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TRI 4 - PCM 2 > Final Exam info > Flashcards

Final Exam info Flashcards

1
Q

Describe SBAR

A

Situation
Background
Assessment
Recommendation

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2
Q

Describe discharge recommendations for SNF

A

Nursing needs on inpatient level

less than 3 hours PT per day

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3
Q

Describe discharge recommendations for inpatient rehab facility

A

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

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4
Q

Describe discharge recommendations for long term acute care

A

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

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5
Q

Describe discharge recommendations for outpatient PT

A

Patient may return home

PT at outpatient facility

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6
Q

What conditions are indicated for contact isolation

A

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

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7
Q

What conditions are indicated for droplet isolation

A

Mumps
Streptococcus A
Neisseria meningitidis
Flu

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8
Q

What conditions are indicated for Airborne isolation

A

Measles

Tuberculosis

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9
Q

What conditions are indicated for Airborne plus contact

A

Chickenpox
Smallpox
Disseminated herpes in the immunocompromised
Shingles

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10
Q

What is unique about C diff isolation

A

Dedicated in room equipment

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11
Q

What are the norm values for WBC’s

A

Norm: 5-10

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12
Q

What are the WBC levels for leukocytosis, leukopenia and neutropenia

A 
Leukocytosis > 11
leukopenia < 4
Neutropenia 
< 1.5 = moderate
< .5 = severe 
possibly follow neutropenia guidelines
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13
Q

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

A

Norm: 140-400

> 200 ok for exercise

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14
Q

What are the platelet values for thrombocytosis and thrombocytopenia and indications

A

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

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15
Q

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

A

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

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16
Q

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

A

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

High critical = > 20 can clog capillaries

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17
Q

What are the normal lab values for hematocrit

A

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

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18
Q

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

A

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

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19
Q

What are the norm values for glucose

A

Reference: 70-100
Fasting: 90-130

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20
Q

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

A

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

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21
Q

What are the values for HbA1C and what do they indicate

A 
<5.7 = norm
5.7-6.4 = prediabetes
>6.5 = diabetes
22
Q

Describe the various INR values and what treatment is indicated

A

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

23
Q

What are the PH value ranges for blood

A 
Norm = 7.35-7.45
Acidosis = < 7.35
Alkalosis = > 7.45
24
Q

What is the admission criteria for inpatient rehab facility

A

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

25
Q

What is the admission criteria for skilled nursing facilities

A

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

26
Q

What is the admission criteria for Long term care hospitals

A

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

27
Q

What are some advantages of the multidisciplinary team

A 
Limits adverse events
Improves patient outcomes
Decreases length of stay
Improves patient satisfaction
Optimizes healthcare workers performance and job satisfaction
Reduces hospital costs
28
Q

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

A 
Destination, level of support, needs of the patient
Patient safety
Equipment needs
Understand patient's life context
Expectations of patient and family
29
Q

What is a code red

A

Fire

30
Q

What is a code blue

A

Heart emergency

31
Q

What is a code orange

A

hazardous materials spill

32
Q

What is a code grey

A

Combative person

33
Q

What is a code silver

A

Active shooter

34
Q

What is a code amber

A

Child missing

35
Q

What is a code external triage

A

External disaster

36
Q

What is a code internal triage

A

internal emergency

37
Q

Do femoral ORIF patients have hip precautions

A

No

38
Q

What are reverse TSA precautions

A

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

39
Q

What are lumbar precautions

A

No bending, lifting, twisting, pushing/pulling

40
Q

What is a TLSO

A

A back brace for the lumbar spine

41
Q

Can an adductor canal block cause peroneal nerve palsy

A

I don’t think so

42
Q

What are sternal precautions

A

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

43
Q

What is CIDP

A

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

44
Q

What is SBO

A

Small bowel obstruction

45
Q

Describe reverse isolation precautions

A

Care giver wear PPE when in their room

Patient wear PPE when out of their room

46
Q

What are the main goals of the inpatient rehab facility

A

Improve function
Decrease burden of care
Interdisciplinary team care

47
Q

What type of patients are in long term acute care hospitals

A

Patients with more than 1 serious condition

Patients are expected to improve and return to prior level of function

48
Q

What is the average length of stay for a LTACH

A

30 days

49
Q

Describe the patient population of a SNF

A

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

50
Q

What are the length of stay costs for a SNF

A

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

51
Q

Describe homebound criteria

A

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

52
Q

What is the leading cause of fear of falling

A

Anxiety

TRI 4 - PCM 2 (5 decks)

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