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Patient Care > Basic Patient Care and Safety > Flashcards

Basic Patient Care and Safety Flashcards

1
Q

what is needed to be communicated between the techs and the pt’s nursing staff?

A
  • need for pt’s chart
  • pt’s ability to perform procedure
  • pt’s mobility
  • specific restrictions or precautions
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2
Q

how do you establish correct identity of outpatients? inpatients?

A

outpts = two demographics
inpts = wristband

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3
Q

what is needed when you transfer a patient back to their room?

A
  • aiding them into bed + making sure they are comfortable
  • raising the hand rails and lowering the bed
  • reminding them of any instructions
  • notifying staff of their return
  • returning the chart
  • letting staff know about radn safety + any instructions
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4
Q

how often do we have to redo MSI training?

A

every 3 years

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5
Q

how often do we have to redo IYM training?

A

every year

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6
Q

what are some ways to prevent falls?

A
  • proper assessment of pt condition
  • clear pathway
  • side rails up
  • wheels locked
  • proper monitoring
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7
Q

who is at risk for falling?

A

geriatric pts, neurological/cognitive deficits/confused pts, pts that are heavily medicated or sedated

  • anyone can.
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8
Q

Sims position

A

patient on their side, forward arm flexed and posterior arm behind the body, body slightly flower with top knee slightly bent

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9
Q

Trendelenburg’s position

A

inclined with patient’s head lower than the rest of the body, promotes venous return, do following BP drop (elevate legs)

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10
Q

Fowler’s position

A

pt’s head raised anywhere from 15-90˚ from horizontal, support arms, head, knees, and feet

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11
Q

Recumbent/decubitus

A

pt lying down, can be supine, prone, or on the sides of the body.
lateral position relieves pressure on most bony prominences

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12
Q

Water’s position

A

pt supine with shoulders elevated so neck may be extended

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13
Q

prone

A

face down, small pillow to support head and prevent flexion of cervical spine, feet over edge or cushion under feet

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14
Q

TOD

A

aka caudal
pt SITS with camera under bed

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15
Q

what immobilization device(s) needs to be ordered by a physician?

A
  • restraints
  • sedation
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16
Q

what factors impact individual differences in pain?

A
  • age
  • culture
  • emotion & anxiety
  • fatigue
  • personal coping style
  • support system
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17
Q

catheter bags should be kept (above/below) the level of the bladder. why?

A

below the level of the bladder to prevent back flow
don’t allow the bag to touch the floor

18
Q

what level should the catheter tubes be coiled at?

A

patient’s hip

19
Q

what is the most common nosocomial infection?

A

UTI

20
Q

what to do when there is a fire.

A

RACE
- remove yourself and others from danger
- pull the nearest alarm
- confine/contain by closing all doors, windows
- extinguish/evacuate

21
Q

what can cause musculoskeletal injuries?

A
  • moving heavy loads
  • repetitive tasks
  • slips, trips, falls
22
Q

what are the “3 for the top” for proper body mechanics?

A

ears in line with shoulder
shoulders in line with the hips

23
Q

what are the “3 for the bottom” for proper body mechanics?

A
  1. knees bent
  2. core tightened + butt back
  3. body weight over heels
24
Q

elbows are to be (away from body/tucked)

A

tucked

25
Q

safe effective grip is palms (up/down)

A

up

26
Q

what is the comfort zone?

A

between shoulders and hips

27
Q

if there is a height difference between coworkers, whose comfort zone are we working in?

A

tallest person’s

28
Q

what is equal to the safest patient transfer?

A
  1. maximum patient participation +
  2. maximum equipment use +
  3. minimum physical effort
29
Q

what are some “self” hazard assessments?

A
  • physical
  • emotional
  • experience/training
  • communication
  • workload
30
Q

what are some “environmental” hazard assessments?

A
  • room
  • lighting
  • noise/distractions
  • working surfaces
  • equipment
31
Q

what are some “patient” hazard assessments?

A
  • communication
  • cognitive
  • emotional/behavioural
  • medical
  • function
32
Q

when is the initial functional assessment done?

A

within 24 hrs of admission or before first patient transfer

33
Q

what does the functional assessment look for?

A
  • can pts move from lying to sitting to standing and eventually walking?
  • can the pt use assistive devices as they normally would?
  • what is the minimum level of assistance required?
34
Q

exceptions to performing functional assessments are…

A
  • during emergency situations
  • physically unable
  • cognitively unable
  • abusive or aggressive
35
Q

independent transfer

A
  • pt can bear their own bod weight
  • cooperative, predictable, and reliable in both physical and mental performance
  • can safely relocate themselves with or without the use of assistive devices
36
Q

minimum assistance transfer

A

same as independent transfer but with addition of…
- may require verbal or physical cues
- may require minimal assistance with equipment and/or personal item

37
Q

one-person transfer with belt

A
  • can maintain balance when walking/shuffling feet and/or pivoting
  • requires one worker to provide hands-on assistance to move
38
Q

two-person transfer with belt

A
  • has difficulty maintaining balance while walking/shuffling feet and/or pivoting
  • requires two workers to provide hands-on assistance to move
39
Q

sit/stand lift

A
  • unable to stand for 15 secs but have partial weight bearing
  • may be unpredictable and/or unreliable in physical/mental performance
  • able to keep at least one arm outside the harness
40
Q

total lift

A
  • can’t bear weight
  • may be unable to follow instructions due to cognitive or physical disability
  • may be uncooperative in bhvr
  • unable to maintain sitting position
41
Q

bed rest

A
  • confined to bed by physician’s order or nature of their medical condition

Patient Care (6 decks)

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