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Flashcards in patient sonographer interaction reverse Deck (53)
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1
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physically

mentally

Sonographer obligations

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adequate rest

good nutrition

physical exercise

 

physical obligations

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recognize stress

recognize anxiety

leave personal/family problems at home

leave work problems at work

mental obligations

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view problems as challenges

accept criticism as learning opportunity

sense of pride in work

Good self image

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2004 AHA created plain language brochure

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

Patients rights

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high quality hospital care

clean and safe environment

involvment in their care

protection of privacy

help when leaving hospital

help with billing claims

Patients rights explained

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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

HIPPA

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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

HIPPA contents

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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

Sonographers Obligations to HIPPA

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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

Sonographers duty to Patient environment

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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

Sonographer duty to emotional surroundings

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watch for changes in patient

anger

anxiety

frustration

helplessness

grief

guilt

depression

depedency

suspicion

Observe patients response to illness

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could be verbal or physical toward others

Anger

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feelin gof apprehension 

unwilling to adjust to new situation, cry, fear of being left alone, hostile or withdrawn

Anxiety

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rapid pulse

increase BP

increase respiration

headaches

nervousness

prespiration

rapid speech

anziety physical changes

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longer to dianose and treat increase in frustration

men more vulnerable

Frustration and helplessness

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process of adjusting to loss

loss of health, pregnacy

Grief

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shock

denial

anger

bargaining

guilt

depression

Grief feelings

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why at fault personally

feel situation brought on by own actions

Guilt

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withdrawal

blame

fault-finding

physical complaints

Guilt feelings

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feelings of helplessness and sadness

loss of energy

 

Depression

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insomnia

morning fatigue

loss of appetite

other physical complaints

Depressoin complaints

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become highly demanding

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

Dependency

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feelings of mistrust

fearful that everyone is against them

 

Suspicion

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do not get upset

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

Sonographers response to negative reaction

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Pulse

Temp

respiration

BP

 

Vital signs

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indicates heart rate

take at radial artery

Pulse

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adults 60-100

children 100-120

Newborn 140

fetus 120-160

Women, children and elderly normally higher rates

atheletes have slower < 60

Average heart rates

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>60 BPM

Tachycardia

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arrythmia 

premature beats

palpitations

variation in rhythm

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coffee

tea tobacco

vertain drugs

 causes arrhytmia

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shock

hemorrhage

weak thready pulse cause

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fever

bounding pulse cause

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exchange of oxygen and carbon dioxide in lungs

normal breathing quiet, effortless regular

16-20 per minute

Respiration

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difficulty in breathing

Dyspnea

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counted with patient unaware

30 seconds multiply by 2

Respiratoin checks

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pressure of circulating blood on arterial walls

 

Blood Pressure 

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heart contracting

highest pressure

Systolic pressure

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when heart is resting

lowest pressure

Diastolic pressure

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120/80

normal BP

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>140/>90

hypertenstion

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80/50

hypotension

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

resting, depressoin and hemorrhage/shock can cause lower BP

changes in BP

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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

 

Blood volume/flow

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measures oxygen concentration in arterial blood

normal 95-100

used to prevent hypoxia

evaluate effectiveness of respiratory therapy

pulse oximeters

46
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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

SCanning patients with Tubes

catheters and oxygen

47
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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

NG tubes

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connect to wall oxygen if available

set to same flow

no kinks in tubing

follow dept safety

Nasal Cannulas/masks

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protection for self and patient

Body Mechanics 

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wash hands

wear gloves

gowns, masks if required

clean all equipment

dicard sharp objects in proper containers

 

Standard precautions

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acquired by stays in hospital

e-coli

TB

Methicillin-resistant Staphylococcus Aureus (MRSA)

Vancomycin-resistant Enterococcus (VRE) antimicrobial resistant pathogen

Nosocomial infections

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poor hand washing

 

E-coli cause

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workers must have annual shot

TB deterant