Ergonomics and Monitoring & medical emergencies; Patient care Flashcards
which side should you use to transfer the pt?
always transfer toward the patients strong side
What do you do to Equipment during or before transfers
-Make sure to lock wheels, raise rails
Proper body mechanics when doing patient transfers or lifts
-wide base
-feet apart
-balanced
-back straight
-don’t twist
-knees bent
-Better to push a heavy object rather then pull!
Log rolling
3-5 people
-the person at the patients head is the charge of the log roll
Slider board
-Can be used if a patient is not able to use their legs to complete a transfer between surfaces or if a standing transfer is not safe to perform
Transfer board
It is typically a flat, rigid board made of wood or plastic. It’s used to bridge two surfaces
Hoyer lift
Used to assist patients who need 90-100% ASSISTANCE
-Always keep patient facing the attendant operating the lifter
Gait belt
if the individual has a weak side, make sure to use his or her stronger side facing the destination
-stand as close to the individual as possible
-stand in front keeping your back straight, your knees slightly bent and your feet in a wide stance
-hold the individuals waist and lean forward and grasp the gait belt on both sides
Assisting patients with medical equipment
-Chest tube: below the level of the patient’s chest
Urinary catheter: Below the level of the patients bladder
IV-should be kept 18-24inches (45-60cm) above the vein
Tracheotomy
A tracheotomy is a surgical procedure in which an incision is made in the front of the neck and a breathing tube is placed into the trachea, also called the windpipe. The tube that is placed into the trachea is called a tracheotomy tube.
Tracheostomy
a hole that surgeons make through the front of the neck and into the windpipe (trachea). A tracheostomy tube is placed into the hole to keep it open for breathing. The term for the surgical procedure to create this opening is tracheotomy.
Nasogastric tube
A tube that goes in the nose and down the stomach
-used for nutrition or administering medicine
-used temporarily a weeks or a month not long term
-sucking out excess fluids out of the stomach
-gastric decompression
Nasojejunal tube
small tube that is passed through the nose and into the small bowel to feed children who cannot get enough nutrients by eating.
Oxygen Delivery rules
-Oxygen can’t be given to a patient without a doctor’s order
-02 Therapy 1-6 L/min
Nasal Cannula
two prong devices in the nostrils
Nasal Catheter
Catheter inserted into nostril and reaches oral pharynx
Face mask
Places over nose and mouth
Oxygen Tent
Used for pediatric patients who need a high concentration of oxygen
Ventilator
Respiratory failure
Sphygmomanometer
measures patients blood pressure
Stethoscope
Auscultation or listening device
Blood pressure
120/80
120= sysatolic contracting
80= diastolic relaxing
Hypertensive
High blood pressure
120-129
-a diastolic pressure less than 80
Hypotensive
Low blood pressure
lower than 90/60mmHg
Normal Pulse for adults
60-100 bpm
normal pulse for children
90-100 bpm
normal pulse for infants
80-120 bpm
Tachycardia
fast heart rhythm
-above 100 bpm