NHA EKG Board Study Guide

studied byStudied by 16 people
0.0(0)
get a hint
hint

HIPPA

1 / 259

Tags and Description

NHA 2023 EKG certification test --- Other Resource: https://www.studystack.com/flashcard-951100

260 Terms

1

HIPPA

Health Insurance Portability and Accountability Act of 1966

New cards
2

PHI

Personal Health Information

New cards
3

Examples of PHI

Name, DOB, SSN, Phone #, marital status, employment, address

New cards
4

Discussion of PHI should be _______.

limited

New cards
5

PHI can be used educationally if patient information is ________.

redacted

New cards
6

OSHA

Occupational Safety and Health Administration; ensures safe work environment

New cards
7

CDC

Centers for Disease Control and Prevention; provides recommendations to keep patients and workers safe according to established best practices

New cards
8

HAI

Healthcare associated infection

New cards
9

Universal precautions include….

Standard precautions, medical asepsis, breaking chain of infection, hand washing(follow proper technique), sanitization and sterilization of materials, disinfection - limits microbial activity

New cards
10

Medical asepsis (clean technique)

Used daily in every clinical setting; consists of the removal or REDUCTION of microorganisms after they leave the body and breaking the chain of infection

New cards
11

Examples of asepsis

washing hands before and after each patient encounter, making sure the workspace is clean, properly cleaning and disinfecting equipment

New cards
12

Standard precautions for EKG

wear gloves if there are open areas on the skin because these increase the possibility of being exposed to body fluids

New cards
13

_____ is a body fluid that is NOT considered harmful to others.

Sweat

New cards
14

MOST IMPORTANT thing that stops the cycle of infection

Good Hand Hygiene

New cards
15

Accessories that can harbor pathogens

jewelry, rings, and artificial nails

New cards
16

Sanitization

first step; reduces number of microbes so the equipment is ready for sterilization or disinfection; gloves must be worn

New cards
17

Disinfection

the process of destroying pathogens on a surface; does not destroy all microbial spores

New cards
18

Chemical disinfections CANNOT be used on _________.

patients

New cards
19

The EKG machine leads and exam table should be disinfected after __ ___.

each use

New cards
20

SDS

Safety data sheets; used in conjunction with PPE to maintain safe work environment

New cards
21

Only put items with body fluid into a _________ container.

biohazard

New cards
22

Dispose of any needs or other sharp supplies used during a stress test injection in the appropriate ______ container.

sharps

New cards
23

EKG technicians are responsible for:

delivering safe patient care, maintaining confidentiality, and ensuring privacy

New cards
24

Scope of practice is defined by the individual ____ and in compliance with institutional policies and procedures.

state

New cards
25

EKG technicians must stay up to date on current ___ and ___.

research, technology

New cards
26

_____ consent is needed for more extensive cardiac testing.

Written

New cards
27

___ consent is most common for EKGs (i.e. changing into gown, lying down, etc.)

Implied

New cards
28

Patients should be fully ______ and provided a private and safe environment that limits physical exposure of the patient

informed

New cards
29

NHA

National HealthCareer Association

New cards
30

NHA expects professionals to use their best efforts to:

better society and exhibit honesty and professionalism while treating all individuals with respect

New cards
31

Protecting the privacy and rights of individuals are both ethical considerations and _____ obligations.

legal

New cards
32

What should an EKG technician let a patient know if thy ask about the results of a test?

