Definitions Flashcards
1
Q
HIPPA
A
Health insurance portability and accountability act
2
Q
Breach of duty
A
Caregiver failed to provide the care needed
3
Q
Near miss
A
Events that could have happened but did not
4
Q
PHI
A
Protected health information
5
Q
Medical errror
A
Failure of planned action to be completed as intended
6
Q
Common law
A
Decisions based upon similar cases
7
Q
Criminal law
A
Penal codes
Misdemeanor & felony
8
Q
Civil law
A
Protects personal freedoms
9
Q
Intentional torts
A
Lawsuits where the plaintiff charges a “deliberately aggressive act”
Examples: assault, battery, false imprisonment, invasion of privacy, defamation
10
Q
Assault
A
Bodily harm is threatened or attempted, physical intimidation
Example: threatening to restrain a client
11
Q
Battery
A
Unauthorized physical contact without consent
12
Q
False imprisonment
A
Interference with a persons freedom to move about at will
Ex: hiding a clients keys
13
Q
Invasion of privacy
A
Failure to leave people and their property alone
14
Q
Defamation
A
An act in which untrue information harms a person’s reputation
15
Q
Slander
A
Character attack uttered orally in the presence of others
16
Q
Libel
A
Damaging statements written and read by others
17
Q
Unintentional tort
A
Lawsuits where an injury has occurred, but the person responsible did not mean to cause harm
Ex: Malpractice
18
Q
Negligence
A
Harm that results because a person did not act reasonably or they acted carelessly
19
Q
Malpractice
A
Professional negligence
20
Q
Duty
A
An obligation to care for the person exists
21
Q
Causation
A
The caregivers action (or lack of) caused harm
22
Q
Injury
A
Physical, psychological, or financial harm occurred
23
Q
Ethics
A
Customs or models of conduct that direct actions as either being right or wrong
24
Q
Beneficence
A
To act so as to benefit others
25
Nonmaleficence
To avoid causing harm
26
Confidentiality
To honor others privacy and keep person interactions confidential
27
Justice
To treat people respectfully and equitably
28
Autonomy
To respect an individuals rights to self-determination and freedom to make decisions that affect his or her life
29
Adverse event
Injury caused by management, not the clients underlying condition
30
Sentinel event
Unexpected occurrence involving death or serious physical or psychological injury, or risk therof
31
Diagnostic errors
Ot recognizing abnormal
32
Practice errors
Not practicing evidence based care, not practicing within scope
33
First trimester
Up to 12w6d (12.6wga)
34
Second trimester
13wga to 27w6d (27.6wga)
35
Third trimester
28wga to 40wga
36
LMP
Last menstrual period
Used in calculating due date and is important information for determining the “weeks gestational age”
37
Weeks gestational age
Wga
Measured in weeks, from the first day of the persons last menstrual period
38
EDD
Estimated due date
Considered to be 40wks after the LMP
39
Gravida
Describes the total number of times a person has been pregnant, regardless of the outcome of pregnancy.
40
Nulligravida
A person who has never been pregnant
41
Primigravida
A person pregnant for the first time
42
Secundigravida
A person pregnant for the second time
43
Multigravida
A person who has been pregnant more than twice
44
Para
Refers to the number of times a person has given birth to a fetus of at least 20wks gestation
45
Primipara
A person who has given birth once
46
Multipara
A person who has given birth more than once
47
Nullipara
A person who has not remained pregnant beyond 20wga
48
Grand multipara
A person who has had 5 or more deliveries
49
TPAL
Term: the # of term births
Preterm: # of preterm births
Abortions: # of pregnancies ending in abortion _ SAB(spontaneous abortions), TAB(induced/elective)
Living: # of currently living children
50
Blood borne pathogen
Any microorganism that causes disease, passed through bodily fluids, transmittable person to person.
