Final Exam info

Question 1

Describe SBAR

Answer 1

Situation
Background
Assessment
Recommendation

Question 2

Describe discharge recommendations for SNF

Answer 2

Nursing needs on inpatient level

less than 3 hours PT per day

Question 3

Describe discharge recommendations for inpatient rehab facility

Answer 3

At least 3 hours of PT a day
Pt needs are complex
Needs 2 disciplines

Question 4

Describe discharge recommendations for long term acute care

Answer 4

Medically complex patients
Expected to need long term care
Emphasis on basic mobility

Question 5

Describe discharge recommendations for outpatient PT

Answer 5

Patient may return home

PT at outpatient facility

Question 6

What conditions are indicated for contact isolation

Answer 6

MRSA, VISA, VRE, EVD
Clostridium difficile (uncontrolled diarrhea)
Zika

Question 7

What conditions are indicated for droplet isolation

Answer 7

Mumps
Streptococcus A
Neisseria meningitidis
Flu

Question 8

What conditions are indicated for Airborne isolation

Answer 8

Measles

Tuberculosis

Question 9

What conditions are indicated for Airborne plus contact

Answer 9

Chickenpox
Smallpox
Disseminated herpes in the immunocompromised
Shingles

Question 10

What is unique about C diff isolation

Answer 10

Dedicated in room equipment

Question 11

What are the norm values for WBC’s

Answer 11

Norm: 5-10

Question 12

What are the WBC levels for leukocytosis, leukopenia and neutropenia

Answer 12

Leukocytosis > 11
leukopenia < 4
Neutropenia 
< 1.5 = moderate
< .5 = severe 
possibly follow neutropenia guidelines

Question 13

What are the norm values for platelets and what is safe for exercise

Answer 13

Norm: 140-400

> 200 ok for exercise

Question 14

What are the platelet values for thrombocytosis and thrombocytopenia and indications

Answer 14

Thrombocytosis: > 450, can lead to venous thromboembolism
Thrombocytopenia: < 150, severe if less than 20, fall risk

Question 15

What are the norm values for hemoglobin and what is safe for exercise

Answer 15

Males: 14-17.4
Females: 12-16
> 7 ok for exercise

Question 16

What are the low (anemia) and high (polycythemia) hemoglobin values and what are the indications

Answer 16

low critical = 5-7, can lead to heart failure or death

High critical = > 20 can clog capillaries

Question 17

What are the normal lab values for hematocrit

Answer 17

Males: 42-52%
Females: 37-47%

Question 18

What are the critical low and high values for hematocrit and the indications

Answer 18

Low: <15-20%, cardiac failure or death
High: >60%, spontaneous blood clotting

Question 19

What are the norm values for glucose

Answer 19

Reference: 70-100
Fasting: 90-130

Question 20

What are the low and high values for glucose and what are the indications

Answer 20

High: >200, decreased activity tolerance
Low: <70, may not tolerate exercise until level is increased

Question 21

What are the values for HbA1C and what do they indicate

Answer 21

<5.7 = norm
5.7-6.4 = prediabetes
>6.5 = diabetes

Question 22

Describe the various INR values and what treatment is indicated

Answer 22

> 6 = bed rest
5 = no exercise
4-5 = light exercise
< 4 = resistive exercise

Question 23

What are the PH value ranges for blood

Answer 23

Norm = 7.35-7.45
Acidosis = < 7.35
Alkalosis = > 7.45

Question 24

What is the admission criteria for inpatient rehab facility

Answer 24

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

Question 25

What is the admission criteria for skilled nursing facilities

Answer 25

3 day qualifying stay Within 30 days of 3DQS Skilled PT or nursing services needed

Question 26

What is the admission criteria for Long term care hospitals

Answer 26

At least 25 day stay predicted before admitting Acute care services as determined by physician Daily physician intervention to manage multiple acute complex needs

Question 27

What are some advantages of the multidisciplinary team

Answer 27

``` Limits adverse events Improves patient outcomes Decreases length of stay Improves patient satisfaction Optimizes healthcare workers performance and job satisfaction Reduces hospital costs ```

Question 28

What is expected of the therapist when it comes to discharge planning

Answer 28

``` Destination, level of support, needs of the patient Patient safety Equipment needs Understand patient's life context Expectations of patient and family ```

Question 29

What is a code red

Answer 29

Fire

Question 30

What is a code blue

Answer 30

Heart emergency

Question 31

What is a code orange

Answer 31

hazardous materials spill

Question 32

What is a code grey

Answer 32

Combative person

Question 33

What is a code silver

Answer 33

Active shooter

Question 34

What is a code amber

Answer 34

Child missing

Question 35

What is a code external triage

Answer 35

External disaster

Question 36

What is a code internal triage

Answer 36

internal emergency

Question 37

Do femoral ORIF patients have hip precautions

Answer 37

No

Question 38

What are reverse TSA precautions

Answer 38

No weight bearing on arm Maintain UE in brace, to avoid ADD and IR No shoulder extension past neutral

Question 39

What are lumbar precautions

Answer 39

No bending, lifting, twisting, pushing/pulling

Question 40

What is a TLSO

Answer 40

A back brace for the lumbar spine

Question 41

Can an adductor canal block cause peroneal nerve palsy

Answer 41

I don't think so

Question 42

What are sternal precautions

Answer 42

Arms in a tube Do not weight bear with arms Sit in the back of cars Do not lift more than 5-8 lbs

Question 43

What is CIDP

Answer 43

Chronic inflammatory demyelinating polyneuropathy Also knows as Guillan barre syndrome This is a progressive disease

Question 44

What is SBO

Answer 44

Small bowel obstruction

Question 45

Describe reverse isolation precautions

Answer 45

Care giver wear PPE when in their room | Patient wear PPE when out of their room

Question 46

What are the main goals of the inpatient rehab facility

Answer 46

Improve function Decrease burden of care Interdisciplinary team care

Question 47

What type of patients are in long term acute care hospitals

Answer 47

Patients with more than 1 serious condition | Patients are expected to improve and return to prior level of function

Question 48

What is the average length of stay for a LTACH

Answer 48

30 days

Question 49

Describe the patient population of a SNF

Answer 49

Young and old people who are disabled and who need long term care

Question 50

What are the length of stay costs for a SNF

Answer 50

first 20 days are free 21-100 days = 164 per day After 100 days all costs are on the patient

Question 51

Describe homebound criteria

Answer 51

Patient must demonstrate that leaving the home would be sufficiently taxing Allowed to go to Faith services and hairdresser

Question 52

What is the leading cause of fear of falling

Answer 52

Anxiety