Week 2 Flashcards
(155 cards)
1
Q
What are the functions of a medical record?
A
2
Q
Specific to PT, what can the medical record be used as?
A
3
Q
Why do we review charts?
A
4
Q
What are the documentation do’s and don’ts?
A
5
Q
What are flow sheets? What is the importance of facility approved abbreviations?
A
6
Q
What is NOT included in flow charts? Can PTAs fill them out?
A
7
Q
What are the must haves for documentation?
A
8
Q
What define skilled therapy services?
A
9
Q
Make “pt practiced sit to stand from bed x5” skilled
A
10
Q
Make “pt ambulated with quad cane 20 feet” skilled
A
11
Q
Make “pt rode bike ergometer 15 minutes followed by amb on treadmill x10 minutes at 3.0 mph. Pt performed therapeutic exercises per flow sheet” skilled
A
12
Q
What should be included in a progress note?
A
13
Q
Explain the S in SOAP notes
A
14
Q
Explain the O in SOAP notes
A
15
Q
Explain the A in SOAP notes
A
16
Q
Explain the P in SOAP notes
A
17
Q
Assess and state which components belong to which section of the SOAP note?
A
18
Q
Revise the information
A
19
Q
How do you approach goal writing?
A
20
Q
Explain the ABCDEF approach to goals
A
21
Q
Give some example of behaviors and their conditions/degrees
A
22
Q
What constitutes a behavior?
A
23
Q
How do you decide on a function for your goals?
A
24
Q
What makes a problem list?
A
25
Give examples of bad vs good problems
26
Summarize (in order) what goes into each section of a SOAP note
27
What are the elements of (ROC-IT-HOME) for PTs in NICU setting?
28
Explain aspects that can have musculoskeletal implications on preterm infant positioning in NICU
29
Explain proper positioning and prevention of complications after a stroke
30
Explain the relationship between PROM and ICP
31
What is the role of a PT in acute care?
32
What are the expected acuity levels for RNs on floor, IMU, and ICU?
33
Explain standard electric bed
34
Explain bariatric air bed
35
Explain clinitron bed
36
Explain roto rest bed
37
Use?
38
List common issues and norm values for BP, MAP, HR, RR, SpO2, and temperature
39
What are the considerations for mobilization?
40
Explain ECG
41
Explain pulse oximetry
42
Explain non invasive blood pressure
43
Explain PIVs
44
Explain central venous catheters
45
Explain peripherally inserted central catheter PICC
46
What are the PT considerations for addressing equipment in an acute setting?
47
Explain indwelling catheter
48
Explain external catheters
49
Explain rectal tube
50
Explain ostomy bags
51
Explain nasal cannula
52
Explain drains
53
Explain chest tubes
54
Explain wound vac
55
Explain feeding tubes
56
Explain precutaneous endoscopic gastrostomy PEG
57
Explain sequential compression devices SCDs
58
What must a PT do before starting treatment in an acute setting?
remain calm, plan out what line/tube needs to be where BEFORE you move, don’t forget about the patient
59
What should be done before leaving a pateint?
60
What is the PT/s role in the ICU
61
What are the complications of prolonged ICU stay?
62
Give examples of a PT’s role in an acute setting
63
What equipment do you need to be familiar with to work in the ICU?
64
Explain semi-fowler’s position and full fowler’s
65
What is the benefit of low-air loss therapy bed?
66
What are the variations of low air loss therapy beds?
67
What is air-fluidized support bed good for?
68
What is the benefit of roto rest bed?
69
Explain stryker frame
70
What is this?
roto prone
Helps turning pt from supine to prone
71
What are the bed precautions?
72
What is the normal SpO2 level? What is the threshold for home oxygen?
73
Explain swan ganz: pulmonary artery catheter
74
Explain arterial lines
75
What is the central venous pressure catheter used for?
76
Explain patient controlled analgesia
77
What are the PT considerations regarding handling acute care equipment?
78
List the draining tubes
79
Explain rectal tubes and catheters
80
What to be aware of when a pt has a chest tube?
