Lecture 1 Flashcards
What is required in order for a hospital to be considered “Level 1”?
- full range of specialists and equipment available 24 hours a day
- must admit a minimum required annual volume of severely injured patients
what is required of a level 1 trauma center?
4 type of personal
3 types of programs
- surgeons, emergency physicians, anesthesiologists and nurses on duty 24 hours a day
- education program, preventative, and outreach programs
what differentiates a Level 2 trauma center?
24-hour availability of all essential specialties, personnel, and equipment BUT DOES NOT HAVE PROGRAMS
what differentiates a level 3 trauma center?
what does it not have? (1)
what does it have? (3)
where are these located? (2)
- does NOT have the full availability of specialsts
- DOES have resources for emergency resuscitation, surgery, and intensive care of most trauma patients
located in rural or community hospitals
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.
every 3 years
gaps
paid
name of agency which accredits hospitals and enforces law, regulation and policy for them.
Department of health
how is hepatitis A transmitted? (2)
hep B and C? (2)
fecal/oral
blood/mucous membranes
what is a nosocomial infection?
infection which is acquired in the hospital
how is MRSA spread?
fluid to mucous membrane
what is required to wear for spore-based infections? (3)
gown, glove, and mask
What 2 items must be worn for Contact Precautions?
what 3 for droplet precautions?
what must be worn for airborne precautions?
gloves and gown
gown, gloves, and mask with splash-guard
N95 respirator
what is the difference between an interpreter and a translator?
interpreter is a qualified trained personnel.
how much muscle mass is lost per day? percentage wise
~3%
what is the biggest role of the PT in acute care?
when does this process begin?
discharge planning and recommendations
begins during 1st eval.
who does the discharge plans for patients? (2)
case managers or social workers
what are 5 ways functional mobility can be assessed?
- UE/LE MMT
- endurance
- balance
- ambulation
- stair negotiation
what 6 muscles groups are important to address/test in the acute setting?
- hip flexors
- knee extensors
- pf/df
- trunk flex/extension
- shoulder flex/ex
- elbow flex/ex
what are the parameters of a moderate assist?
26-74% assistance
name 3 tests/scales we can use
TUG BERG Tinetti ABC Scale SLS* Romberg* Tandem Walking*
what 4 factors do we document for ambulation assessment?
Quality
Cadence/Speed
Assistive device used
Distance
how many measurements are there for endurance?
5
poor +/-
fair +/-
good
if the patient can tolerate therapy of 3 hours a day where can they be discharged? typically they are younger.
acute rehabilitation
patients who cant be home, and where rehab WONT work are sent where? burden of care so heavy required 24/7 skilled supervision
long term care/ skilled nursing facility
patients on vents/dialysis are sent where?
long term acute care
