Hospitals & Special Care Units

Question 1

Special Care Units Are

Answer 1

For pts. who are acutely ill or seriously traumatized

Question 2

Research Indicates That Early Rehab =

Answer 2

= better long term recovery

Question 3

Therapist on Special Care Units Should

Answer 3

Receive Specialized Training

Question 4

Special Care Unit Procedure

Answer 4

Procedure is to talk directly to the primary care nurse in addition to review of medical record as status could change from hour to hour

Question 5

Respiratory Equipment

Answer 5

2. Flow Meter : “Christmas Tree” : green portion where tubing attaches.
   Nasal Cannula
   Mask : Standard, Non-rebreather

Question 6

Respiratory Equipment Continues

Answer 6

Endotrachial Tube = intubated
-Methods to prevent pulling out.
Tracheostomy tube
Ventilator = respirators

Question 7

OT Take Home Messages for Respiratory Equipments (6)

Answer 7

1. Know setting & Check Flow Meter
2. Make sure cannula or mask is in place before activity.
3. Reduce resistance or repetitions, go slow
4. Facilitate communication to reduce frustration by asking for simple responses.
5. Remove only one restraint at a time; supervise closely
6. Corrigated tubing collects moisture from breath and makes more noise… sometimes you have to lift it and let it drain.

Question 8

Ventilator Dependent Patients Generally Can Not Tolerate

Answer 8

Active motion overhead or resistance.

Question 9

Gastro-intestinal Equipment (GI) : Nasogastric Tube

Answer 9

For feeding or removing stomach contents (suction)

Question 10

GI Equipment : Dobhoff feeding tube

Answer 10

Thinner and more comfortable through the nose

Question 11

GI Equipment : Gastrict Tube

Answer 11

Feeding directly through abdominal wall

Question 12

GI Equipment : Ostomy, Colostomy, Iliostomy

Answer 12

Opening trough abdominal wall to remove fecal matter

Stoma covered in plastic bag to collect waste.

Question 13

OT Take Home Messages for GI Equipment (3)

Answer 13

1. Feeding tube active : keep head of bed at 30 degrees of elevation.
2. Colostomy bag greater than 1/2 full : ask nurse to empty before activity
3. Pay attention to tubes to prevent pulling out : notify nurse if tape to hold tubes in place is very loose.

Question 14

Anyone with a feeding tube is :

Answer 14

NPO

nothing by mouth

Question 15

Genito-urinary Equipment (2 types)

Answer 15

1. Foley Catheter: Indwelling Catheter
   - tube inserted into urethra to the bladder to collect urine stored in an external bag.
2. External Catheter: Condom style for men only.

Question 16

OT Take home messages for catheters (2)

Answer 16

1. Catheter bag should ALWAYS be blow bladder: urine could flow back into the bladder which is a risk for UTI
2. Pay attention to tubing so it does not get pulled or snagged.

Question 17

OT Take home messages for IV Equipment (3)

Answer 17

1. Pumps sound alarms : Do not panic, usually means its time to replace fluids or medication. Call nurse and ask.
2. Pay attention to tubes: easily caught in sheet, under body.
3. Where tubes enter body there is high risk for infection, so reduce exposure, use gloves.

Question 18

What should you avid at sites of IV insertion

Answer 18

Excess movement, ROM

Question 19

IV Insertions at the skull site

Answer 19

Avoid neck flexion, avoid isometric

Question 20

IV insertions at the wrist

Answer 20

Avoid heavy gripping or excess ROM

Question 21

IV insertions at the subclavian site

Answer 21

Avoid excess shoulder ROM

Question 22

Hospital Care Take Home Messages (4)

Answer 22

1. If you dont know ask.
2. Make sure you put guard rails up and restraints back on when you leave.
3. Go slow if client is in fragile condition.
4. Supervise closely.