51
HIV
Human immunodeficiency virus
52
OSHA
Occupational safety and health administration
53
Standard precautions
A general set of guidelines
54
PPE
Personal protective equipment
55
Contact precautions
Used for clients with known infection
PPE: gloves, gowns
56
Droplet precautions
Clients with known infections with pathogens transmitted by respiratory droplets
Coughing, talking, sneezing
PPE: gloves, gown, eye protection, mask
57
Airborne precautions
Clients with known infections with pathogens from airborne route
PPE: N95 mask, gloves, gown
58
Hand hygiene
Performing hand washing, antiseptic hand wash, alcohol based hand rub, surgical hand antisepsis
59
Hand washing
Washing hands with soap and water
60
Antiseptic hand washing
Washing hands with water and soap or other detergents that contain antiseptic agents
61
Alcohol based hand rub
Rubbing hands with an alcohol based preparation
62
Clean technique
Practices used to prevent infections
63
Non-invasive procedure
Do not cross the cutaneous barrier or enter the sterile parts of the body
64
Invasive procedures
Come in contact with wounds, the blood stream, the inside of the body, or normally sterile parts of the body
65
Aseptic technique
Used for short invasive procedures
-sterile or clean gloves
-antiseptic on patients/clients skin
-use of clean, dedicated area
66
Sterile technique
Used for surgery or the preparation of sterile materials for multiple patients
67
Shell temperature
Warmth at the skins surface
68
Core temperature
Warmth at the body’s core
More significant reading
69
Tympanic temperature
In ear
1.4 inches from hypothalamus
70
Pyrexia
Body temperature above 99.3
71
Febrile
Fever
72
Afebrile
Without fever
73
Hyperthermia
Core temperature above 105.8
Risk of brain damage or death
74
Hypothermia
Core body temperature less than 95.0
75
Radiation
The body gives off waves of heat from uncovered surfaces
76
Convection
An oscillating fan blows currents of cold air across the surface of a warm body
77
Evaporation
Perspiration is vaporized from the skin
78
Conduction
The body transfers heat to an ice pack causing it to melt
79
Tachycardia
Faster than normal heart rate
80
Bradycardia
Slower than normal heart rate
81
Auscultation
Medical term for hearing sounds in the body
82
Respiration
The exchange of oxygen and carbon dioxide
External- in the lungs
Internal- happens in body cells
83
Ventilation
The movement of the air in and out of the body
84
Dyspnea
Difficult or labored breathing
85
Tachypnea
Breathing pattern higher than normal
86
Apnea
Absence of breathing
87
Bradypnea
Breathing pattern that is lower than normal rate
88
Systolic pressure
Pressure within the artery when the heart contracts
89
Diastolic pressure
Pressure within the artery when the heart relaxes and fills with blood
90
Korotkoff
I & V are recorded when recording blood pressure
91
Hypertension
High blood pressure
92
White coat hypertension
Condition in which the blood pressure is elevated when taken
93
Hypotension
Low blood pressure
94
Postural hypotension
Orthostatic hypotension
Temporary drop in blood pressure
95
Pain
An unpleasant sensory and emotional experience, associated with or expressed in terms of actual or potential tissue damage
96
Somatic pain
Skin, musculoskeletal system, or visceral pain
Dull, pressing, pulling, throbbing
97
Neuropathic pain
Caused by a lesion or a disease directly affecting the nervous system
Electric, shock like, stabbing, burning, or pins & needles
98
Cutaneous pain
Usually results from trauma
Originates at skin level
99
Visceral pain
Associated with disease or injury
Originates at the internal organs
100
Referred pain
Discomfort perceived in a general area of the body usually away from the site of the stimulation
101
Transduction
Conversion of chemical information at the cellular level into electrical impulses
102
Perception
Conscious experience of discomfort
103
Pain tolerance
The amount of pain a person endures
104
Modulation
Last phase of pain impulse transmission
105
Arrhythmia
Irregular pattern of heart rate
106
Prodromal phase
Mild headache, lethargy, muscle aches
107
Onset phase
Shivering, feels cold
108
Stationary phase
Flushed, feels hot
109
Resolution phase
Sweating
110
Test menu
Gives info about the test being ordered
111
Requisition
Document to provide the lab with the testing info
112
Reference range or value
The normal range of findings for this particular lab
113
Titer
Concentration of an antibody
114
Reflex
If initial screen is positive, the test “reflexes” to another test
115
Panel
A collection of tests all run at one time
116
ICD CODES
Z34- supervision of normal pregnancy
Z39- postpartum care and examination
117
CPT
Common procedural terminology
118
Z11.3
Syphillis screening
119
B37.3
Yeast infection
120
099.345
Postpartum depression
121
Z36.0
Screening for chromosomal anomalies with the fetus
122
009.513
Advanced maternal age referral in the 2nd trimester for a person pregnant for the 3rd time
123
048.0
Referral for postterm pregnancy
124
Hematuria
Blood in the urine
125
Pyuria
Pus in the urine
126
Peoteinura
Protein in the urine
127
Albuminuria
Albumin in the urine
128
Glycosuria
Glucose in the urine
129
Ketonuria
Ketones in the urine
130
Anuria
Absence of urine
131
Oliguria
Inadequate urinary elimination
132
Poliuria
Greater than normal urinary elimination
133
Dysuria
Difficult or uncomfortable urination
134
Incontinence
Inability to control elimination
135
Urinalysis
The testing of both the physical characteristics and the composition of freshly voided urine
136
Culture
Urine is sent to the lab where they grow and identify organisms, mainly bacteria and fungi that may cause a UTI
137
Sensitivity
Antibiotic sensitivity testing is performed to help to select an appropriate antibiotic that is effective against that specific microorganism.
138
Episode
The whole time a person is in care with you
139
Encounter
An individual visit with a client/patient
140
Narrative charting
Method of charting that is the narrative account of the events in an encounter
141
Initial prenatal visit
First time visit for this episode or pregnancy
142
Routine prenatal visit
Repeat visit
143
Problem visit
Visit specifically for a purpose that is not a routine visit (UTI)
144
Naegeles rule
Add 7 to day, subtract 3 from month
