Definitions Flashcards

1
Q

HIPPA

A

Health insurance portability and accountability act

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2
Q

Breach of duty

A

Caregiver failed to provide the care needed

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3
Q

Near miss

A

Events that could have happened but did not

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4
Q

PHI

A

Protected health information

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5
Q

Medical errror

A

Failure of planned action to be completed as intended

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6
Q

Common law

A

Decisions based upon similar cases

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7
Q

Criminal law

A

Penal codes
Misdemeanor & felony

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8
Q

Civil law

A

Protects personal freedoms

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9
Q

Intentional torts

A

Lawsuits where the plaintiff charges a “deliberately aggressive act”
Examples: assault, battery, false imprisonment, invasion of privacy, defamation

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10
Q

Assault

A

Bodily harm is threatened or attempted, physical intimidation
Example: threatening to restrain a client

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11
Q

Battery

A

Unauthorized physical contact without consent

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12
Q

False imprisonment

A

Interference with a persons freedom to move about at will
Ex: hiding a clients keys

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13
Q

Invasion of privacy

A

Failure to leave people and their property alone

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14
Q

Defamation

A

An act in which untrue information harms a person’s reputation

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15
Q

Slander

A

Character attack uttered orally in the presence of others

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16
Q

Libel

A

Damaging statements written and read by others

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17
Q

Unintentional tort

A

Lawsuits where an injury has occurred, but the person responsible did not mean to cause harm
Ex: Malpractice

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18
Q

Negligence

A

Harm that results because a person did not act reasonably or they acted carelessly

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19
Q

Malpractice

A

Professional negligence

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20
Q

Duty

A

An obligation to care for the person exists

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21
Q

Causation

A

The caregivers action (or lack of) caused harm

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22
Q

Injury

A

Physical, psychological, or financial harm occurred

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23
Q

Ethics

A

Customs or models of conduct that direct actions as either being right or wrong

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24
Q

Beneficence

A

To act so as to benefit others

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25
Q

Nonmaleficence

A

To avoid causing harm

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26
Q

Confidentiality

A

To honor others privacy and keep person interactions confidential

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27
Q

Justice

A

To treat people respectfully and equitably

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28
Q

Autonomy

A

To respect an individuals rights to self-determination and freedom to make decisions that affect his or her life

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29
Q

Adverse event

A

Injury caused by management, not the clients underlying condition

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30
Q

Sentinel event

A

Unexpected occurrence involving death or serious physical or psychological injury, or risk therof

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31
Q

Diagnostic errors

A

Ot recognizing abnormal

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32
Q

Practice errors

A

Not practicing evidence based care, not practicing within scope

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33
Q

First trimester

A

Up to 12w6d (12.6wga)

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34
Q

Second trimester

A

13wga to 27w6d (27.6wga)

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35
Q

Third trimester

A

28wga to 40wga

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36
Q

LMP

A

Last menstrual period
Used in calculating due date and is important information for determining the “weeks gestational age”

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37
Q

Weeks gestational age

A

Wga
Measured in weeks, from the first day of the persons last menstrual period

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38
Q

EDD

A

Estimated due date
Considered to be 40wks after the LMP

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39
Q

Gravida

A

Describes the total number of times a person has been pregnant, regardless of the outcome of pregnancy.

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40
Q

Nulligravida

A

A person who has never been pregnant

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41
Q

Primigravida

A

A person pregnant for the first time

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42
Q

Secundigravida

A

A person pregnant for the second time

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43
Q

Multigravida

A

A person who has been pregnant more than twice

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44
Q

Para

A

Refers to the number of times a person has given birth to a fetus of at least 20wks gestation

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45
Q

Primipara

A

A person who has given birth once

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46
Q

Multipara

A

A person who has given birth more than once

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47
Q

Nullipara

A

A person who has not remained pregnant beyond 20wga

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48
Q

Grand multipara

A

A person who has had 5 or more deliveries

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49
Q

TPAL

A

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

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50
Q

Blood borne pathogen

A

Any microorganism that causes disease, passed through bodily fluids, transmittable person to person.

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51
Q

HIV

A

Human immunodeficiency virus

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52
Q

OSHA

A

Occupational safety and health administration

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53
Q

Standard precautions

A

A general set of guidelines

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54
Q

PPE

A

Personal protective equipment

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55
Q

Contact precautions

A

Used for clients with known infection
PPE: gloves, gowns

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56
Q

Droplet precautions

A

Clients with known infections with pathogens transmitted by respiratory droplets
Coughing, talking, sneezing
PPE: gloves, gown, eye protection, mask

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57
Q

Airborne precautions

A

Clients with known infections with pathogens from airborne route
PPE: N95 mask, gloves, gown

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58
Q

Hand hygiene

A

Performing hand washing, antiseptic hand wash, alcohol based hand rub, surgical hand antisepsis

59
Q

Hand washing

A

Washing hands with soap and water

60
Q

Antiseptic hand washing

A

Washing hands with water and soap or other detergents that contain antiseptic agents

61
Q

Alcohol based hand rub

A

Rubbing hands with an alcohol based preparation

62
Q

Clean technique

A

Practices used to prevent infections

63
Q

Non-invasive procedure

A

Do not cross the cutaneous barrier or enter the sterile parts of the body

64
Q

Invasive procedures

A

Come in contact with wounds, the blood stream, the inside of the body, or normally sterile parts of the body

65
Q

Aseptic technique

A

Used for short invasive procedures
-sterile or clean gloves
-antiseptic on patients/clients skin
-use of clean, dedicated area

