Final

Question 1

Ultrasound Guided Procedures Before, During, and After

Answer 1

Before: Patient verification, vitals, documentation, prep utility tray, time out.
During: Sterile technique
After: Dispose of sharps, clean, send reports to physician

Question 2

Normal Vital Signs

Answer 2

Pulse Ox: 95-100%
BP: 120/80
HR: 60-100
Temp: 98.6

Question 3

Hospital Protocols for Spills

Answer 3

Contain spill, secure work area, notify supervisor, contact emergency page operator to announce code, wear appropriate PPE, clean using appropriate materials, dispose appropriately.
*Materials that need reporting: >1500 mL and/or toxic. Report to MSDS

Question 4

MSDS

Answer 4

Material Safety Data Sheets

Question 5

Hospital Codes

Answer 5

Triage- Disaster
Blue- Cardiac arrest
Black- Bomb/ threat
Purple- Evacuation
Red- Fire
Gray- Violent incident
Orange- Hazardous material spill
Pink- Infant/ child abduction
Yellow- Missing person

Question 6

PASS

Answer 6

Pull the pin
Aim at base
Squeeze trigger
Sweep side to side

Question 7

RACE

Answer 7

Rescue
Alarm
Confine
Extinguish

Question 8

Hospital Equipment Examples

Answer 8

IV pump, oxygen therapy (nasal cannulas, oxygen masks, mechanical vents), bedside monitors, wound drains

Question 9

Utility Trays

Answer 9

Syringe, needle tips, betadine soap, alcohol wipes, lidocaine, gauze, ruler, sterile shield

Question 10

Isolation/ Infection Precautions

Answer 10

Contact- gloves and gown
Droplet- surgical mask, gloves, PAPR units
Airborne- N-95 mask, PAPR units
Reverse- gloves and surgical mask

Question 11

Role

Answer 11

Specific behavior that an individual demonstrates to others

Question 12

Function

Answer 12

Involves tasks or duties one is obligated to perform in carrying out a role

Question 13

CPT

Answer 13

5 digit numeric code.
Used to describe medical services of healthcare providers
*Describe what you do (testing)

Question 14

ICD-10

Answer 14

International Classification of disease.
Identifies patients condition or disease that supports the medical necessity for performing a test.
*Describe why you do it (diagnosis)

Question 15

Patient Chart- Chief complaint

Answer 15

Main reason/ problem that brings patient into hospital

Question 16

Patient Chart- History of Illness

Answer 16

Signs and symptoms and duration of chief complaint.

USE THIS TO VERFIY ICD-10, INDICATE SONOGRAPHER COMMENTS

Question 17

Patient Chart- Physical Exam

Answer 17

Where patient observations are recorded

Question 18

Patient Chart- Assessment

Answer 18

Summary written by the attending physician of what are the most likely causes of patent’s current symptoms

Question 19

Patient Chart- Plan

Answer 19

Documents course of action to address the symptoms

Question 20

Patient Chart- Orders

Answer 20

Orders by providers, like diagnostic testing

THIS IS WHERE TO LOOK TO VERIFY ORDER FOR ECHO. NO ORDER, NO EXAM

Question 21

Patient Chart- Progress Notes

Answer 21

Daily updates on patient

IMPORTANT TO SONOGRAPHER. WHERE YOU WILL BE RESPONSIBLE FOR DOCUMENTING TEST AND ANY COMPLICATIONS DURING.

Question 22

Patient Chart- Test Results

Answer 22

Can use this along with PACS to look up previous exam

Question 23

How to Administer Bedpans

Answer 23

1. Wash hands, put on gloves
2. Have patient bend knees and raise bottom or turn on their side
3. Place chuck pad under patient, then place bedpan. Ask patient to position themselves on top
4. Provide tissue and privacy
5. Instruct them to raise/ turn and remove bedpan
6. Empty contents into toilet and dispose bedpan into garbage
7. Wash hands

Question 24

Necessary Components When Explaining the Test

Answer 24

Reason for procedure, who will be performing it, how long it will take, how it will be performed, what sensations to expect

Question 25

EMR

Answer 25

Electronic Medical Record Software system designed for medical professionals to document information based on the care provided to patients by clinicians. Makes sure information received by the patient is accurate and comply to eliminate duplicate testing and other preventable cost inflators.

Question 26

HIPAA

Answer 26

Health Insurance Portability and Accountability Act Applies to health plans, healthcare clearing-houses, healthcare providers, and business associates. Creates a framework for ensuring safety, security, and integrity of electronically stored and transmitted information.

Question 27

Verifying Patient

Answer 27

ID wrist band must be on at all times and display name, medical record number (MRN), DOB, and attending physician Use patient identifiers along with checking wrist band like having them state DOB or how to spell last name

Question 28

Types of ICUs

Answer 28

``` PICU: Pediatric Intensive Care Unit CCU: Coronary Care Unit MICU: Medical Intensive Care Unit SICU: Surgical Intensive Care Unit NICU: Neuro Intensive Care Unit NICU: Neonatal Intensive Care Unit ```

Question 29

Hand Hygiene

Answer 29

1. Remove jewelry, push up sleeves 2. Stand away from sink and make sure clothes don't touch sink 3. Turn on warm water, wet wrists and hands. Keep hands lower than elbows 4. Apply soap, rub hands together interlacing fingers, lather for at least 20 seconds 5. Rinse each hand, clean between fingers and under nails 6. Dry wrists and hands with paper towels. Pat starting at fingertips. Turn off faucet with paper towel

Question 30

Progress Notes

Answer 30

Entered in chronological order. Document the sequence of events leading to the current state of health. Where we are responsible for documenting the exam and any complications during. Do this by entering date, department, exam performed, and signature/initial.

Question 31

Time Out

Answer 31

To prevent medical error by conducting a final verification of correct patient, procedure, site. Active communication among all of the procedural members and patient before any procedure

Question 32

Lab Findings Suggestive to Sonographic Findings

Answer 32

Troponins- Draw blood if symptoms of chest pain or related to MI. The higher the levels, the more damage to the heart. Also related to myocarditis or CHF. BNP- B-type Natriuretic Peptide. Released when the heart is stressed. Produced in LV when the heart doesn't get enough oxygen.