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CHN > LEC 1 > Flashcards

LEC 1 Flashcards

1
Q

The act of administering a liquid, especially a drug, into a person’s body using a needle (usually a hypodermic needle) and a syringe.

A

Injection

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2
Q

Types of Injections

A
  1. Intradermal
  2. Subcutaneuos
  3. Intramuscular
  4. Intravenous
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3
Q

_______ are injections administered into the dermis, just below the epidermis.

A

Intradermal Injection

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4
Q

______________ are administered in the fat layer, underneath the skin.

A

Subcutaneous Injection

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5
Q

___________ are delivered into the muscle

A

Intramuscular Injection

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6
Q

__________ is the fastest way to inject a medication directly into a vein.

A

Intravenous Injection (IV)

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7
Q

_____ provides a local and very little systemic effect

A

Intradermal Injection

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8
Q

_______ often abbreviated IM, is the injection of a substance into the muscle.

A

Intramuscular Injection

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9
Q

In this type of injection, a short needle is used to inject a drug into the tissue layer between the skin and the muscle

A

Subcutaneous Injection

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10
Q

____________ is commonly used for tuberculin skin testing but can also be used for allergy testing and local anesthetics

A

Intradermal Injection

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11
Q

To give an intradermal injection, a __-gauge or smaller needle is inserted just under the epidermis at an angle of approximately ___.

A

10°

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12
Q

In medicine, it is one of the several methods for parenteral administration of medication

A

Intramuscular Injection

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13
Q

Intramuscular injections are given in ______ situated below the ____ and _______ skin muscle tissue.

A

dermal and subcutaneous

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14
Q

Providers often use ______injection for medications that must be absorbed into the bloodstream slowly and and steadily, such as _______.

A

insulin

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15
Q

Such medications must be injected deep into muscles. The body absorbs these injections much more rapidly than SC injections, because of the greater amount of ____ supply to muscle tissue.

A

Intramuscular Injection

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16
Q

The most common areas for IM administration are the following:

A
  1. Dorsogluteal Muscle (Back of the Hip)
  2. Ventrogluteal (Side of Hip)
  3. Deltoid Muscle (Upper Arm)
  4. Vastus Lateralis (Side of thigh)
  5. Rectus femoris muscle (Anterior thigh, when other sites are not available)
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17
Q

Subcutaneous injections are administered into subcutaneous or ______ tissue located below the _____.

A

dermis

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18
Q

This method is used for small amounts of medication that require slow, systemic absorption.

A

Subcutaneous Injection

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19
Q

Generally, the duration of SC injection is longer than that of other _____ medications. Many medications cannot be given in a subcutaneous route that is usually recommended or two sites must be used.

A

parenteral

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20
Q

Common SC medications are _____and ______.

_______injections and some pain medications may be administered SC as well.

A

Allergy

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21
Q

An injection of a medication or another substance into a vein and directly into the bloodstream.

A

Intravenous Injection

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22
Q

It is one of the fastest ways to get a drug into the body. IV Administration involves a single injection followed by the insertion of a thin tube or ______onto a vein.

A

Intravenous Injection

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23
Q

Intravenous Administration avoids the ____ drug effect resulting in _____ of drug into the systemic circulation and consequently an immediate drug effect.

A

direct entry

24
Q

Intravenously administered drugs are given either as a _____ (within 1-30 minutes) or an _______over a period of many hours.

A

infusion

25
Q

__________ is a medical technique that administers fluids, medications and nutrients directly into a person’s vein.

A

Intravenous therapy

26
Q

Intravenous injections and infusions may be given via _______ or _____ veins. _____ lines are usually inserted in the hand or arm.

A

Peripheral

27
Q

_______ are centered around stories of care. All our dealings with our patients, doctors, business partners, and co-workers are guided by these.

A

Core Values

28
Q

Are centered around stories of care. All our dealings with our patients, doctors, business partners, and co-workers are guided by these core values.

A

S – Sensitivity - responsiveness to the needs and wishes of patients and hospital staff.
T – Teamwork - unified effort to become the best in everything
O – Openness - receptivity to change and improvement.
R – Respect - recognize and uphold the rights of patients and co-workers
I – Integrity - Honesty and professionalism in the performance of duty.
E – Excellence - consistently outstanding delivery of comprehensive care.
S – Social Responsiveness - commitment to service the wider community.

29
Q

Mission

A

We deliver compassionate patient care with the best outcome. We respond to the needs of the community in the preservation of health through education, training, and research.

30
Q

Mission
We deliver _______ patient care with the _________. We respond to the _____of the community in the _____ of health through _____, _____, and _____.

A

best outcome
—–
needs
—–
preservation
—–
education, training, and research

31
Q

Vision

A

To be the hospital favored for exceptional patient experience.

32
Q

Vision
To be the ______ for _______ patient experience.

A

exceptional

33
Q

Centers for Excellence

A
  1. Cancer Care Center
  2. Radiology and Imaging Department
  3. Heart Station
  4. Cardiovascular Catheterization and Intervention Center
  5. PEME PHIL
  6. Center for Women’s Health
34
Q

Center for Women’s Health

A

Goal 1: Identify Patients Correctly
Goal 2: Improve Effective Communication
Goal 3: Improve the Safety of High Alert Medications
Goal 4: Ensure Safe Surgery
Goal 5: Reduce the Risk of Health Associated Infections
Goal 6: Reduce Risk of Patient Harm Resulting From Falls

35
Q

Use 2 identifiers: 1) ____, 2) _____, besides checking the ID band and medication record number.