81
Explain JD drain
82
Explain hemovac and wound vac
83
What procedures can ostomy devices be used for?
84
What is this an example of?
colostomy
85
What are the indications for a feeding tube/device? Give examples
86
Label
1) gastric tube
2) nasal gastric
87
Explain DHT and TPN
88
What are some feeding devices complications?
89
Explain ventriculostomy
90
Explain ICP monitoring
91
What is the indication for O2 therapy?
92
What is the oxygen delivery range of nasal canula?
93
What is the oxygen delivery rate for face masks?
94
What is the oxygen delivery rate for venti masks?
95
What is the oxygen delivery rate for non rebreather?
96
Explain continuous positive airway pressure CPAP vs bi-lvel BIPAP
97
Explain artificial airways
98
What do these terms mean: A/C, SIMV, PEEP, FiO2
99
Who programs the ventilators?
MD and RT
100
Label
101
For ventilators, what is monitored for actual lung function? What are the usual parameters asked by the MD?
102
List possible ventilator complications
103
Explain dialysis
104
Explain sequential compression device SCD
105
What is the safety criteria for mobilizing mechanically ventilated ICU patients?
106
Define muscle contracture. What can this lead to in other muscles? What is the final stage of MSK impairment from poor positioning?
107
Answer
108
When is positioning important?
109
What are the goals of therapeutic alignment?
110
What is a contracture?
111
What type of muscles tend to be involved with abnormal/increased muscle tone?
112
What are the risks of poor positioning?
113
What neuromuscular impairments can poor positioning lead to?
114
Describe the presentation of someone with radial nerve palsy known as Saturday night palsy
115
What can prolonged time in one position lead to?
116
What is an integumentary issue (other than pressure ulcers) that can manifest as a result of poor positioning?
117
What are some steps to prevent pressure ulcers?
118
What is the goal for proper positioning?
119
What are the stages of pressure ulcers?
120
What are some common key bony areas for positioning?
Be aware of the contact points in every position
121
122
When is short and long term positioning used?
123
What are the 1) safety and comfort concerns, 2) technique, 3) sample situations for application, for these positions: A) supine, B) prone, C) side lying, D) sitting
124
What are the 1) immobility effects, 2) tissue effects, for these systems. A) integumentary, B) MSK, C) cardio/pulm, D) neurological, E) other
125
What are the advantages of the supine position? What is the preferred infant sleeping position?
126
How to position a person in supine?
127
What are the benefits of prone position?
128
How to position someone in prone?
129
What are the benefits of a side lying position?
130
How to position someone in side lying?
131
What are the benefits of a seated position?
132
How to position someone in sitting?
133
Should sacral sitting be avoided? How would you place someone in that position?
134
Give examples of equipment that can help position patients
elbow pads, knee pads
135
These are premature infants, which has a good laying position and which doesn’t?
136
What needs to be considered for positioning the geriatric population?
137
What needs to be considered for positioning patients with cardiac and pulmonary issues?
138
What needs to be considered for positioning of pregnant patients?
139
What needs to be considered for positioning of patients with chronic pain?
140
What needs to be considered for positioning of patients with decreased sensation?
141
What needs to be considered for positioning of patients with lines and tubes?
142
Explain the use of restraints? When they can be used? Give examples
143
144
145
146
What is the purpose of draping? What is trauma informed care?
147
What is cultural sensitive care? Explain how to maximize comfort, dignity, provide privacy, and how to use chaperones
148
List examples of draping material
149
Explain the general draping procedure in oder
150
Explain general chart review techniques
151
How do you assess vitals and interpret trends in a chart review?
152
How do you determine if PT is appropriate from activity/medication orders in a chart review?
153
What are some red flags and PT considerations for these labs: hemoglobin/hematocrit, platelets, WBC/neutrophils, electrolytes, creatinine/BUN, and INR/PT/aPTT
154
List some helpful PT chart review points
155
How much blood loss would result in hypovolemia?
once estimated blood loss approaches 750 ml the patient is anticipated to have some impact trending toward hypovolemia.
