A Flashcards
(26 cards)
What does HEAR stand for
History
Evaluation
Assessment
Recommendations
What does History include
General information about the patient as it impacts their hearing care or information about their immediate problem
Evaluation
Measurements or observations that address the subject complaint are documented without interpretation
Assessment
The interpretation or analysis of the data as it applies to the patient’s presenting symptoms or complaints
Recommendation
Statement of what needs to be done to address the patients issues. This is the plan of action.
Disease transmission
Contact
Vehicle
Airborne
Vector-borne
Indirect contact transmission
When an infected person or HA touches a surface and then another person comes in contact with that surface.
Droplet contact transmission
Droplets from an infected person when they cough, sneeze or talk.
Vehicle transmission
When a contaminant is ingested or there is exposure to contaminated substances via food, water, body fluids or blood
Airborne transmission
Droplets or dust particles remain suspended for long periods. These organisms can live outside the body for extended periods and are resistant to drying
Vector-borne transmission
Animal or insect that can transmit the disease from an infected individual to another person
Hand hygiene must be preformed when?
Before and after each patient appointment or interaction.
Before and after dirty/clean activities
Ear impressions
Inserting earphone or probe tips
What are critical items
Items that enter sterile tissue
What are semi critical items
Items that come in contact with non intact skin or mucus membranes but do not penetrate them. Items that come in contact with cerumen.
Probe tips, hearing aid cleaning tools
Non critical items
Items that come in contact with intact skin or do not directly touch the patient.
Desk, headband, cords, response button
Describe cleaning
Removal of foreign material such as blood wax or other bodily substances. Remove gross contamination without involving the process of killing germs. Required before disinfecting or sterilization will be effective.
Disinfecting
The next level of infection control is disinfection which kills germs. Disinfection will not kill all germs. Cleaning must be done first. A percentage of germs are killed.
Low level disinfection
Common household and hospital grade cleaners- not effective for tuberculosis
Intermediate level disinfection
Hospital grade disinfection that kills tuberculosis
High level disinfection
Germicides that kill all microbes and spores.
Air bone gap is tested at what frequency
500, 1000, 2000
Red flag conditions
Visible congenital or traumatic deformities
Active drainage from ear within 90 days
Sudden loss or rapid loss
Acute or chronic dizziness
Foreign body
Pain or discomfort in ear
Abnormal appearance
Med referral conditions
Unilateral loss
Unilateral or asymmetrical tinnitus
Statistical difference between word recognition between ears
Asymmetrical loss
Under 18
Stark law
Prohibits physicians and their immediate family members from referring patients to health services to an entity in which the physician or immediate family have a financial relationship