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Flashcards in Patient Sonographer interaction Deck (54)
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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