A

Name and Birthday

36
Q

Do not use the following for Identification

A

Patient Room Numbers
Locations (e.g. private rooms, general ward)

37
Q

T.O. Never accept a ______ order.

A

telephone

38
Q

Standard IPSG 2.2 – ______________

Collaboration among healthcare professionals in all matters related to patient care. We use the SBAR approach.

A

S - Situation
B - Background
A - Assessment
R - Recommendation

39
Q

Goal 3: Improve the Safety of High Alert Medications

High alert medications are medications that are most likely to cause _________ to patients, even used as ______.

____ can be devastating.

A

intended
—–
Errors

40
Q

High Alert Medications

A

Anesthetics
Anticoagulants
Chemotherapy
Dextrose (greater than or equal to 20%)
Insulin
Oxytocin
Sedatives*

41
Q

Goal 5: Reduce the Risk of Health Associated Infections

Give examples:

A

Personal Protective Equipment
Hand Hygiene
Hospital Waste Management
Limit Hospital Stay

42
Q

5 Moments for hand Hygiene

A
  1. Before touching the patient
  2. Before a clean aseptic procedure
  3. After body fluid exposure risk
  4. After touching the patient
  5. After touching patient’s surroundings
43
Q

Hospital Waste Management

A

Infectious Waste
Sharps
Pharmaceutical Waste
Radioactive Waste
Non-hazardous waste

44
Q

Medical Waste Disposal
Give corresponding color.
- General Waste
- Infected Plastics
- Infected Waste
- Glassware
- Sharps

A
  • General Waste - Green
    Kitchen Waste, Paper, Tissues, Water bottles, Cans
  • Infected Plastics - Red
    Syringes, Gloves, Plastic Waste
  • Infected Waste - Yellow
    Soiled, Anatomical, Chemical Liquid, Laboratory Waste, Expired & Discarded Medicines, Cytotoxins.
  • Glassware - Blue
    Antibiotic Vials, Metallic Implants, Glassware Materials, Except Cytotoxic
  • Sharps - Separate Container
    Needles, Cut Glasses
45
Q

Goal 6: Reduce Risk of Patient Harm Resulting From Falls

A
  • Prioritize Safety of Patient
  • Identify Category of Patient
  • Assessment of Patient
  • Use of Safety Devices
  • Accomplish Risk for Fall Assessment Form
46
Q

Organizational Chart

A

Board of Directors
Executive Committee
President
Medical Director
Chief of Clinics
Supervisor
Staff Nurse

47
Q

OPD Services

A

OPD Consultation and Evaluation
Prenatal Check up
PAP Smear
Circumcision
Nebulization
v

48
Q

Department/Clinic

A
  1. Pediatric Clinic
  2. OB Clinic
  3. Surgery Clinic
  4. Cardio Clinic
  5. Internal Medicine Clinic
49
Q

Guidelines in OPD

A
  1. Patient Pass by Registration
  2. New Patients Assessment
  3. Triage
  4. Filling out of Forms
  5. Registration
  6. Pay Check Up Fee (100 pesos)
  7. Return to OPD with receipt
  8. With Labs required
50
Q

Old Patients in OPD

A
  1. Retrieve patient’s record from piling cabinet
  2. Vital signs
  3. Weight check
  4. Height check
  5. Bring record to physician on duty
  6. After check up/treatment
  7. Collect medical record from patient from piling
51
Q

New Patients in OPD

A
  1. Ask patient to fill out forms
  2. Vital signs
  3. Weight check
  4. Height check
  5. Bring record to physician on duty
  6. After check up/treatment
  7. Collect medical record from patient from piling
52
Q

Pregnant Client (patient) in OPD

A
  1. Retrieve patient’s record from piling cabinet
  2. Short interview OB score
  3. Compute EDC/AOG
  4. Vital signs
  5. Weight check
  6. Height check
  7. Leopold’s maneuver
  8. Fundic height
  9. Fetal heart tone
  10. Doppler ultrasound
  11. Bring record to physician on duty
  12. After check up/treatment
  13. Collect medical record from patient from piling
53
Q

EDC and Age of Gestation

A

Due Date
Jan-March
(Month + 9) (Day + 7) (Year as is)

April-Dec
(Month - 3) (Day + 7)( Year + 1)

Age of Gestation
Formula:
Add all days of LAST MENSTRUAL PERIOD until DATE OF CONSULTATION
Divide by 7 (week)

54
Q

For Pediatric Patient in OPD

A
  1. Retrieve medical record if with existing record
  2. Interview with parent/caregiver for health history
  3. Ask for baby card
  4. Assessment (vital signs, height, weight)
  5. Treatment (e.g. nebulization, immunization, ear piercing.
  6. Health teaching (Pediatrician explains prescription)
  7. Documentation
  8. Medical records are brought back to the OPD office.
55
Q

FORMS IN OPD

A
  1. Patient record
  2. Assessment form
  3. Health education acknowledgement form
  4. OPD Fall risk screening form
  5. Immunization record
  6. Developmental milestone checklist (tanner staging)

CHN (4 decks)

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