66
Q

Sterile technique

A

Used for surgery or the preparation of sterile materials for multiple patients

67
Q

Shell temperature

A

Warmth at the skins surface

68
Q

Core temperature

A

Warmth at the body’s core
More significant reading

69
Q

Tympanic temperature

A

In ear
1.4 inches from hypothalamus

70
Q

Pyrexia

A

Body temperature above 99.3

71
Q

Febrile

A

Fever

72
Q

Afebrile

A

Without fever

73
Q

Hyperthermia

A

Core temperature above 105.8
Risk of brain damage or death

74
Q

Hypothermia

A

Core body temperature less than 95.0

75
Q

Radiation

A

The body gives off waves of heat from uncovered surfaces

76
Q

Convection

A

An oscillating fan blows currents of cold air across the surface of a warm body

77
Q

Evaporation

A

Perspiration is vaporized from the skin

78
Q

Conduction

A

The body transfers heat to an ice pack causing it to melt

79
Q

Tachycardia

A

Faster than normal heart rate

80
Q

Bradycardia

A

Slower than normal heart rate

81
Q

Auscultation

A

Medical term for hearing sounds in the body

82
Q

Respiration

A

The exchange of oxygen and carbon dioxide
External- in the lungs
Internal- happens in body cells

83
Q

Ventilation

A

The movement of the air in and out of the body

84
Q

Dyspnea

A

Difficult or labored breathing

85
Q

Tachypnea

A

Breathing pattern higher than normal

86
Q

Apnea

A

Absence of breathing

87
Q

Bradypnea

A

Breathing pattern that is lower than normal rate

88
Q

Systolic pressure

A

Pressure within the artery when the heart contracts

89
Q

Diastolic pressure

A

Pressure within the artery when the heart relaxes and fills with blood

90
Q

Korotkoff

A

I & V are recorded when recording blood pressure

91
Q

Hypertension

A

High blood pressure

92
Q

White coat hypertension

A

Condition in which the blood pressure is elevated when taken

93
Q

Hypotension

A

Low blood pressure

94
Q

Postural hypotension

A

Orthostatic hypotension
Temporary drop in blood pressure

95
Q

Pain

A

An unpleasant sensory and emotional experience, associated with or expressed in terms of actual or potential tissue damage

96
Q

Somatic pain

A

Skin, musculoskeletal system, or visceral pain
Dull, pressing, pulling, throbbing

97
Q

Neuropathic pain

A

Caused by a lesion or a disease directly affecting the nervous system
Electric, shock like, stabbing, burning, or pins & needles

98
Q

Cutaneous pain

A

Usually results from trauma
Originates at skin level

99
Q

Visceral pain

A

Associated with disease or injury
Originates at the internal organs

100
Q

Referred pain

A

Discomfort perceived in a general area of the body usually away from the site of the stimulation

101
Q

Transduction

A

Conversion of chemical information at the cellular level into electrical impulses

102
Q

Perception

A

Conscious experience of discomfort

103
Q

Pain tolerance

A

The amount of pain a person endures

104
Q

Modulation

A

Last phase of pain impulse transmission

105
Q

Arrhythmia

A

Irregular pattern of heart rate

106
Q

Prodromal phase

A

Mild headache, lethargy, muscle aches

107
Q

Onset phase

A

Shivering, feels cold

108
Q

Stationary phase

A

Flushed, feels hot

109
Q

Resolution phase

A

Sweating

110
Q

Test menu

A

Gives info about the test being ordered

111
Q

Requisition

A

Document to provide the lab with the testing info

112
Q

Reference range or value

A

The normal range of findings for this particular lab

113
Q

Titer

A

Concentration of an antibody

114
Q

Reflex

A

If initial screen is positive, the test “reflexes” to another test

115
Q

Panel

A

A collection of tests all run at one time

116
Q

ICD CODES

A

Z34- supervision of normal pregnancy
Z39- postpartum care and examination

117
Q

CPT

A

Common procedural terminology

118
Q

Z11.3

A

Syphillis screening

119
Q

B37.3

A

Yeast infection

120
Q

099.345

A

Postpartum depression

121
Q

Z36.0

A

Screening for chromosomal anomalies with the fetus

122
Q

009.513

A

Advanced maternal age referral in the 2nd trimester for a person pregnant for the 3rd time

123
Q

048.0

A

Referral for postterm pregnancy

124
Q

Hematuria

A

Blood in the urine

125
Q

Pyuria

A

Pus in the urine

126
Q

Peoteinura

A

Protein in the urine

127
Q

Albuminuria

A

Albumin in the urine

128
Q

Glycosuria

A

Glucose in the urine

129
Q

Ketonuria

A

Ketones in the urine

130
Q

Anuria

A

Absence of urine

131
Q

Oliguria

A

Inadequate urinary elimination

132
Q

Poliuria

A

Greater than normal urinary elimination

133
Q

Dysuria

A

Difficult or uncomfortable urination

134
Q

Incontinence

A

Inability to control elimination

135
Q

Urinalysis

A

The testing of both the physical characteristics and the composition of freshly voided urine

136
Q

Culture

A

Urine is sent to the lab where they grow and identify organisms, mainly bacteria and fungi that may cause a UTI

137
Q

Sensitivity

A

Antibiotic sensitivity testing is performed to help to select an appropriate antibiotic that is effective against that specific microorganism.

138
Q

Episode

A

The whole time a person is in care with you

139
Q

Encounter

A

An individual visit with a client/patient

140
Q

Narrative charting

A

Method of charting that is the narrative account of the events in an encounter

141
Q

Initial prenatal visit

A

First time visit for this episode or pregnancy

142
Q

Routine prenatal visit

A

Repeat visit

143
Q

Problem visit

A

Visit specifically for a purpose that is not a routine visit (UTI)

144
Q

Naegeles rule

A

Add 7 to day, subtract 3 from month