Performing Tests & Etc.

Question 1

Pulmonary Function Test (PFT)

Required when a patient’s lung volume is in question

Answer 1

-Pt will exhale & inhale deeply
-Refrain from smoking & using nebulizers or bronchodilators for 6 hrs
-Position:seated
-Supplies:Spirometer
Repeat test until three acceptable tests have been performed

Question 2

Perform visual acuity tests

Answer 2

Snellen chart: (Common) several positions may be used if pt cannot read from letter E, pt cannot read the chart before beginning, position pt 20 ft from chart, line right before should be recorded

Acuity test to screen near: room must be well lit, must be 14-16 in far

Question 3

Perform suture removal

Answer 3

-With foreceps, graphic knot on the first suture to be removed but do not pull the suture. Cut suture close to skin, not cutting skin, gently pull through skin and place on gauze sponge

Question 4

Perform basic wound care

Answer 4

Wound may be covered with a bandage, steri-strips or gauze and tape depending on the physicians instructions.
-keep edges clean and dry or put excessive strain or pressure

Question 5

Urine tests

Answer 5

For every test label the specimen in front of pt

Urine tests: routine specimens are most common, midstream (Pt must urinate a little, collect specimen, then empty bladder in toilet), clean-catch urine specimen requires urethral opening cleaned by pt, first of morning, timed, and fasting.

Question 6

Sputum testing

Answer 6

Sputum test requires a deep cough from pt. A minimum of 3ml to 5ml. Must be in room temperature for immediately processing.

Question 7

Saliva tests

Answer 7

Often used to monitor hormone, drug and alcohol levels

Collet in sterile container

Hormone test requires specimen to be frozen when sent to laboratory for testing

Question 8

Fecal (poop) tests

Answer 8

Perform to detect parasites, blood and bacteria

Collect in clean, sealable container and send to laboratory immediately

Some tests may be collected by pt and be taken to clinical or mail for testing

Question 9

Semen testing

Answer 9

Performed for fertility testing and collected for future insemination

Collected in sterile container, protected from light, and kept at body temperature

Must be tested within hour

Question 10

Demonstrating correct body mechanisms

Answer 10

• Do not over reach items
• Bend at knees, not at back
• Keep weight as close to body
• Move feet on direction of the lift
• Pushing is referred to pulling if possible
• Keep knees bent and back relaxed when moving patient
• When moving pt, keep close to body and support on weak side

Question 11

Perform eye irrigation

Answer 11

-Reasons: inflammation,drainage, chemicals, or foreign bodies
Must be perform in sterile manner to avoid risk of infection
Position: sitting or supine position with head tilted back slightly
-Gather: container with irrigation fluids, kidney basin, sterile gauze, tissues, and gloves,
-Gently open eye with firs finger and thumb of one hand
-Aim solution into lower conjunctiva sac beginning the flow at inner canthus of eye to the other
-Advice patient to not touch eye

Question 12

Perform ear irrigation

Answer 12

• moments when ears may be impacted with cerumen and may need irrigation
• Position:Seated
• Gather: irrigation solution, basin, syringe or ear irrigation device, gauze sponge, otoscope, drainage basin, drape, cotton swabs, and gloves
• Solution should be kept at body temperature for comfort
• Gently pull ear up and back for adults, patient under 3 pull down and back
• Place tip of syringe into the ear canal and gently direct the flow towards the roof of ear canal

Question 13

Perform first aid, CPR, and rapid response procedures appropriately

Answer 13

• If unconscious first determine if patient has pulse and is breathing
• If pt is chocking do not provide assistance until pt indicates that he cannot breath or unable to breath
• If able to breath allow cough unassisted until the foreign object is dislodged
• If appearance is gray, ashen, or blue and skin feels cool pt may be in shock
• Place pt in supine position
• syncope: If appears flushed, heavily sweating, reports dizziness, may faint, place pt in supine, loosen clothing, maintain open airway
• Ensure pt does not leave clinic for 10 minutes

Question 14

Sterilization

Answer 14

• Sterilization helps prevent contamination
• Some items may be sterilized in an auto clave or by dry heat depending on items
• Temp for sterilization range from 250 to 320 degrees depending item

Question 15

Disinfection

Answer 15

Disinfection can be hard to maintain (difficult to verify)

• Disinfect examination rooms
• disinfectant kill microbes
• Use: bleach and water (1:10)

Question 16

Sanitation

Answer 16

Clean items to REDUCE microbes and viruses and prepare them for disinfection or sterilization

Sanitation removes debris and reduces micro-organisms to a lower level