Ch. 2: Patient Care Across the Specialties Flashcards
Ultrasound Specialties
- General Abdominal
- Ob/Gyn
- Vascular
- Small Parts : Breast, Scrotum, Thyroid, Eye, Salivary glands , Lumps
- MSKS (Musculoskeletal)
- Pediatric Sonography
- Neurosonography
- Adult Echo
- Fetal Echo
Patient First -Making a Positive Patient Care Experience
- What are things to be done before you go get the patient?
- Reading the order of ____
- Research and previous ____
- Read the ____ that tells you specifically what to ____ for
- ____ – Inform who you are and role
- Double ____ — The practice of engaging the patient in identifying themselves and using ____ patient ____ (full name, date of birth and/or medical ID number) is essential in improving the reliability of the patient identification process
- Prep
- ____– Explaining exam to patient what to expect during exam and how long it will take
- Listen to patient
- ____— The ability to understand and share the feelings of another from their perspective
- ____— Feeling of sympathy or desire to help someone who is suffering or has a misfortune
- Be Friendly, Respect
- Opportunity for questions
- Instill ____
- Respect patients decision should they not want a ____
- Pay attention to your non-____communication
- Study has to be checked by Sonographer/Preceptor and ____
Patient First -Making a Positive Patient Care Experience
- What are things to be done before you go get the patient?
- Reading the order of requisition
- Research and previous studies
- Read the report that tells you specifically what to look for
- Introduction – Inform who you are and role
- Double Identifiers — The practice of engaging the patient in identifying themselves and using two patient identifiers (full name, date of birth and/or medical ID number) is essential in improving the reliability of the patient identification process
- Prep
- Communicate– Explaining exam to patient what to expect during exam and how long it will take
- Listen to patient
- Empathy— The ability to understand and share the feelings of another from their perspective
- Compassion— Feeling of sympathy or desire to help someone who is suffering or has a misfortune
- Be Friendly, Respect
- Opportunity for questions
- Instill confidence
- Respect patients decision should they not want a student
- Pay attention to your non-verbal communication
- Study has to be checked by Sonographer/Preceptor and Radiologist
When a Patient Cannot Communicate — How will you ?
- If a patient is ____, you can communicate with a nurse and/or family member instead of the patient
- If the patient is unable to speak or difficult to understand, provide the patient with something to write on or only ask ____ or ____ questions
- If a patient is clinically deaf or hard of hearing, use ____ instead of speaking
- Use an ____ or family member to interpret if there is a ____ ____
When a Patient Cannot Communicate — How will you ?
- If a patient is unconscious, you can communicate with a nurse and/or family member instead of the patient
- If the patient is unable to speak or difficult to understand, provide the patient with something to write on or only ask yes or no questions
- If a patient is clinically deaf or hard of hearing, use writing instead of speaking
- Use an interpreter or family member to interpret if there is a language barrier
What Not to Communicate to a Patient
- There can be ____ consequences if the wrong information is given
- Student and staff sonographers should avoid telling a patient the ____ of an ultrasound
- Avoid telling the patient anything that may add ____ or ____
What Not to Communicate to a Patient
- There can be legal consequences if the wrong information is given
- Student and staff sonographers should avoid telling a patient the results of an ultrasound
- Avoid telling the patient anything that may add stress or anxiety
Comfort and Safety: Temperature and Positioning
- Be mindful if the ____ and/or equipment is cold and make conditions more comfortable for the patient when possible- ____ Gel
- Positioning should be focused on ____ and obtaining ____ images
- Be aware of how patient positioning can also affect your own ____ and safety
Comfort and Safety: Temperature and Positioning
- Be mindful if the environment and/or equipment is cold and make conditions more comfortable for the patient when possible- Warm Gel
- Positioning should be focused on safety and obtaining quality images
- Be aware of how patient positioning can also affect your own comfort and safety
Privacy
- Assume everyone is ____
- Close the ____ or the door and say to patients that you are going to be lifting their shirt, gown, or covers, and uncover only the ____ of the body that are ____
- ____ on the door before entering, crack it just a little, and ask if the patient has changed before entering
- Do not discuss patient information in ____ ____
- ____ (HIPAA)
**Common Violations **
- (1) Leaving patient information on any ____ that can be seen by the ____
- (2) ____ about a patient or the patient’s findings in a public area, if if you do not mention the patient’s name
- (3) Leaving the patient information on an ____ that is presented on to your classmates, teachers, or coworkers
- (4) ____ about a patient or the patient’s condition on social media, even if you do not mention the patient’s name
- (5) ____ patient information with the patient’s family member without with patient’s permission
Privacy
- Assume everyone is modest
- Close the curtain or the door and say to patients that you are going to be lifting their shirt, gown, or covers, and uncover only the parts of the body that are necessary
- Knock on the door before entering, crack it just a little, and ask if the patient has changed before entering
- Do not discuss patient information in public spaces
- HIPAA-Health Insurance Portability and Accountability Act.
