Intoduction to Allied Health Professions Final Exam

Military Time

24 hour time system used in healthcare to avoid confusion between AM and PM times

The 5 Rights

Right Patient, Drug, Dose, Route, and Time

Medication Safety Tips to Avoid Errors

Double-check calculations, use the correct measurement system, comfirm patient identity, and follow prescrived guidelines carefully.

Infection Prevention Methods

Hand hygiene, Personal Protective Equipment (gloves, gowns, masks), Cleaning/Disinfection, Isolation Procedures

Types of miccrobes that can cause infections

Bacteria, viruses, fungi, and parasites

Chain of Infections

Infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host. Breaking any link in the chain prevents the spread.

Infectionous Diseases Risks to Healthcare Workers

Exposure to bloodborne pathogens, airborne diseases, and contact with infected surfaces

Drug Resistance

Pathogens mutate over time, often dur to improper or overuse of antibiotics, leading to drug resistance and complications of treatment

Cultural/Individual Differences and Their Affects in Health Care

Language Barriers, beliefs, and practices can infflunece communication, treatment preferences, patient compliance, attitudes towards medications, etc.

Maslows Hierarchy of Needs

A theory that outlines human needs in a pyramid, startign at the bottom with physiological needs, safety, love/beloning, self-esteem, to self-actualization at the top.

Dealing with loss

Individuals may use various coping strategies like grief, acceptance, denial, or seeking support from others. Provide support to them by listening, showing empathy, and counseling

Defense Mechanism

Defesnse Mechanism like denial, repression, projection are unconscious ways of protecting onself from stress. Recognizing them helps providers offer better care.

Factors increasing the demand for competent communication in healthcare

Diverse patient populations, complex helath care systems, technology, ans legal/ethical expectations

Universal Goals fo Patient Interactions

To establish trust, provide clear information, show empathy, and ensure understanding.

Make them feel heard, respected, and informed

Active Listening and Professional Phone Communication Techniques

Active listening involves fully focusing on the speaker, while professional phone communication requires clarity, respect, and confidentiality.

Methods of Organizing Content

Formal Outline= structured, detailed framework for the document

Informal Outline= more flexible, less rigid structure

Mind Map= visual representatio of ideas and how they connect

Writing Healthcare Documents

Protect patient confidentiality, follow organizational policies, ensure records are accurate and up to date, and no spelling or grammer errors.

Punctuation Rules

Period= ends sentence

Comma= seperates ideas

Semicolon= joins related clauses

Colon= introduces a list

Apsotrophe= shows possession

Quotation Marks= for direct speech

Documentaion and Medical Record Types

Medical Documentation= recording patient care

Medical Record= complete patient file

Charting= process of documenting

Purpose of Medical Documentation

Provide a record for continuity of care, support billing, legal protection, and track patient progress

Characteristics of good medical documentation

Accurate, Timely, Compleete, Clear, and Concise

Poor Medical Documentation Consequences

Legal issues, miscommunication, compromised patient care, and potential liability

Source-oriented vs Problem-oriented

Source= charting organizes notes bu the source of the information (by department)

Problem+ charting organizes by patients issues/problems

SOAP

S= subjective (patients reported issues, complaints, or symptoms)

O= objective (Healthcare provider’s observations, test results, and vital signs)

A= assessment (Healthcare provider’s professional assessment or diagnosis)

P= plan (prosed treatment, procedures, and patient intructions)

Signs vs Symptoms

Signs are objective findings (fever, bruises)

Symptoms are subjective experiences reported by patient (pain)

Charting by Exception vs. Narrative Charting

Charting by Exception= Method where only abnormal findings or changes from the baseline are documented. This saves times but it risks missing details

Narrative Charting= method that descirbes all aspects of care. This is very detailed charting but it is time consuming and be hard to read due to lack of structure

Electronic Health Record (EHR) vs Personal Health Record (PHR)

EHR= digital system for storing helath data that improves accessibility, accuracy, and coordination of patient care

PHR= managed by patients including history, medications, and test results

Health Insurance Portability and Accountability Act (HIPAA) of 1996

HIPAA ensures patient privacy and security of health information through the Privacy and Security Rules