Patient Sonographer interaction Flashcards Preview

DMSO > Patient Sonographer interaction > Flashcards

Flashcards in Patient Sonographer interaction Deck (54):
1

Sonographer obligations

physically

mentally

2

physical obligations

adequate rest

good nutrition

physical exercise

 

3

mental obligations

recognize stress

recognize anxiety

leave personal/family problems at home

leave work problems at work

4

Good self image

view problems as challenges

accept criticism as learning opportunity

sense of pride in work

5

Patients rights

2004 AHA created plain language brochure

informs patients what to expect during hospital stay in regards to rights and responsibilites

6

Patients rights explained

high quality hospital care

clean and safe environment

involvment in their care

protection of privacy

help when leaving hospital

help with billing claims

7

HIPPA

Health Insurance Portability and Accountability Act

April 14, 2003

first comprehensive federal protection for privacy of health information

HIPPA security rule full compliance by April 21, 2005

up to $250,000 fines and 10 yrs jail time

8

HIPPA contents

patient more control over helath information

set boundries for use and release of records

established appropriate safesuards that health care providers must achieve to protect privacy

holds violators accountable civil and criminal

balance when public responsibility requires disclosure

enables patients to find out how thier information may be used and what was disclosed

9

Sonographers Obligations to HIPPA

put patient information away after hours

take files ouf of sight 

set screen savers for shortest time

remove patient ID from any scan that will be used for presentation

keep charts filed with names facing wall to ensure privacy

10

Sonographers duty to Patient environment

keep exam room and equipment clean and organized

provide warm blanket, sponges and pillows

proper ventalation

safe furnishings

private area

anything else I can do?

Scripting

11

Sonographer duty to emotional surroundings

treat patient as individual

respect privacy at all times

introduce self and explain procedure

allow patients to freely express thoughts, opinions and beliefs

be good listener

do not impose personal beliefs on patient

12

Observe patients response to illness

watch for changes in patient

anger

anxiety

frustration

helplessness

grief

guilt

depression

depedency

suspicion

13

Anger

could be verbal or physical toward others

14

Anxiety

feelin gof apprehension 

unwilling to adjust to new situation, cry, fear of being left alone, hostile or withdrawn

15

anziety physical changes

rapid pulse

increase BP

increase respiration

headaches

nervousness

prespiration

rapid speech

16

Frustration and helplessness

longer to dianose and treat increase in frustration

men more vulnerable

17

Grief

process of adjusting to loss

loss of health, pregnacy

18

Grief feelings

shock

denial

anger

bargaining

guilt

depression

19

Guilt

why at fault personally

feel situation brought on by own actions

20

Guilt feelings

withdrawal

blame

fault-finding

physical complaints

21

Depression

feelings of helplessness and sadness

loss of energy

 

22

Depressoin complaints

insomnia

morning fatigue

loss of appetite

other physical complaints

23

Dependency

become highly demanding

try to do things they are not capable of due to illness

24

Suspicion

feelings of mistrust

fearful that everyone is against them

 

25

Sonographers response to negative reaction

do not get upset

be patient and understanding and secure enough to let patients know that they care

26

Vital signs

Pulse

Temp

respiration

BP

 

27

Pulse

indicates heart rate

take at radial artery

28

Average heart rates

adults 60-100

children 100-120

Newborn 140

fetus 120-160

Women, children and elderly normally higher rates

atheletes have slower < 60

29

Bradycardia

30

Tachycardia

>60 BPM

31

variation in rhythm

arrythmia 

premature beats

palpitations

32

arrhytmia causes

coffee

tea tobacco

vertain drugs

33

weak thready pulse cause

shock

hemorrhage

34

bounding pulse cause

fever

35

Respiration

exchange of oxygen and carbon dioxide in lungs

normal breathing quiet, effortless regular

16-20 per minute

36

Dyspnea

difficulty in breathing

37

Respiratoin checks

counted with patient unaware

30 seconds multiply by 2

38

Blood Pressure 

pressure of circulating blood on arterial walls

 

39

Systolic pressure

heart contracting

highest pressure

40

Diastolic pressure

when heart is resting

lowest pressure

41

normal BP

120/80

42

hypertenstion

>140/>90

43

hypotension

80/50

44

changes in BP

strong emotions, pain exercise and some disease can cause increase in BP

resting, depressoin and hemorrhage/shock can cause lower BP

45

Blood volume/flow

hemorrhage can cause loss and lower BP

fatty deposits in arteries causes resistance to flow and higher BP

low bvolume in legs caused by blockage reduces ankle pressure

 

46

pulse oximeters

measures oxygen concentration in arterial blood

normal 95-100

used to prevent hypoxia

evaluate effectiveness of respiratory therapy

47

SCanning patients with Tubes

catheters and oxygen

keep tubes clear and without stress on them

ensure free when moving patient

DO NOT change rate of flow

IV bag higher than needle insertion

48

NG tubes

nasal gastric tubes

used for feeding, to obtain specimens or treat intestinal obstructions, to prevent distention after surgery or drain fluids

do not pull on tube when moving patient

patients are NPO

49

Nasal Cannulas/masks

connect to wall oxygen if available

set to same flow

no kinks in tubing

follow dept safety

50

Body Mechanics 

protection for self and patient

51

Standard precautions

wash hands

wear gloves

gowns, masks if required

clean all equipment

dicard sharp objects in proper containers

 

52

Nosocomial infections

acquired by stays in hospital

e-coli

TB

Methicillin-resistant Staphylococcus Aureus (MRSA)

Vancomycin-resistant Enterococcus (VRE) antimicrobial resistant pathogen

53

E-coli cause

poor hand washing

 

54

TB deterant

workers must have annual shot