**Common Violations **
- (1) Leaving patient information on any monitor that can be seen by the public
- (2) Talking about a patient or the patient’s findings in a public area, if if you do not mention the patient’s name
- (3) Leaving the patient information on an image that is presented on to your classmates, teachers, or coworkers
- (4) Posting about a patient or the patient’s condition on social media, even if you do not mention the patient’s name
- (5) Discussing patient information with the patient’s family member without with patient’s permission
Consent and Refusal
- Consent means giving ____
- Consent is ____ when the patient is having a(n) ____ procedure
- The patient, or a person ____ ____ for the patient, must sign the consent form, and this will become part of the patient’s permanent record
- The consent must also be ____ and ____
Consent and Refusal
- Consent means giving permission
- Consent is mandatory when the patient is having an invasive procedure
- The patient, or a person legally responsible for the patient, must sign the consent form, and this will become part of the patient’s permanent record
- The consent must also be witnessed and signed
Time Efficiency
- Consult the ____ ____ team to determine a good time to perform the ultrasound
- ____ the length of the time that the patient is off the unit
- Provide ____ and ____ to the patient while they wait for the ultrasound
- Avoid leaving an inpatient ____ for an extended length of time
Time Efficiency
- Consult the health care team to determine a good time to perform the ultrasound
- Minimize the length of the time that the patient is off the unit
- Provide comfort and attention to the patient while they wait for the ultrasound
- Avoid leaving an inpatient alone for an extended length of time
Portable Ultrasounds
- Communicate with the nurse taking care of the patient before doing a ____ ____ at the bedside
- Portable ultrasound will be an ____ challenge for the sonographer
- Be aware of other equipment in the patient’s room
- Make sure the patient doesn’t need any assistance before you leave the room
Portable Ultrasounds
- Communicate with the nurse taking care of the patient before doing a portable ultrasound at the bedside
- Portable ultrasound will be an ergonomic challenge for the sonographer
- Be aware of other equipment in the patient’s room
- Make sure the patient doesn’t need any assistance before you leave the room
Moving Patients
- Find out how the patients will travel to the ____
- Ask if the patient needs ____ getting up on and down off the stretcher
- ____ wheels on wheelchairs and stretchers
- Offer a ____ or urinal if the patient needs to use the restroom and requires too much assistance
- Be careful of IV ____, tubes, drains, and ____ bags
Moving Patients
- Find out how the patients will travel to the department
- Ask if the patient needs assistance getting up on and down off the stretcher
- Lock wheels on wheelchairs and stretchers
- Offer a bedpan or urinal if the patient needs to use the restroom and requires too much assistance
- Be careful of IV lines, tubes, drains, and urinary bags
Who is in the Room?
- Patient comfort ____ who is in the room during the ultrasound examination
- The patient’s ____ should always be the ____ consideration
- ____ with the patient and other health care professionals is important
- Leaving a patient alone can pose____ concerns
- Utilize a ____ when appropriate
Who is in the Room?
- Patient comfort influences who is in the room during the ultrasound examination
- The patient’s preference should always be the primary consideration
- Communication with the patient and other health care professionals is important
- Leaving a patient alone can pose safety concerns
- Utilize a chaperone when appropriate
Disinfecting Equipment
- Practice universal _____- Mandated by ____
- Use ____ ____ before and after every patient encounter
- Wear protective ____ if you believe you have ____ symptoms
- Follow your employer’s ____ for disinfecting or ____ ultrasound equipment
Disinfecting Equipment
- Practice universal precautions- Mandated by OSHA
- Use hand sanitizer before and after every patient encounter
- Wear protective gear if you believe you have contagious symptoms
- Follow your employer’s protocols for disinfecting or sterilizing ultrasound equipment
Intracavitary Ultrasound – Tranvaginal Ultrasound
- Intracavitary ultrasound involves the use of a specially designed ultrasound ____ that is placed inside a body cavity
- ____-level disinfection is required for any transducer that touches ____ membranes
- ____ with the patient with this type of ultrasound is extremely important
- This is an exam that ____ is sometimes required
Intracavitary Ultrasound – Tranvaginal Ultrasound
- Intracavitary ultrasound involves the use of a specially designed ultrasound transducer that is placed inside a body cavity
- High-level disinfection is required for any transducer that touches mucous membranes
- Communication with the patient with this type of ultrasound is extremely important
- This is an exam that chaperone is sometimes required
Invasive Procedures
- Procedures include, but are not limited to, ____ ____ ____ (FNA), tissue ____, injections, fluid drainage, or insertion of a ____
- A physician will need to explain to the patient the ____ and ____ of having the procedure done
- ____ ____ signed after procedure explained and pt questions answered
- Ensure patient comfort
Invasive Procedures
- Procedures include, but are not limited to, fine-needle aspirations (FNA), tissue biopsies, injections, fluid drainage, or insertion of a marker
- A physician will need to explain to the patient the risks and benefits of having the procedure done
- Consent form signed after procedure explained and pt questions answered
- Ensure patient comfort
Types of Obstetric Sonographic Examinations
- The healthy patient with an ____ pregnancy, depending on which protocol your facility follows, will typically have anywhere from two to three ultrasounds during her pregnancy
- 1st trimester less than ____ weeks (TA/TV)
- ____ trimester
- ____ trimester
Types of Obstetric Sonographic Examinations
- The healthy patient with an uncomplicated pregnancy, depending on which protocol your facility follows, will typically have anywhere from two to three ultrasounds during her pregnancy
- 1st trimester less than 5 weeks (TA/TV)
- 2nd trimester
- 3rd trimester
