Utah CNA

Apical pulse

pulse taken with a stethoscope and near the apex of the heart

axillary

armpit area

blood pressure

pressure of blood in the circulatory system. closely related to force/rate of heartbeat and diameter/elasticity of arterial walls

brachial artery

major blood vessel of the upper arm

centigrade

relating to the temperature scale in which the boiling point of water is at 100 degrees and the freezing point of water is at 0 degrees

diastolic

second measurement of blood pressure; phase when the heart relaxes. normal range is 60-80

ear canal

a tube running from the outer ear to the middle ear

Fahrenheit

A temperature scale with the freezing point of water 32 degrees and the boiling point of 212 degrees

hypertension

high blood pressure

hypotension

low blood pressure

pulse

the rhythmical throbbing caused by the regular contraction and alternate expansion of an artery

Radial artery

Artery of the lower arm. It is felt when taking the pulse at the wrist.

rectal

pertaining to the rectum (bum)

sphygmomanometer

instrument to measure blood pressure

systolic

first measurement of b/p. pressure in the arteries during contraction of the ventricles. normal range is 100-130

temporal

thermometer placed on temple or forehead

tympanic

Temperature taken in the ear

normal range b/p

130/80

normal range pulse

60-100 bpm

normal range respirations

12-20 breaths per minute

normal range temp oral/tympanic

97.6-99.6

normal range temp rectal

98.6-100.6

normal range temp axillary

96.6-98.6

the 5 vital signs

pulse, respiration, temperature, b/p, pain

oral digital thermometer

blue/green tip; contraindications-tooth damage, <5 y/o; @least 15 min after hot/cold food or beverage

rectal thermometer

red tip; patient should be in left sims or left lateral; most accurate; insert 1/2-1 inch

tempanic thermometer

1/4 to 1/2 inch inside ear; position ear up and back; wait 15-30 min after shower, hearing aid, etc.

temporal thermometer

electronic thermometer measures temperature on forehead

pulse oximeter

top number is oxygen saturation; bottom number is pulse; normal oxygen saturation is 90-100

Febrial

have fever

Afebrial

not have fever

braidy

slow

tacky

fast

dys

difficulty

hyper

high

hypo

low

cardio

heart

tension

blood pressure

pnea

lungs/breathing

pulse sights

coratid, apical, brachial, radial

pain

the body stress signal or warning sign

LTC

long-term care facility, nursing home; residents usually have chronic condition; have rehab & restorative

hospitals

acute care; patients; specific

home health/hospice

hospice patients expected to die within 6 months; hospice not done in hospitals but are done in LTC, rehab, etc.

Medicare part C requires

treatment, equipment, etc. needs to be deemed medically necessary

Medicare qualifications

65+ y/o

Medicaid qualifications

low income (decided state by state)

health care team

interdisciplinary team

Resident (health care team)

focus of team but also member

doctor (MD or medical doctor)

doctor's orders, prescribe and diagnose

CNA

ADL, vitals, lift/position

PT (Physical Therapist)

mobility/movement

ST (Speech Therapist)

speech, swallowing

nurse in LTC

organizing of care, nurse's care plan

DON

director of nursing

OT (Occupational Therapist)

adaptations, improve functionality, help work w/disability

RT (respiratory therapist)

breathing/lungs

Social worker

social services, psycho-social needs and conflicts

Q

every

QD

every day

QOD

every other day

BID

twice a day

TID

three times a day

QID

four times a day

AC

before meals

OC

after meals

HS

hours of sleep

5 rights of delegation

right task

right circumstance

right person

right direction/communication

right supervision

(meet all requirements!)

HIPAA

A law which includes guidelines for maintaining patient confidentiality/privacy

Focus of OBRA

autonomy

policy

required guideline/rule

procedure

how you are going to do something

misappropriation of property

illegal or improper use of resident's money, property, assets; by another, without consent, for personal gain

legal v ethical

lawful; right vs. wrong

abuse

purposeful and intentional mistreatment

neglect

failure to provide care

assault

unlawful threat

battery

unlawful contact

main types of abuse

physical, emotional, sexual

APS

Adult Protective Services

Incident report

documentation of incident; for the staff's or CNA's legal protection

When does charting need to be done?

right after care is completed. use black ink. cross out error and put correction.

gait belt

transfer belt; safety belt

Ombudsman

resident advocate

MDS

minimum data set; must be completed within 14 days of admittance; keep up to date

most common reason need to fill out incident report

falls

infection control parts

medical asepsis

surgical asepsis

barrier methods

standard precautions

transmission based precautions

medical asepsis

clean; free of pathogens/infection

surgical asepsis

sterile; free of microorganisms

standard precautions

universal precautions; thorough hand wash, PPE, disposal of biohazard waste.

microbe

microorganism found everywhere

pathogen

A microbe that is harmful and can cause an infection

autoclaving

Method of sterilization using steam under pressure

transmission-based precautions

used in addition to standard precautions for patients with suspected infection with pathogens that can be transmitted by

airborne

droplet

contact

CNA also called

nurse aide, patient care tech

liability

someone can be held responsible for harming someone else

All facilities have manuals outlining their policies and procedures. T/F

true

RACE

rescue, alarm, contain, extinguish

PASS

Pull, Aim, Squeeze, Sweep

cyanotic

pale or bluish skin