PatCare Ch 5 Med Techniques

what informs patients about what to expect during their hospital stay and their rights and responsibilities

AHA (amer. hosp. assoc) established patient’s bill of rights est. 1973, patient care parternership replaced in 2004

how should you handle a patient in denail

encourage to stay positive, recommend support groups

what stage may present when a patient is adjusting to reality of loss

grief

what is feeling helpless or sad

depression

what is normal adult pulse

60-100 BMP

what is normal athlete pulse

40-60 BPM

what is child normal pulse

80-130 BPM

what is newborn normal pulse

book says both 70-190 BPM (in paragraph) and 120-140 in chart

what is fetus normal pulse

120-160 BPM

what is rapid HB called

tachycardia >100

what is slow HR called

bradycardia <60

how long should you count artery beats for HR

30 sec - then multiply by 2

what is normal adult respiration

12-20 breaths per minute

what does character of respiration mean

quality of breath - wheezing, coughing, labored

what is dyspnea

trouble breathing

what is cyanosis

bluish color of skin from no O2

what does systolic represent

heart contraction, pushing out blood (top #)

what does diastolic represent

heart rest, refill, bottom #

what is normal adult BP

<110/65

what is prehypertension BP

120/80 to 139/89

what is hypertensive BP

>140/90

what is hypotensive BP

<= 80/50

what is the first sound you hear when taking BP

systolic

how much above expected systolic reading should you inflate cuff

20-30 mm Hg, usually arund 180

if cuff deflates too quickly, the reading will be falsely __________

low

how quickly should you deflate the cuff

2-3 mm Hg/breath until sound stops or distinct change

which O2 mask delivers highest O2 flow that doesn’t mix w/room air

venturi

what does dark “coffee grind” vomit indicate

undigested blood

who issues/checks patient safety compliance

the joint commission issues the national patient safety goals/NPSG’s

how often are NPSG’s revised

yearly

who established standard precautions

CDC and OSHA

what are standard precautions

minimum standards for infection control of all bodily fluids

what is the chain of infection

microorganism, source/growth, exit, transport, entry, host

what is the difference between universal and standard precautions

universal is OSHA for blood only - standard is w/CDC and includes all fluids

what are nosocomial infections

infections acquired in hospital

what PPE is required for strict isolation - highly contagious

gowns, gloves, mask, poss goggles

what PPE is requird for respiratory isolation

masks

what PPE is requird for enteric isolation - feces

gowns, gloves, hand wash (not alchohol)

what artery do you check for pulse

radial

what does HIPAA stand for

health insurance portability and accountability act

who can one contact if HIPAA violation is suspected

office for civil rights

what do vital signs refer to

temp, pulse, respiration, BP

what is normal O2 saturation

95-100%

how many patients will acquire a HAI

1 in 25

how long can C-diff live?

70-90 days outside body

what is spauldings criteria

determines which level of disinfection is needed

what products is used for high level US disinfection

35% hydrogen peroxide

how long does it take trophon to disinfect

7 minutes