Lecture 1

Question 1

What is required in order for a hospital to be considered “Level 1”?

Answer 1

1. full range of specialists and equipment available 24 hours a day
2. must admit a minimum required annual volume of severely injured patients

Question 2

what is required of a level 1 trauma center?
4 type of personal
3 types of programs

Answer 2

1. surgeons, emergency physicians, anesthesiologists and nurses on duty 24 hours a day
2. education program, preventative, and outreach programs

Question 3

what differentiates a Level 2 trauma center?

Answer 3

24-hour availability of all essential specialties, personnel, and equipment BUT DOES NOT HAVE PROGRAMS

Question 4

what differentiates a level 3 trauma center?
what does it not have? (1)
what does it have? (3)
where are these located? (2)

Answer 4

1. does NOT have the full availability of specialsts
2. DOES have resources for emergency resuscitation, surgery, and intensive care of most trauma patients
   located in rural or community hospitals

Question 5

how many times must JCAHO visit a hospital per year?

they help to identify ______ in care and allow the hospital to be _____ by the govt.

Answer 5

every 3 years
gaps
paid

Question 6

name of agency which accredits hospitals and enforces law, regulation and policy for them.

Answer 6

Department of health

Question 7

how is hepatitis A transmitted? (2)

hep B and C? (2)

Answer 7

fecal/oral

blood/mucous membranes

Question 8

what is a nosocomial infection?

Answer 8

infection which is acquired in the hospital

Question 9

how is MRSA spread?

Answer 9

fluid to mucous membrane

Question 10

what is required to wear for spore-based infections? (3)

Answer 10

gown, glove, and mask

Question 11

What 2 items must be worn for Contact Precautions?
what 3 for droplet precautions?
what must be worn for airborne precautions?

Answer 11

gloves and gown
gown, gloves, and mask with splash-guard
N95 respirator

Question 12

what is the difference between an interpreter and a translator?

Answer 12

interpreter is a qualified trained personnel.

Question 13

how much muscle mass is lost per day? percentage wise

Answer 13

~3%

Question 14

what is the biggest role of the PT in acute care?

when does this process begin?

Answer 14

discharge planning and recommendations

begins during 1st eval.

Question 15

who does the discharge plans for patients? (2)

Answer 15

case managers or social workers

Question 16

what are 5 ways functional mobility can be assessed?

Answer 16

1. UE/LE MMT
2. endurance
3. balance
4. ambulation
5. stair negotiation

Question 17

what 6 muscles groups are important to address/test in the acute setting?

Answer 17

1. hip flexors
2. knee extensors
3. pf/df
4. trunk flex/extension
5. shoulder flex/ex
6. elbow flex/ex

Question 18

what are the parameters of a moderate assist?

Answer 18

26-74% assistance

Question 19

name 3 tests/scales we can use

Answer 19

TUG
BERG
Tinetti
ABC Scale
SLS*
Romberg*
Tandem Walking*

Question 20

what 4 factors do we document for ambulation assessment?

Answer 20

Quality
Cadence/Speed
Assistive device used
Distance

Question 21

how many measurements are there for endurance?

Answer 21

5
poor +/-
fair +/-
good

Question 22

if the patient can tolerate therapy of 3 hours a day where can they be discharged? typically they are younger.

Answer 22

acute rehabilitation

Question 23

patients who cant be home, and where rehab WONT work are sent where? burden of care so heavy required 24/7 skilled supervision

Answer 23

long term care/ skilled nursing facility

Question 24

patients on vents/dialysis are sent where?

Answer 24

long term acute care

Question 25

4 things you want to ask about patients about their home situation.

Answer 25

1. stairs?
2. AD?
3. alone?
4. have help at home?

Question 26

patients who require inpatient rehabilitation but cannot tolerate 3 hours

Answer 26

subacute rehabilitation