Med aide Module 1

Boundary crossing

brief act or behavior outside of the helpful zone

boundary signs

acts behaviors or thoughts that warn of a boundary crossing or violation

boundary violation

an act or behavior that meets your needs, not the person’s

drug

chemical substance that has an effect on a living organism

medication

drug used to prevent and treat disease; medicine

nursing assistants

individuals employed to give hands on care and perform delegated nusing care tasks under the supervision of a licensed nurse

nurse practice act

law that regulates nursing practice in a state

professional boundaries

those which separate helpful behaviors from behaviors that are not helpful

professional sexual misconduct

act, behavior, or comment that is sexual in nature and occurs within the scope of employment

standard of care

refers to the skills, care, and judgment required by nursing assistants under similar conditions

What are the five rights

drug

recipient

dosage

route

time

What are the six rights

drug

recipient

dosage

route

time

documentation

Health Care Professional

individual for whom administration of medication is included in the scope of practice

medication

any prescription or nonprescription drug intended for treatment or prevention of disease or to affect body function in humans

Provision of Medication

component of the administration of medication that includes giving or applying a dose of medication to an individual and includes helping an individual in giving or applying such medication to themself

recipient

person who is receiving medication

Routine

frequency of administration, amount, strength, and method are specifically fixed

What are the 4 routes of medication administration

Oral

Inhalation

Topical

Instillation

Examples of oral medications

Mouth, sublingual, buccal, sprays

Examples of inhalation medications

Inhalers, nebulizers, oxygen

Examples of topical medicaitons

Sprays, creams, ointments, lotions, transdermal patches

Example of instillation medications

Drops, ointments, and sprays in eyes, ears, and nose

Accountable

Being responsible for one’s actions and the actions of others who performed the delegated tasks; answering questions about and explaining one’s actions and the actions of others

Delegate

To authorize another person to perform a nursing task in a certain situation

abuse

intentional mistreatment or harm of another person

assault

intentionally attempting or threatening to touch a person’s body without the person’s consent

battery

touching a person’s body without his or her consent

invasion of privacy

violating a person’s right not to have their name, photo, or private affairs exposed or made public without giving consent

defamation

injuring a person’s name and reputation by making false statement to a third person

fraud

saying or doing something to trick, fool, or deceive a person

libel

making false statements in print, writing or through pictures or drawings

slander

Making false statements orally

Malpractice

Negligence by a professional person

Neglect

Failure to provide the person with the goods or services needed to avoid physical harm, mental anguish, or mental illness

Negligence

Unintentional wrong in which a person did not act in a responsible and careful manner and a person or the person’s property was harmed

False imprisonment

Unlawful restraint or restriction of a person’s freedom of movement

Law

Rule of conduct made by a government body

Civil laws

concerned with relationships between people

Criminal laws

Concerned with offenses against the public and society in general

Crime

act that violates a criminal law

OTC

purchased over the counter and have no ordering restrictions by FDA

Legend (prescription) Medication

Determined by FDA as unsafe for OTC

Possible harmful effects if taken indiscriminately and need MD/medical provider order

Controlled substance

Scheduled drugs

Prescription only to avoid danger or addiction or abuse

Schedule I drugs are (most/least) dangerous

Most

Schedule V drugs are (most/least) dangerous

least

Torts

Part of civil law; wrong committed against a person or person’s property; may be unintentional or intentional

Examples of torts

Defamation

Libel

Slander

False imprisonment

Fraud

Routes Med AIde is not authorized to provide in NE

Rectal

Vaginal

Subcutaneous

Intramuscular

Intravenous

Intradermal

Grievance

Written expression of dissatisfaction which may or may not be the result of an unresolved complaint

Assessment

Collecting information about the person; a step in the nursing process

End-of-Shift report

Report that the nurse gives at the end of the shift to the oncoming shift

Evaluation

Measure whether goals in the planning step were met; a step in the nursing process

Implementation

Perform or carry out nursing measures in the care plan; step in the nursing process

Medical diagnosis

identification of a disease or condition by a doctor

Nursing care plan

Written guide about the person’s care

Nursing diagnosis

Describes a health problem that can be treated by nursing measures; a step in the nursing process

Nursing intervention

Action or measure taken by the nursing team to help the person reach a goal

Nursing process

method nurses use to plan and deliver nursing care

What are the five steps of the nursing process

assessment

nursing diagnosis

planning

implementation

evaluation

objective data

Information that is seen, heard, felt, or smelled by an observer

Observation

using the senses of sight, hearing, touch, and smell to collect information

planning

setting priorities and goals; a step in the nursing process

subjective data

things a person tells you about that you cannot observe through your senses

Another name for objective data

Signs

Another name for subjective data

symptoms

What are the vital signs

Temperature

pulse

respirations

blood pressure

pain

When should oral temperatures be avoided

Receiving oxygen

Nasogastric tube

confused/delirious

Antibiotics

Drugs that kill microbes that cause infections

Asepsis

Being free of disease-producing microbes

Contamination

Process of becoming unclean

Cross-contamination

Passing microbes from one person to another by contaminated hands, equipment, or supplies

Epidemic

disease that affects a large number of people within a community, population, or region

Healthcare-associated infection

Infection a person gets when cared for in any setting where health care is given; related to receiving health care

Immunity

Protection against a disease or condition; person will not get or be affected by the disease

Infection

Disease state resulting from the invasion and growth of microbes in the body

Medical asepsis

Practices used to remove or destroy pathogens and to prevent their spread from one person or place to another person or place; clean technique

Normal flora

Microbes that live and grow in a certain area

Pandemic

epidemic that has spread to multiple countries or continents

Social Distancing

Putting space (at least 6 feet) between yourself and others

Spores

Bacterium protected by a hard shell

Sterile

Absence of all microbes

Sterilization

Process of destroying all microbes

Surgical Asepsis

Practive that keeps items free of all microbes; sterile technique

Vaccination

Giving a vaccine to produce immunity against an infectious disease

Vaccine

preparation containing dead or weakened microbes

MDROs

microbes that can resist the effects of antibiotics

Chain of infection steps

1. Susceptible Host

2. Infectious agent

3. Reservoir

4. Portal of Exit

5. Means of transmission

6. Portal of Entry

7. Repeat

Reservoir definition

Where pathogen survives

Portal of Exit

Where pathogen can leave the body

Portal of Entry

Way pathogen can enter the body

What is the most effective way to prevent the spread of disease

Handwashing

What is included in standard precautions

Use of protective barriers which may include wearing gloves, gowns, plastic aprons/gowns, masks, eye shields or goggles

When are standard precautions used

Blood

body substances, secretions and excretions except sweat

Non-intact skin

Mucous membranes

When are transmission-based precautions used

Patients known or suspected to be infected or colonized with epidemiologically important pathogens 

What are the types of transmission-based precautions

Airborne

Droplet

Contact

Order of donning PPE

1. Gown

2. Mask

3. Goggles

4. Gloves

Order of dogging PPE

1. Gloves

2. Goggles

3. Gown

4. Mask

Absorption

process by which a drug is transferred from its site of body entry to circulating body fluids for distribution

Adverse drug reaction

unintended effect on the body from using a legal drug, illegal drug, or two or more drugs

Allergic reaction

unfavorable response to a substance that causes a hypersensitivity reaction