IRC 2 Flashcards

1
Q

Who should you typically direct most pt concerns to?

A

RN or physician

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2
Q

What typer of space for establishing rapport?

A

social 4-12 feet

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3
Q

space during interview

A

personal 18 inches to 4 feet

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4
Q

Unwanted nonverbal statements

A

giving advice, reassurance to pt, and talking too much

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5
Q

3 things to immediately refer to the nurse/physician

A

Level of consciousness change, major vital signs change, chest pain

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6
Q

What to do when pt refuses therapy

A

try to explain reason for tx, but pt does have right to refuse, just make sure you chart it

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7
Q

year that HIPPA was made

A

1996

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8
Q

What has the JC created in response to horizontal violence?

A

wrote a standard covering the issue

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9
Q

Two types of horizontal violence

A

Overt (more direct bullying like name calling) and covert.

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10
Q

Who investigates sexual harassment claims?

A

the equal employment opportunity commission

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11
Q

How do you address the pt

A

by mr or mrs not by first name

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12
Q

Normal flora in the intestine vs skin

A

E coli is in intestine and staphyloccocus is on skin

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13
Q

HAI time frame

A

considered an HAI if the get infection AFTER 48 post admission to hospital

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14
Q

Name of the guidelines to prevent ventilator acquired pneumonia

A

elevate head of bed, sedation vacations, avoid peptic ulcer dz, venous thrombosis, daily oral care

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15
Q

three elements needed for an infection to spread

A

host, reservoir, and route of transmission

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16
Q

bacteria usually causing ventilator acquired pneumonia

A

pseudomonas aeroginosa

17
Q

How difficult is it to kill the HIV virus?

A

Can be killed easily with heat in 30 min

18
Q

Cardinal signs and symptoms

A

persistent cough for 2+ weeks, bloody sputum, night sweats, weight loss, loss of apetite, and fever

19
Q

order of putting on PPE

A

hair covering, foot covering, gown, mask, goggles, gloves

20
Q

How is TB dx confirmed?

A

positive sputum culture test via AFB (acid fast stain)

21
Q

PPD

A

Test used to dx past EXPOSURE to TB but doesnt confirm active infection

22
Q

Does autoclave sterilize?

A

yes in 15 min via pressure and steam

23
Q

What takes 30 min at 70 degree celcius?

A

pasteurization

24
Q

Main disadvantage of pasteurization

A

can become contaminated during assembly

25
Q

Which two cleaning devices use chemical indicators?

A

ETO and autoclave

26
Q

How does gluteraldehyde work

A

aka Cidex. Works by high PH alkalotic

27
Q

If you cant use an autoclave because its too hot, what can be used instead?

A

ETO

28
Q

What do you typically use Cidex for?

A

fiberoptic scopoes