301 Test 1 power points Flashcards
HIPAA stands for
Health Insurance Portability and Accountability Act of 1996
HIPAA goals include: Ensure ___ of insurance information from one plan to another, decrease __ and abuse in health care
PORTABILITY, fraud
PHI stands for
Protected Health Information
PHI includes info about (not an obvious one)
Payment
HIPAA Fines up to
$25,000
sharing computer passwords is considered a form of
fraud
JC goal: Improve the a___ of patient identification
accuracy
JC goal: Improve the effectiveness of c_____ among caregivers
communication
JC goal: Improve the s___ of using medications
safety
JC goal: Reduce the risk of health care-associated i___
infections
JC goal: Accurately and completely reconcile m____
medications
JC goal: Reduce the risk of patient harm from f__
falls
JC goal: Encourage p___’ active involvement in their own care as a patient safety strategy
patients
JC goal: The o___ identifies safety risks inherent in its population
organization
JC goal: Improve r___ and responses to changes in a patient’s condition
recognition
2 things to increase safety when pt is in bed
Upper rails raised
Bed is in neutral (lowest) position
Check to be sure IV pole/hook is on the s__ side as the insertion site and not tangled or caught on anything.
same
If patient has a Foley, Be sure that the tubing will drain and bag will not drag on the ___
floor
If there is electrical equipment, check __ and plugs
cords and plugs
Patients with difficulty swallowing need to be __ and supervised.
upright
Tube fed patients must be at 35 to __ degree angle
45
Patients with additional safety needs include those with: Generalized weakness Confusion or dementia Mental illness Hearing and/or visual impairment and \_\_\_
Hemiplegia
Confused or demented patients Need frequent visual checks- every 15 to __ minutes.
30
Confused or demented patients may benefit from on-going time/place o____
orientation
Hemiplegia
paralysis on one side of body
Hemiplegia patients should be helped out of bed on their ___ side
unaffected
2 other things about Hemiplegia patients
May need frequent visual checks
Regular toileting
Patient considerations:
Safety
Rights
Dignity
Well-being
INDICATIONS FOR SPECIAL OBSERVATION: Keep patient in eyesight continuously, even in the
bathroom
INDICATIONS FOR SPECIAL OBSERVATION: Assess patient every ____
shift
Co-morbidities which might lead to increased suicidal risk:
Psychiatric illness
Substance abuse
Adverse medication reactions/interactions
Chronic and/or terminal illness
IF PATIENT IS SUICIDAL (3 things)
DO NOT LEAVE PATIENT ALONE
Notify supervisor and physician
Implement environmental safety
amount of distance from a suicidal pt
arms length
consideration of family visiting suicidal pt
must check with RN first
Documentation for suicidal pt should be at least once a
shift
Alignment and balance also refers to
posture
Nurses pay attention to body mechanics to avoid injury to
self and clients
Alignment and balance or posture refer to the positioning of joints, tendons, ligaments, and muscles while standing, sitting, or
lying
eccentric muscle contraction is a type of muscle activation that increases tension on a muscle as it ___
lengthens
A ___ contraction is a type of muscle contraction in which the muscles shorten while generating force
concentric
An intervention that restricts clients for therapeutic reasons
Bed rest
Mobility Assessment
ROM Exercise and activity tolerance Body alignment Standing Sitting Lying Mental status
Musculoskeletal deconditioning and lack of activity can result in a series of symptoms often referred to as hazards of
hazards of immobility
The newborn infant’s spine is flexed and lacks the anteroposterior __ of the adult.
curves
The toddler’s posture is awkward because of the slight ___ and protruding abdomen.
swayback
Facing the direction of movement prevents abnormal twisting of the
spine
Greatest number of falls occur from not
picking up feet high enough
Avoid lifting person or object > __% of your body weight. Ask for assistance when needed
35%
Semi Fowler’s
30 to 45 degrees
Fowler’s Position
> 45º degrees
Person lying with head lower than feet
Trendelenburg position
Sim’s position
lying face down with knee bent
Lithotomy position
stirrups
Knee-chest position
butt in the air
High Fowler’s
usually 60 - 90º
High Fowler’s facilitates
lung expansion
position used while client is eating
Semi Fowler’s
position for N/G insertion
Semi Fowler’s
position for suctioning
Semi Fowler’s
position (besides high fowlers) promotes lung expansion
Semi Fowler’s
position used for postural drainage
Trendelenburg
position used because it facilitates venous return in clients with poor peripheral perfusion
Trendelenburg
position used for enemas
sims
Do not exercise painful or ___ joints
swollen
