Ch. 2 Patient care across the specialties

Question 1

How can we make a positive patient care experience?

Answer 1

-Empathy and compassion
-Communication
-Listen to your patient
-be supportive
-Be friendly
-Explain the ultrasound
-Ask questions

Question 2

If a patient is unconscious, how will you communicate?

Answer 2

With the attending nurse and or family member

Question 3

If the patient is unable to speak, how will you communicate?

Answer 3

Provide the patient something to write on or only ask yes or no questions.

Question 4

If the patient is clinicaly deaf or hard of hearing, how will you communicate?

Answer 4

Use writing instead of speaking.

Question 5

If there is a language barrier, how will you communicate?

Answer 5

Have an interpreter or a family member to interpret.

Question 6

What are the 2 most important things NOT to communicate to a patient?

Answer 6

Results of an ultrasound and anything that might add stress or anxiety.

Question 7

How can you make the patient more comfortable?

Answer 7

-Tell the patient that the gel and equipment will be cold before putting them on the patient.
-Focus on positioning for their safety and obtaining quality images.
-Ask them if there is anything else you can do to make them more comfortable.

Question 8

True or False:
You should be in the room behind a cover when the patient is undressing/changing for the ultrasound.

Answer 8

False
Always leave the room and give them an ample amount of time to get ready for the procedure. Knock before entering.

Question 9

True or False:
You should only uncover the parts of the body that are necessary.

Answer 9

True

Question 10

True or false:
You should knock on the door before entering, crack it just a little and ask if the patient has changed before entering.

Answer 10

True.
Always assume everyone is modest.

Question 11

When should you have the Patients consent?

Answer 11

When they are having an invasive procedure. This is mandatory!

Question 12

True or False:
When a patient is signing the consent form, they don’t need a witness.

Answer 12

False.

Question 13

True or False:
When a patient needs an ultrasound, its okay to assume you can perform it at any time.

Answer 13

False.
You should always manage your time efficiently and consult the health care team to determine a good time to perform the ultrasound.

Question 14

True or False:
It’s okay to leave your patient for an extended amount of time.

Answer 14

False.

Question 15

True or False:
When doing a portable ultrasound, you should ask the patient if they need anything before you leave.

Answer 15

True.

Question 16

What is the proper way to move patients to your department and back to their room?

Answer 16

-Find out how they will travel there.
-Ask if they need assistance getting up and down off the stretcher.
-Lock wheels on wheelchair and stretcher.
-Offer bedpan or urinal if the patient needs to use the restroom.
-Be mindful of IV lines, tubes, drains, and urinary bags

Question 17

Who should be in the examination room?

Answer 17

A chaperone when appropriate and whoever the patient is comfortable with. Always communicate with other health care professionals.

Question 18

What is the proper way to disinfect your equipment and yourself?

Answer 18

-Follow your employer’s protocols for disinfecting or sterilizing the equipment
-Sanitize your hands before and after a patient encounter.
-Wear protective gear if you have contagious symptoms.
-Practice universal precautions

Question 19

What is intracavitary ultrasound?

Answer 19

Involve the use of a specially designed ultrasound transducer that is placed inside a body cavity. Communication with the patient is extremely important.

Question 20

What is considered an invasive procedure?

Answer 20

Procedures that are, but limited to, fine needle aspirations, tissue biopsies, injections, fluid drainage, or insertion of a marker.

Question 21

Does a physician need to explain to the patient the risks and benefits of an invasive procedure?

Answer 21

Yes. The sonographer should not do so.

Question 22

How many ultrasounds does an uncomplicated pregnancy have?

Answer 22

Anywhere from 2 to 4 ultrasounds.

Question 23

What does the first ultrasound determine in a pregnancy?

Answer 23

Early first trimester to confirm viability or dates if there is a question about them

Question 24

What does the second ultrasound determine in a pregnancy?

Answer 24

It’s a noninvasive test to determine whether the fetus is at risk for certain chromosomal disorders.

Question 25

What does the third ultrasound determine in a pregnancy?

Answer 25

Evaluates the fetus to screen for fetal abnormalities as well as uterine and placental abnormalities.

Question 26

Should you have a chaperone during a transvaginal examination?

Answer 26

Yes!

Question 27

What can occur while performing an ultrasound on a pregnant woman? They should not be laying flat down because of this.

Answer 27

Aortocaval compression syndrome.

Question 28

What kind of sonograhpers look at the heart?

Answer 28

Cardiac sonographer.