Module 1 - Safety, Compliance, And Coordinated Patient Care

An EKG technician releases information about a patient’s diagnosis to the patient’s employer. Which of the following patient rights was violated?
A. Assignment of benefits
B. Patient confidentiality
C. Access to treatment
D. Power of attorney

B. Patient confidentiality

Before you can perform an EKG, what must be provided?

Consent

FILL: _______ consent is need for more extensive cardiac testing, but _______ consent is most common for EKGs.

Written, implied

TRUE or FALSE: A technician may only disclose a confirmation that the EKG was successfully completed and will be interpreted by the provider.

TRUE

A patient follows an EKG technician to the examination room, voluntarily undresses from the waist up, and lies on the examination table. Which of the following types of consent is the patient giving?

Implied

What are some examples of cardiac testings?

Holter monitor, event recorder, cardiac stress testing

An EKG technician greets a patient, takes the patient to the examination room, and asks “Could you please state your name?” and “What medications do you take?” Which of the following techniques is the technician using?
A. Reflection
B. Empathy
C. Active listening skills
D. Skilled interviewing

D. Skilled interviewing

Communication with members of the health care team can be accomplished through which of the following methods? (Select all that apply.)
A. Electronic health record
B. Verbal exchange
C. Text messages between coworkers

A. Electronic health record
B. Verbal exchange

What is the most common site for measuring adult pulse?

Radial

What is the most common site for measuring pulse in children?

Brachial

What is the most common site for measuring pulse in emergency procedures?

Carotid

What is TPR?

Temperature, Pulse, Respiration

What should patients do if they are experiencing tremors, cold, or nervous?

Place their hands with palm side down and slightly under the buttocks

What is preferred more, clipping or shaving?

Clipping

When instructing a patient in preparation for an EKG, what position is the patient supposed to be in?

Supine or semi-fowler

What is a stress test?

Used to provoke myocardial ischemia under controlled settings

What is coronary vasodilation?

Widening of blood vessels in the coronary arteries

What should the patient do before an EKG?

• Avoid caffeine, tobacco, and alcohol for at least 3 hours prior to the test

• Eat a light meal 2 hours prior to the test or according to the provider

• Take medications as usual unless directed by the provider

• Wear comfortable, loose-fitting clothing and sturdy shoes

A test should be stopped at any time if what occurs?

• Fatigue

• Lightheadness

• Dizziness

• Shortness of breath

  • Chest pain

How long does a Holter monitor usually monitor the heart?

Over 24 to 48 hours

How many leads does a Holter monitor have?

3 to 5 leads

How many leads does a ECG have?

12 leads

How many electrodes does a ECG have?

10

How many electrodes do most Holter monitors use?

3 to 5 electrodes

What should be done if an electrode or lead becomes disconnected accidentally?

Reattach it

What should be done if an electrode becomes loose?

Reinforce the electrode with tape to make sure it sticks to the skin

What is diaphroesis?

Excessive sweating

What is diastole?

When the heart relaxes and fills up with blood

What is systole?

When the heart contracts

What is normal blood pressure?

120/80; less than 120 mmHg, less than 80 mmHg

What is auscultation?

Listening to body sounds using a stethoscope

What is normal heart rate for an adult?

60-10 BPM

What is normal heart rate for infants?

100-160 BPM

What is normal heart rate for children?

70-100 BPM

What is normal body temperature?

98.6

What is the respiratory rate of an adult?

12 - 20/min

TRUE or FALSE: During an emergency, it is ok to leave the patient’s room

FALSE

What should be done if the patient is experiencing cardiopulmonary distress?

Alert the provider

What is considered a normal pulse oximeter reading?

95% or higher

Will a patient experiencing cardiopulmonary compromise be hypotensive or hypertensive?

Hypotensive