Only disclose a confirmation that the EKG was successfully completed and will be interpreted by the provider

New cards
33

To facilitate communication, maintain a _________ attitude and demonstrate good listening behaviors.

non judgemental

New cards
34

Good listening behaviors

make eye contact, face the patient, repeat or clarify what the patient says to show understanding, assess the patient’s knowledge to determine health literacy and ability to understand new information

New cards
35

Therapeutic communication technique

Ask “Can you please state your name and DOB?” rather than asking the patient to confirm the stated information

New cards
36

Communication cycle

a message is sent by the sender, which is decoded and interpreted by the receiver, who then sends a response back to the original sender

New cards
37

Analytical patients

do not show emotion; hard to interpret if anxious or not; still provide information

New cards
38

Intuitive communicator

might not want details but would like to see the big picture

New cards
39

Prior to explaining the procedure, introduce yourself, including your ____ within the organization and state what will be done.

position

New cards
40

Display professionalism

physical appearance, eye contact, display understanding and knowledge of situation; can increase patient’s confidence in their care

New cards
41

Active listening skills

recognize verbal and nonverbal messages (facial expressions, body language)

New cards
42

Use skilled interviewing techniques

open-ended questions (What medications do you usually take?)

New cards
43

Provide empathy

do not jump to conclusions or pass judgement

New cards
44

Practice collaboration

make patient part of healthcare team

New cards
45

Embrace technology

select no more than 3 communication channels

New cards
46

A ________ can be warranted when an EKG tech is performing an EKG on a teenage patient, or on a patient who has cognitive deficits or dementia

chaperone

New cards
47

Make sure the person who is providing assistance to the patient has been authorized by the patient or the court system in the form of ____________________.

durable power of attorney

New cards
48

People who have ______ impairments can require additional audio, visual media such as written materials, pictures, or audio files

sensory

New cards
49

Avoid using _____ as interpreters, they might not communicate information accurately.

family members

New cards
50

Factors that affect communication with patients

Culture, language, religion, developmental level, gender, disability

New cards
51

EMR

electronic medical record

New cards
52

The Joint Commission mandates using two of the following identifiers to verify each patient’s identity before performing any procedure:

full name, DOB, address, phone #, SSN - ASK PATIENT TO STATE THESE THEMSELF

New cards
53

Prior surgical procedures and medications can all affect the EKG tracing and should be _____.

documented

New cards
54

OPQRST

onset, provocation, quality, severity, time - to get a description of patient symptoms

New cards
55

Emergencies related to cardiac testing

Syncope, chest pain, abnormal vitals, hypotension, arrhythmias, myocardial infarction

New cards
56

Patients who have chronic lung conditions and poor oxygen saturation often cannot assume full ______ position; arrange to complete the EKG in a semi-fowlers or other upright position

supine

New cards
57

Factors that can affect vital signs

stress, food or liquid intake, medical conditions, age and physical activity

New cards
58

Equipment used to measure blood pressure

sphygmomanometer, blood pressure cuff, stethoscope

New cards
59

Blood pressure is measured in…

millimeters of mercury (mmHg)

New cards
60

________ pressure is recorded when the first sharp tapping sound is heard, which is when the blood begins to surge into the artery that has been occluded by the inflation of the blood pressure cuff (phase 1)

systolic

New cards
61

_______ pressure is recorded when the last sound disappears completely and the blood is flowing freely (phase 5)

diastolic

New cards
62

Korotkoff sounds (5 phases)

distinct sounds that are heard throughout the cardiac cycle

New cards
63

Phase 2 Korotkoff

swishing sound as blood flows through the artery

New cards
64

Phase 3 Korotkoff

sharp tapping sounds

New cards
65

Phase 4 Korotkoff

sound changes to a soft tapping sound which begins to muffle

New cards
66

Electronic equipment can interpret blood pressure without _________.

auscultation

New cards
67

Heart rate pulse is measured by _________.

palpation

New cards
68

Radial pulse

thumb side of wrist; most common site for measuring adult pulse

New cards
69

Brachial pulse

inside upper arm; most common sight for measuring pulse in children

New cards
70

carotid pulse

located in the neck just below the jawbone; most common sight for use in emergency procedures

New cards
71

Femoral pulse

strong pulse at this sight demonstrates circulation being sent to the lower extremity

New cards
72

Pedal pulse

if absent, circulation to the toes is affected

New cards
73

Apical pulse

is counted by listening to the heartbeat at the apex of the heart

New cards
74

Pulse is evaluated on…

rate, rhythm (regularity), and volume (strength)

New cards
75

Thready

a pulse that is faint or difficult to detect

New cards
76

Bounding

a very strong pulse

New cards
77

Rate can be affected by

age, activity level, fitness level, motions, body position, body size, medications, environmental temperature, illness, medical conditions

New cards
78

Measure pulse and blood pressure while the patient is sitting in a resting position with their ____ flat on the ground.

feet

New cards
79

Average heart rate tends to ____ with age.

slow

New cards
80

Respirations are evaluated on….

rate, rhythm, depth

New cards
81

Depth

how much air is inhaled

New cards
82

Respiratory rates _____ with age and are affected by health conditions or environmental factors.

decrease

New cards
83

Tachypneic

respiratory rate greater than 20 breaths per minute; are anxious or experiencing respiratory distress

New cards
84

Bradypnea

respiratory rate less than 10 breaths per minute; side effect of some medications

New cards
85

Respiratory rates outside the expected rage are serious and can result in…

acid-base imbalance, hypoxia, brain injury, organ failure

New cards
86

Temperature is an indicator of…

infection, hydration, metabolism

New cards
87

An oral temp that is over __ degrees F or __ degrees C is considered febrile

99.5, 37.5

New cards
88

Pulse oximetry

determines the percentage of oxygen saturation in the body

New cards
89

Patients displaying symptoms of the following are often assessed with a pulse oximeter

pneumonia, asthma, bronchitis

New cards
90

Finger probe uses infrared light to obtain peripheral capillary oxygen saturation (____) reading

SPO2

New cards
91

Pulse oximeter is unreliable if the patient has….

Nail polish, cold hands, acrylic nails, edema, or carbon monoxide poisoning

New cards
92

Pulse oximeter probe can be attached to an ____ instead of the finger.

earlobe

New cards
93

Patients who have chronic respiratory ailments can function normally with SPO2 levels less than ___.

95%

New cards
94

Adequate perfusion

warm skin, pink mucous membranes, strong peripheral pulses, capillary refills less than 2 secs

New cards
95

Patients who have hypoxia or low SPO2 can experience…

anxiety, confusion, increased respiratory rate

New cards
96

Expected reference range for respiratory rate in newborn

30-50 breaths per minute

New cards
97

Expected reference range for respiratory rate in adult

12-20 breaths per minute

New cards
98

Older adults have a slightly ____ body temperature due to loss of body fat and muscle mass

lower

New cards
99

95% + pulse oximeter reading

normal pulse ox result

New cards
100

Expected reference range for blood pressure

<120/<80

New cards

Explore top notes

note Note
studied byStudied by 22 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 214 people
Updated ... ago
5.0 Stars(6)
note Note
studied byStudied by 5 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 15 people
Updated ... ago
5.0 Stars(2)
note Note
studied byStudied by 7 people
Updated ... ago
5.0 Stars(2)
note Note
studied byStudied by 1 person
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 44 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 5325 people
Updated ... ago
4.6 Stars(9)

Explore top flashcards

flashcards Flashcard62 terms
studied byStudied by 141 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard98 terms
studied byStudied by 4 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard33 terms
studied byStudied by 17 people
Updated ... ago
5.0 Stars(2)
flashcards Flashcard60 terms
studied byStudied by 27 people
Updated ... ago
4.7 Stars(7)
flashcards Flashcard35 terms
studied byStudied by 57 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard96 terms
studied byStudied by 36 people
Updated ... ago
5.0 Stars(2)
flashcards Flashcard101 terms
studied byStudied by 9 people
Updated ... ago
4.0 Stars(1)
flashcards Flashcard44 terms
studied byStudied by 15 people
Updated ... ago
5.0 Stars(2)