licensed medical professional