Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MEDS 580 > Lecture 10: Individual Competencies, MRSA > Flashcards

Lecture 10: Individual Competencies, MRSA Flashcards

1
Q

Define:

Competency

A

An ability or skill; a skill needed to perform in a particular role, knowledge in a particular domain, or a value that can be expressed in action, or a combination of these 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Competencies are combinations of what 3 components

A

Values
Knowledge
Skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define:

Values

A

Broad preferences concerning useful, worthy, and important courses of action and outcomes

(What ought to be. Reflects personal views of excellence. Refects a persons sense of right and wrong. Difficult to change and are rooted in familu, spiritual and cultural socialization)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define:

Knowledge

A

Key technical and contextual information, theories, and concepts need to be competent

(Easist of the three components of competency to gain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define:

Skills

A

Specific behavioral practices needed to be proficient in the workplace

(Requires practice in realistic settings)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Competencies are discussed in the same framework as ______________

A

characteristics of an effective team

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What should be done to produce characteristics in individual members?

A

Parallel the characteristics of effective teams with the specific expectations of individual members to produce those characteristics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Interprofessional Education Collaborative Expert Panel, 2011 (IECEP) is made up of what 6 professional associations?

A
  1. American Association of Colleges of Nursing
  2. Association of American Medical Colleges
  3. American Association of Colleges of Osteopathic Medicine
  4. American Association of Colleges of Pharmacy
  5. American Dental Education Association
  6. Association of Schools of Public Health
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

IECEP sought to bring focus onto ___________

A

“The Triple Aim”

  1. Improving the experience of care
  2. Improving the health of populations
  3. Reducing the per capita cost of health care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define:

Interprofessional Education

A

When students from 2 or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define:

Interprofessoinal Team Work

A

The levels of cooperation, coordination, and collaboration characterizing the relationships between professions in delivering patient-centered care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define:

Interprofessional Team-Based Care

A

Care delivered by intentionally created, usually relatively small work groups in health care who are recognized by others as well as by themselves as having a collective identity and shared responsibility for a patient or group of patients (e.g., rapid response team, palliative care team, primary care team, and operating room team).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define:

Professional competencies in health care

A

Integrated enactment of knowledge, skills, values, and attitudes that define the areas of work of a particular health profession applied in specific care contexts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define:

Interprofessional competencies in health care

A

Integrated enactment of knowledge, skills, values, and attitudes that define working together across the professions, with other health care workers, and with patients, along with families and communities, as appropriate to improve health outcomes in specific care contexts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T/F

Values are deeply held and difficult to change.

A

T

They often are rooted in family, spiritual, and cultural socialization, established over several years, particularly the younger years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which of the three competencies is easiest to gain?

A

Knowledge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Competencies for Individuals are organized into what 4 categories

A
  1. Patient focus
  2. Team orientation
  3. Collaboration
  4. Team management
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Competencies: Patient Focus

A
  • Foundation is respect
  1. Respect the interest of patients and families as defineid by them
  2. Actively solicit and integrate the input of patients and families in the design, implementation and evaluation of services
  3. Perform professional roles in a respectful way
  • Cultural sensitivity is key to effective communication when patients are from different cultures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Patient Focus:

Respect for patients involves 2 individual behaviors:

A
  1. Soliciting and acting on patient and family input

2. Performing roles in a culturally sensitive manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Competencies: Team Orientation

A
  1. Actively contribute to the formation of commonly agreed values, goals, and processes for doing the workd of the team.
  2. Contribute positive social climate
  3. Acknowledge shared responsibility
  4. Understand the characteristics of effective teams and common pitfalls
  5. Understand the competencies of effective team members and one’s PERSONAL strength and weaknesses relative to the competencies
  • Communication is key
    (Showing up isn’t enough, actively contribute)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Competencies: Collaboration

A
  1. Respect other members of the team
  2. Value others contributions
  3. Be able to explain ones own position and role in the team
  4. Understand others roles and positions in the team
  5. Work interdependently with other team memebers
  6. Communicate effectively
  7. Refrain from agressive/demeaning behavior that could inhibit communication
  8. Apply the principles and methods of evidence based practive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Proactively seeking other professional’s contributions is a sign of _______

A

collaborative behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Competencies: Management

A
  1. Each individual is responsible for contributing to functional and social aspects of the team
  2. Team members use their insights into the team in order to pick new members who will be a good fit
  3. Can effectively orient new team members and make them feel welcome
  4. Individuals need to balance social vs task needs
  5. Be wary of forming sub groups
  6. Participate in evaluation and improvement of team performance through self and team evaluation
  7. Value the potential positive nature of conflict; take constructive steps to address conflict; know common sources of conflict; know strategies to deal with conflict; set guidelines for addressing conflict; work to resolve disagreements; establish a safe environment for diverse opinions; and allow all members to feel their viewpoints have been heard
24
Q

Gram Positive or Gram Negative:

Lipopolysaccharide outer membrane

A

Gram Negative

25
Q

Gram Positive or Gram Negative:

