mi 116 unit 2

Question 1

what is needed and what must be identified

Answer 1

patient bracelet (name and DOB)

Question 2

how many identifiers are needed and why

Answer 2

two; to make sure the patient is getting the right treatment

Question 3

red

Answer 3

allergy

Question 4

yellow

Answer 4

fall risk

Question 5

purple

Answer 5

DNR

Question 6

green

Answer 6

latex allergy

Question 7

orange

Answer 7

blood bank

Question 8

hot pink

Answer 8

arm restriction

Question 9

6 types of wristband errors

Answer 9

absent wrist band, wrong wrist band, more than one wrist band, partially missing info, partial erroneous info on wrist band, illegible identification

Question 10

standard precautions

Answer 10

protection for the patient, yourself, and anyone else you directly or indirectly contact

Question 11

history taking

Answer 11

be specific and obtain clinical information to contribute to diagnosis process

Question 12

ways to interview

Answer 12

respect by always introducing yourself and using MR. &Ms.
genuineness
empathy by sharing concern

Question 13

objective

Answer 13

signs that can be seen, heard, felt, smelled or read on a chart

Question 14

subjective

Answer 14

data perceived only by patient=emotions, level of pain

Question 15

questioning skills

Answer 15

open ended questions, facilitation, silence, probing questions, repetition and summarization

Question 16

chief complaint

Answer 16

single most important issue of the patients clinical history, allows the radiologist to focus on a specific area, do not need a complete medical history

Question 17

sacred seven

Answer 17

localization, chronology, quality, severity, onset, aggravating or alleviating factors, associated manifestations

Question 18

localizations

Answer 18

palpation (defines the exact, precise area of concern of the chief complaint

Question 19

chronology

Answer 19

time (duration since onset), frequency, course

Question 20

quality

Answer 20

character of the symptom

Question 21

severity

Answer 21

intensity, quantity, extent

Question 22

onset

Answer 22

what were you doing when it happened ?

Question 23

what else to look for while taking history and images

Answer 23

balance, level of consciousness, range of motion, pain and vital signs

Question 24

end of history taking

Answer 24

pre-exposure instructions, length of procedure, immobilization, inform, questions, post exposure instructions

Question 25

charting

Answer 25

a form of written communication done by the treatment team about the patient

Question 26

rules of documentation

Answer 26

must be accurate, spelled correctly, concise, complete, factual and well arranged

Question 27

charting rules

Answer 27

has to be in black or blue ink correct patient proper spelling and grammar, military time, one approved abbreviations neat documented properly

Question 28

date and time

Answer 28

put a date and time on every entry military time signature identify who wrote what

Question 29

error to documented chart

Answer 29

draw a single line, write mistaken entry, sign and date correction

Question 30

if using paper chart

Answer 30

never tamper with handwritten notes, do not write over previous entries, do not change numbers left to right or vice versa

Question 31

important parts of the patient charts to RT's

Answer 31

history and physical physician/nurse practitioner orders hall pass informed consent advance directive radiology procedure report

Question 32

H & P

Answer 32

only tell condition of time of admission

Question 33

who can write orders

Answer 33

doctor/physician (MD or DO), medical resident, nurse practitioner

Question 34

orders

Answer 34

good for up to 14 months at RH

Question 35

RH orders

Answer 35

all patients order should be viewed in EPIC, if ordering physician is not the same as the person who entered the order , it must be authorized by the MD, RNs, PA and nurse practitioners can place orders

Question 36

Hall pass/ "hand off" communication/ SBAR

Answer 36

should include the patients name, date and time lists the patients name and phone number of caregiver person receiving chart needs to validate hall pass

Question 37

situation

Answer 37

what is going on with the patients

Question 38

background

Answer 38

what is the clinical background or context

Question 39

assessment

Answer 39

anticipated changes in condition/ what do I think the problem is ?

Question 40

recommendation

Answer 40

what would I do to correct the problem?

Question 41

universal protocol

Answer 41

a standard procedure with multiple checks utilized within the admission/assessment process to minimize the risk of wrong sit, wrong procedure and wrong patient surgery

Question 42

body mechanics

Answer 42

moving, lifting, positioning and handling patients and equipment safely is known as body mechanics

Question 43

base of support

Answer 43

standing with the feet and the space between the between

Question 44

center of gravity

Answer 44

sacral level 2

Question 45

mobility muscles

Answer 45

found in the limbs= use for lifting

Question 46

stability muscles

Answer 46

found in the torso= use for support

Question 47

when transferring patients...

Answer 47

always ask the patients if they can independently do the transfer let the patient do as much as possible check the chart be productive with certain diagnosis inform the patient of what you are doing and list your steps out

Question 48

rules for safe patient transfer

Answer 48

stand with feet apart patient center of gravity should be held close to transferee's center of gravity use transfer belt if available keep back stationary and let legs do the lifting no twisting

Question 49

beware of orthostatic hypotenstion

Answer 49

dizziness, fainting, blurred vision and slurred speech patient should stand slowly talk throughout transfer

Question 50

wheelchair transfers

Answer 50

standby assist assisted standing pivot two person lift hydraulic lift

Question 51

things to remember

Answer 51

make sure his or her feet are properly covered for support always transfer to the patients strong side brakes are locked footrest removed or folded always let the patient known what you're going to do or need them to do

Question 52

standby assist

Answer 52

used for patient who have the ability to transfer from a wheelchair to a table on their own WHEELCHAIR AT 45 DEGREES away from table

Question 53

assisted standing pivot transfer

Answer 53

for patients who cannot transfer independently but can bear weight on their legs a standing pivot technique is used wheelchair at 45 degrees angle

Question 54

two person lift

Answer 54

used on patients who are lightweight and cannot bear weight on their lower extremities

Question 55

stretchers

Answer 55

aka sheet transfer, three carrier lift and litter

Question 56

when moving a patient

Answer 56

try to avoid tearing the patient skin be aware of IV tubing, oxygen tubing, urine bags, catheters and draining devices have patient cross arms over her chest during transfer

Question 57

log roll

Answer 57

a technique used to turn patient whole body when it must be kept in a straight alignment at all times

Question 58

what is a fall

Answer 58

falls are the most common hospital accident an unplanned, sudden decent to the floor without or with injury

Question 59

most prone to falling

Answer 59

elderly, frail, sensory deprivation, medicated

Question 60

routine application of immobilizations

Answer 60

positioning sponges stability bar velcro straps/restraints sandbags heel clamps

Question 61

restraints

Answer 61

a physical restraint is any manual method or physical or mechanical device, material, or equipment attached to or adjacent to the residents body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body

Question 62

soft limb restraints can also be used

Answer 62

must be able to put a finger in