Final Exam info Flashcards
Describe SBAR
Situation
Background
Assessment
Recommendation
Describe discharge recommendations for SNF
Nursing needs on inpatient level
less than 3 hours PT per day
Describe discharge recommendations for inpatient rehab facility
At least 3 hours of PT a day
Pt needs are complex
Needs 2 disciplines
Describe discharge recommendations for long term acute care
Medically complex patients
Expected to need long term care
Emphasis on basic mobility
Describe discharge recommendations for outpatient PT
Patient may return home
PT at outpatient facility
What conditions are indicated for contact isolation
MRSA, VISA, VRE, EVD
Clostridium difficile (uncontrolled diarrhea)
Zika
What conditions are indicated for droplet isolation
Mumps
Streptococcus A
Neisseria meningitidis
Flu
What conditions are indicated for Airborne isolation
Measles
Tuberculosis
What conditions are indicated for Airborne plus contact
Chickenpox
Smallpox
Disseminated herpes in the immunocompromised
Shingles
What is unique about C diff isolation
Dedicated in room equipment
What are the norm values for WBC’s
Norm: 5-10
What are the WBC levels for leukocytosis, leukopenia and neutropenia
Leukocytosis > 11 leukopenia < 4 Neutropenia < 1.5 = moderate < .5 = severe possibly follow neutropenia guidelines
What are the norm values for platelets and what is safe for exercise
Norm: 140-400
> 200 ok for exercise
What are the platelet values for thrombocytosis and thrombocytopenia and indications
Thrombocytosis: > 450, can lead to venous thromboembolism
Thrombocytopenia: < 150, severe if less than 20, fall risk
What are the norm values for hemoglobin and what is safe for exercise
Males: 14-17.4
Females: 12-16
> 7 ok for exercise
What are the low (anemia) and high (polycythemia) hemoglobin values and what are the indications
low critical = 5-7, can lead to heart failure or death
High critical = > 20 can clog capillaries
What are the normal lab values for hematocrit
Males: 42-52%
Females: 37-47%
What are the critical low and high values for hematocrit and the indications
Low: <15-20%, cardiac failure or death
High: >60%, spontaneous blood clotting
What are the norm values for glucose
Reference: 70-100
Fasting: 90-130
What are the low and high values for glucose and what are the indications
High: >200, decreased activity tolerance
Low: <70, may not tolerate exercise until level is increased
What are the values for HbA1C and what do they indicate
<5.7 = norm 5.7-6.4 = prediabetes >6.5 = diabetes
Describe the various INR values and what treatment is indicated
> 6 = bed rest
5 = no exercise
4-5 = light exercise
< 4 = resistive exercise
What are the PH value ranges for blood
Norm = 7.35-7.45 Acidosis = < 7.35 Alkalosis = > 7.45
What is the admission criteria for inpatient rehab facility
Active intense and ongoing therapy from multiple disciplines
3 hours of therapy per day at least 5 days per week
Expected to participate and benefit
Physician visits 3 times per week
What is the admission criteria for skilled nursing facilities
3 day qualifying stay
Within 30 days of 3DQS
Skilled PT or nursing services needed
What is the admission criteria for Long term care hospitals
At least 25 day stay predicted before admitting
Acute care services as determined by physician
Daily physician intervention to manage multiple acute complex needs
What are some advantages of the multidisciplinary team
Limits adverse events Improves patient outcomes Decreases length of stay Improves patient satisfaction Optimizes healthcare workers performance and job satisfaction Reduces hospital costs
What is expected of the therapist when it comes to discharge planning
Destination, level of support, needs of the patient Patient safety Equipment needs Understand patient's life context Expectations of patient and family
What is a code red
Fire
What is a code blue
Heart emergency
What is a code orange
hazardous materials spill
What is a code grey
Combative person
What is a code silver
Active shooter
What is a code amber
Child missing
What is a code external triage
External disaster
What is a code internal triage
internal emergency
Do femoral ORIF patients have hip precautions
No
What are reverse TSA precautions
No weight bearing on arm
Maintain UE in brace, to avoid ADD and IR
No shoulder extension past neutral
What are lumbar precautions
No bending, lifting, twisting, pushing/pulling
What is a TLSO
A back brace for the lumbar spine
Can an adductor canal block cause peroneal nerve palsy
I don’t think so
What are sternal precautions
Arms in a tube
Do not weight bear with arms
Sit in the back of cars
Do not lift more than 5-8 lbs
What is CIDP
Chronic inflammatory demyelinating polyneuropathy
Also knows as Guillan barre syndrome
This is a progressive disease
What is SBO
Small bowel obstruction
Describe reverse isolation precautions
Care giver wear PPE when in their room
Patient wear PPE when out of their room
What are the main goals of the inpatient rehab facility
Improve function
Decrease burden of care
Interdisciplinary team care
What type of patients are in long term acute care hospitals
Patients with more than 1 serious condition
Patients are expected to improve and return to prior level of function
What is the average length of stay for a LTACH
30 days
Describe the patient population of a SNF
Young and old people who are disabled and who need long term care
What are the length of stay costs for a SNF
first 20 days are free
21-100 days = 164 per day
After 100 days all costs are on the patient
Describe homebound criteria
Patient must demonstrate that leaving the home would be sufficiently taxing
Allowed to go to Faith services and hairdresser
What is the leading cause of fear of falling
Anxiety
