Test I,J Flashcards

1
Q

code of behavior

A

protects provider and client relationship

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2
Q

who falls under code of behavior?

A

doctors, nurses ST, lawyers

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3
Q

mode of behavior

A

ethical, moral, legal responsibilites

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4
Q

moral principles

A

what we try to instill in our children

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5
Q

how should ST’s be?

A

trustworthy and honesty

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6
Q

integrity for ST

A

don’t just continue if you contaminate, stay something and correct your mistake

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7
Q

concern for another well being and autonomy

A

quality of state of being independent, free, self directing

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8
Q

golden rule

A

do onto others as you would have them do onto you

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9
Q

actions

A

there may be consequences for your actions

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10
Q

what does every action have?

A

a re action

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11
Q

moral principles

A

govern my personal actions

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12
Q

what does ethics mean?

A

character

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13
Q

ethics

A

what is good for the individual and for society

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14
Q

ST ethical responsibities

A

respect pts beliefs

don’t discuss patients cases you aren’t involved in

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15
Q

what should ST’s always do with their responsibilites

A

always follow principles of sterile technique

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16
Q

AST motto

A

the patient first

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17
Q

what does aeger primo mean?

A

the patient first

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18
Q

what must the CT report?

A

any unethical conduct

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19
Q

what is a barrier to ethical decision?

A

stress

peer apathy

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20
Q

liability

A

obligation to do or not do something, different everywhere

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21
Q

what does the patient have the right to do with tx?

A

refuse it

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22
Q

patient decision making

A

right to make their own decisions on care

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23
Q

who is the primary decision maker?

A

the patient

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24
Q

tort

A

civil wrong, most not criminal wrongs

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25
what does the patient usually want after tort?
money
26
assault
intentional act to make another person fearful
27
battery
harmful or offensive touching of another
28
assault and battery
offenses in both criminal and tort law
29
defamation
derogatory statement about a doctor or a co work, reputation
30
slander
person's statement, hard to prove
31
libel
written statement that damages persons reputation
32
false imprisonment
use of restraints
33
intentional infliction of emotional distress
calling patient fat
34
invasion of privacy
disclosure of private information
35
what does HIPAA improve?
patient service
36
HIPAA
protects rights and privacy of the patient
37
unintentional tort
mistakes, not willful error
38
what is the most common charge brought against health care provider
negligence
39
negligence
departure from standard of care
40
example of negligence
if staff didn't do a count or left a sponge in body cavity
41
negligence patient falls
strap not applied, and pt falls
42
example of unintentional tort
patient misidentification | loss of specimen
43
time out
everyone must stop what they are doing for the time out
44
know your limitations
don't perform nursing duties, above scope of practice
45
hospital policies
responsible for knowing your facility's OR policy
46
can the hospital support you if you don't follow the policies and procedures?
no
47
malpractice
intentional conduct that places patient at risk
48
example of malpractice?
practicing outside scope of practice
49
plaintiff
person who initiates lawsuit
50
complaint
filed by plaintiff as to what happended
51
defendant
person being sued
52
subpoena
court order to appear
53
perjury
false testimony under oath
54
who is normally controlling the employees in the OR?
the surgeon
55
res ipsa loquitur
the thing speaks for itself
56
respondeat superior
let the master answer
57
primum non nocere
above all, do no harm
58
consent
permission to perform an action
59
voluntary act for consent
may be taken away at any time
60
implied consent
usually not used, health care provider would assume the patient would give consent
61
implied consent
usually not used, health care provider would assume the patient would give consent emergency!!
62
general consent
signed at admission to hospital
63
special consent
needed for procedures that entail a higher than normal risk | ex: surgery
64
surgery without consent
battery
65
who is responsible for consent?
the surgeon
66
what should be noted on the patients medical record?
withdrawal of consent for refusal
67
vacuum source
portable or centralized
68
vac source tubing
connects the vacuum source with the collection unit
69
collection unit
disposable or line
70
tubing
connects collection unit to the fluid source, always 2 tubings
71
aragon plasma
argon gas and monopolar electrical energy to coagulate tissue
72
how is argon supplied to instrument?
electricity
73
argon charring
less than ESU
74
do you use a grounding pad with argon?
yes
75
tip on argon?
doesn't touch the tissue
76
harmonic scalpel
ultrasonic energy, doesn't use heat
77
what does harmonic scalpel do?
cut and coagulate
78
pneumatic tourniquet
bloodless surgical site in limb surgery
79
who determinces placement of tourniquet?
surgeon
80
cuff on tourniquet
rubber bladder similar to BP cuff
81
tubing on tourniqet
connects cuff to pressure source
82
pressure device tourniquet
air compressor, pressure controls, pressure gauge, timer
83
power source tourniquet
plugged into wall outlet, has battery if power failure
84
what goes under the tourniquet?
sheet wadding
85
exsanguinated
blood is forced out of the limb
86
esmarch
wrapped tightly around limb from distal to proximal
87
when is esmarch removed?
once tourniquet is inflated
88
two purposes of tourniquet
blood loss is minimized | visualization is improved
89
what determines time of inflation for tourniquet?
age, BP, size of limb
90
tourniquet time
cuff inflation to deflation
91
inflation and deflation
documented on patient's intra op chart
92
what is the maximum time for inflated tourniquet?
1 hour upper extremity
93
lower extremity time
1.5 to 2 hours
94
solution seeping under tourniquet
cause severe burns
95
how long is the tourniquet deflated for?
10 minutes
96
how long is the tourniquet deflated for?
10 minutes
97
ST job with esmarch
re roll since it may be needed again
98
CN tourniqet
assess limb before and after tourniquet
99
lighting in OR
overhead fluorescent lights
100
halogen lamps
surgical lights
101
IMP
don't turn light off unless rheostat has been turned down
102
how many lights are in the OR?
2-4
103
headlight and cord
aren't sterile
104
headlight
must never be placed on a flammable surface because it can ignite the surface
105
OR and post op use of compression device
prevent venous stasis