EHS Midterm

EMTALA

emergency medical treatment + labor act

APP

advanced practice provider

MLP

Mid level provider

Disposition

determination of patient staying or leaving hospital

Patient Staying for Observation

doesnt last more than 72 hours bc chill patient

DCI

discharge instructions

7 dimensions of HPI

1) Location
2) Intensity 
3) quality of pain (sharp, etc)
4) onset 
5) radiation
6) associated symptoms
7) anything make it better/worse

EMS Providers

• first responder

• EMT-B

• EMT-I

• paramedic

BLS

basic life support

• EMT-Bs

• A,B,Cs

• No drugs or invasive skills

• AED

• If CPR, call ACLS

ALS

advanced life support

• EMT-Is and EMT-Ps

• A,B,Cs

• ACLS

• Intubation

• Drugs 

Paramedic

added to nursing staff cause of shortage

• can do a lot, administer medications, maintain infusion of blood

• Incubates while EMT doesn’t 

FIN #

Facility Identification Number OR unique identifier assigned to each patient visit or hospital encounter within a healthcare facility’s billing or electronic health record (EHR) system.

• FIN number is diff for each patient visit while MRN stays the same despite multiple visits 

Incoming Call

provider calls to transfer patient

one call

hospital calls to transfer patient

Trauma yellow

dangerous, severe, activation of ICU, OR, ect

Trauma white

multi-level organ injury

Cath attack

patients with heart attack

brain attack

patient showed concern for stroke

ADN (associates nursing) 

cannot adminsiter IV medication

BSN

holy grail, can do everything except order medication like a provider 

ED Tech

• perform EKGs,

• places Ivs, draw blood

• vital signs, data collection

• apply splints

• other 

Advanced practice provider

NP or PA

• wound care or fast track patients 

clinical supervisor

charge nurse

Physical examination starts with 

Vital signs

• pain scale

• glucose

• height/weight

• BP

• oxygen saturation

• temp

• respiratory rate

Physical exam

• VS

• general appearance

• HEENT (head, eyes,ear,nose, throat)

HEENT

head, eyes, ears, nose, throat

Gen. Appearence

how they look? pale alert, sweaty, oriented, responsive, letargic, comfortable, well nourished, in not acute distress

Face sheet

every important info about patient is on this sheet 

Differential diagnosis

possibility of patient having the disease, considering everything

diagnosis

final diagnosis among all possibilities ultimate problem 

critical care (CC)

how much time provider spent with patient

anti-emetics

anti naseau/vomiting

antipyretic

reduce fever

Abx

antibiotics

Qd

every day/daily 

BID 

twice a day

TID

three times a day

QID

4 times a day

prn

as needed

Qhs

every night

NPO

nothing per oral

I-stat

point of care testing

• troponin (cardiac enzyme)

• VBG (venus blood gas)

• chemistry

• creatinine

• lactate

Urine dip & UA

dip card to see issue or do urine analysis for UTIs (micrscope) 

Urine preg (ED10) 

preganancy 

wet prep

vaginitis panel (infection from vaginal area)

STI swabs

• chlamydia

• gonorrhea 

Urine for GC

gono & chlamydia testing thru urine

IVF

intervenus fluid/

intervitro fertilization

IM

intramuscular

SQ

subcutaneous

Nebs

nebulizer (COPD, astma)

MICU

medical icu

SICU

surgical ICU

TICU

trauma ICU

PCU

pulmonary care unit

NICU

neonatal care unit

PICU

peds ICU

IMC

intermediate care (dont have at gwu)

Telemetry

patient requires cardiac monitoring

CVC

cardiac vascular center

CCU

critical patient with heart conditions/ cardiac care unit 

PACU

post anesthesia care unit 

I & D tray 

incision and drainage 

Mayo stand

food tray

lidocaine

local anesthetic

chucks

blue patient bodily fluids diaper like/drape

post-reduction

did procedure, now need NEW x-ray to see if procedure went well 

indication

how well can you see or tell a test is needed

PACS

picture archive computer system

s/p

status post

c/w

consitent with or compatible with

D/C

discontinue/discharge 

f/u

follow-up

R/O

rule out

SOI

severity of illness

NVD

naseau, vomiting, diaherrea

DOE

dysphnea on exertion (difficulty breathing)

CP

chest pain

ABD

abdomin 

LE

lower extremity

S/S

signs/ symptoms

A & O

alert & oriented

AAA

abdominal aortic aneurysem

AKI

acute kidney injury 

ARF

acute renal failure 

CRF

chronic renal failure

CKD

chronic kidney disease

ESRD

end stage renal disease (dialysis 3x week)

BIBA

brought in by ambulance

BIBEMS

brought in by emergency medical services 

CPAP

continous positive airway pressure

BiPAP

bilevel positive air pressure

CABG

coronary artery bypass surgery

CHF

congestive heart failure

D-stick, BS, FS

dextrouse stick, fasting blood sugar, finger stick, blood sugar

FBS

fasting blood sugar 

DM

dibaetes mellitus

ETOH

alcohol intoxication (ethanol)

FHR

fetal heart rate

FT

full term (baby)