Thin Peptidoglycan

A

Gram Negative

26
Q

Gram Positive or Grame Negative:

Thick Peptidoglycan

A

Gram Positive

27
Q

Describe staining process

A
  1. Bacteria is heat fixed or dried oto slide
  2. Stain with crystal violent (precipitated with iodine)
  3. Wash and remove unbound with acetone-based decoloizer and water
  4. Stain with safranin (red) to any decolorized cells)
28
Q

Gram-positive bacteria stain_____

A

Purple. With crystal violet

(the first crystal violet stain gets trapped in a thick, cross-linked, meshlike structure, called the peptidoglycan layer)

29
Q

Gram-negative bacteria turn_____

A

Red. With Safranin

(have a thin peptidoglycan layer that does not retain the crystal violet stain, so the cells must be counterstained with safranin and turned red)

30
Q

Gram Positive or Gram Negative:

Outer membrane

A

Gram Negative

31
Q

Gram Positive or Gram Negative:

Endotoxin

A

Gram Negative

32
Q

Cell wall:

Gram Positive and Gram Negative

A

Gram Positive: Thick

Gram Negative: Thin

33
Q

Gram Positive or Gram Negative:

Teichoic acid

A

Gram Positive

34
Q

Gram Positive or Gram Negative:

Sporulation

A

Gram Positive

35
Q

Capsule:

Gram Positive and Gram Negative

A

Gram Positive: Sometimes present

Gram Negative: Sometimes present

36
Q

Lysozyme:

Gram Positive and Gram Negative

A

Gram Positive: Sensitive

Gram Negative: Resisitant

37
Q

Antibacterial activity of penicillin:

Gram Positive and Gram Negative

A

Gram Positive: More susceptible

Gram Negative: More resistant

38
Q

Exotoxin production:

Gram Positive and Gram Negative

A

Gram Positive: Some strains

Gram Negative: Some strains

39
Q

Which bacterial gram type is suspectible to pencillin

A

Gram positive

40
Q

Which bacterial gram type can do sporulation

A

Gram positve

41
Q

Descibe:

Staphylococcus aureus

A
  • Gram positive cocci
  • Grape like clusters
  • Most common and most virulent of the staphylococci
  • Infections produced byS aureusare typified by acute, aggressive, locally destructive purulent lesions
42
Q

T/F

All persons have staphylococci present on their skin

A

T

About 30 percent of people are consistent carriers in the nares of adults

43
Q

Staphylococcus aureus

Disease causing processes

A
  1. Toxin mediated: Toxic shock syndrome, scalded skin syndrome, food poisoning
  2. Bacterial Growth Mediated: purulent infections, pneumonia, endocarditis, septic arthritis, osteomyelitis, etc.
44
Q

What are some of the many toxins S. aureus produces

A
  • cytolytic
  • exfoliative
  • enterotoxins (food poisoning)
45
Q

Food poisoning caused by ingestion of staphylococcal enterotoxin-contaminated food causes what symptoms

A
  • Acute vomiting and diarrhea (within 1-5 hours)
  • Prostration (exhaustion) but no fever
  • Rapid recovery only old or sick
46
Q

Toxic shock syndrome is caused by _______ toxin

A

TSST-1 toxin

47
Q

S. Aureus Toxic Shock Syndrome symtoms

A
  • Fever greater than 102F
  • Hypotension
  • Macular rash
  • Multisystem involvement
48
Q

S. Aureus Treatment

A
  • Purulent infection = Drainage of pus
  • Food poisining = Supportive care
  • Toxic Shock = Penicillin or vancomycin (if MRSA) PLUS clindamycin
49
Q

Clindamycin works how?

A

Inhibits protein synthesis and is thought to have actions against the TSST-1 toxin

50
Q

What is the frug of choise for S. Aureus Treatment?

A

Penicillin remains the drug of choice against susceptible strains if the laboratory can reliably test for penicillin susceptibility

51
Q

MRSA

(Methicillin resistant Staphylococcus aureus) resistance is mediated by _____________

A

Resistance is mediated by the PBP-2a protein, which is a penicillin-binding protein

(1. Encoded by the mecA gene
2. This protein does not interact with beta lactam antibiotics like penicillin which allows for continued formation of the cell wall)

52
Q

What is Methicillin

A

Methicillin is a synthetic penicillin developed in 1960, MRSA was described in 1961

53
Q

Descibe:

PBP-2a protein

A
  • Encoded by the mecA gene
  • This protein does not interact with beta lactam antibiotics like penicillin which allows for continued formation of the cell wall
54
Q

MRSA Treatment

A

Vancomycin

55
Q

MRSA symptoms

A

MRSA does not have any special presentation; it is simply more resistant to antibiotics and thus requires special attention to the administered treatment

56
Q

Where does MRSA “live”

A

Lives on fomites in the hospital so handwashing/sanitizing is important

57
Q

What defines a hospital acquired MRSA infection?

A

Defined as hospital acquired if an MRSA infection develops more than 48 hours after admission

MEDS 580 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions