Week 1 Flashcards
True or False: You only have to ask for informed consent once
False, you ask before you start, and every time
Informed consent must include what?
1) Who you are
2) What you are doing
3) Why you are doing it (benefits)
4) Risks
5) Questions
Then give them them a choice as a way to gain consent to start
Principles of body mechanics #1.
Assess the environment
–> where is the patient?
–> do I need help? (can do this by checking the chart)
What are the principles of body mechanics?
1) Assess the environment
2) Plan the move
3) Face the direction of movement
4) Ensure proper body stance
5) Stand close to your patient
6) Avoid lifting whenever possible
7) Bed should be at the height of your hips
8) Use soaker pad/ what you have at your disposal to move the patient
9) Use your body weight
10) Know who is counting, what count is being used
Principles of body mechanics #2
Plan the move
–> where do I start? where do I end?
–> clear a path
Principles of body mechanics #3
Face the direction of movement
–> avoid twisting
–> toes should be pointing to where you are working
Principles of body mechanics #4
Ensure proper body stance
–> feet shoulder width apart
–> knees should be bent
–> tummy tight
–> back straight
Principles of body mechanics #5
Stand close to your patient
–> avoid momentum
–> make the patient do the work
True or False: Verbal communication is not enough to protect yourself and your patient when documenting
True
What does the ‘S’ in Soap stand for?
Subjective (“said”)
–> symptoms not signs
–> anything said by a patient not a family member
–> only write down facts that are said and relevant
can include pain, history of symptoms, and social history
What does the ‘O’ in SOAP stand for?
Observed/signs
–> include measurements as much as possible
–> what you did with your patient
–> PTA treatment intervention
can include ambulation, swelling, ROM, treatment intervention
What does the ‘A’ in SOAP stand for?
Analysis
–> change in the patient status
(positive: exercise/activities going too easy
negative: patients unable to participate due to too much pain, mental health issues, etc.)
What does the ‘P’ in SOAP stand for?
Plan
–> for the patient
–> also for the team
What are some rules with documentation?
must be accurate, concise, legible, dated, signed and designation must include name,PTA
What do you do if you need to make a correction when documenting?
Put a single line through the error, sign name or initial, then re-write correct info
