Lesson 3 Flashcards
a contract wherein the pt voluntarily gives permission to someone (imaging staff) to perform a procedure or service.
CONSENT-
• The medical aspect of consent hopes to establish rapport with the patient through communication to secure a successful outcomes.
CONSENT-
often signed when the patient enters the hospital.
BLANKET CONSENT FORM
obtaining a patient’s permission to perform a procedure without knowledge of that procedure.
Simple consent
occurs when the patient does not stop the procedure from taking place. However, legally, silence is not an agreement.
Express Consent
occurs in emergency situations when it is not possible to obtain a consent from the patient, his or her parents, or a legal representative.
Implied consent
“ignorant consent”. This occurs when the patient has not be been informed adequately to make a responsible decision.
Inadequate consent
Legal definition: individual who is NOT autonomous and cannot give or withhold consent (eg: individuals who are menitally retarded, mentally ill, or comatose)
INCOMPETENT PATIENT
involves the collection of accurate objective and subjective data.
Good history taking
are perceptible to the senses, such as signs that can be seen, heard, or felt and such things as laboratory reports.
OBJECTIVE DATA
DATA pertain to or are perceived by the affected individual only. They include factors that involve the patient’s emotions and experiences, such as pain and its severity, and are not perceptible to the senses.
SUBJECTIVE DATA
Effective histories result 6
Open- ended questions
Facilitation
Silence
Probing (inquiring) questions
Repetition
Summarization
(nondirected, nonleading) let the patients tell the story.
Open- ended questions
(nod or say yes, okay, go on…) encourages elaboration.
Facilitation
(to give the patient time to remember) facilitates accuracy and elaboration.
Silence
(to focus the interview) provide more detail.
Probing (inquiring) questions
(rewording) clarifies information.
Repetition
(considering) verifies accuracy.
Summarization
SACRED SEVEN
Localization
• Chronology
• Quality
• Severity
• Onset
• Aggravating or alleviating factors
• Associated manifestations
is defining as exact and precise an area as possible for the patient’s complaint.
Localization
is the time element of the history.
chronology
describes the character of the symptoms.
quality
of a conditionidescribes the intensity, the quantity, or the extensive of the problem.
severity
of the complaint involves the patients explaining what he or she was doing when the illness or condition began.
onset
that produce the problem or intensify it should be defined, including anything that aggravates, alleviates, or otherwise modifies it.
circumstances
whether other symptoms accompany the chief complaint may be necessary.
Determining
Patients are frequently required to remove all or some items of clothing and to put on a gown before an examination procedure or treatment.
CARE OF PATIENT’S VALUABLES
jewelry and other valuable with special care so that they will not be lost or stolen.
Treat Purses,
DRESSING / UNDRESSING
• patient in cast or a brace
• very young
• too weak to help him or herself
• have contracture of an extremity
• have poor eyesight
-removing the clothing in the conventional manner may cause further injury or pain.
- it may necessary to cut away garments that interfere with acceptable radiographs;
FOR TRAUMA PATIENT
-place a draw sheet over the pt and then help her to remove her slip and brassiere
-help her to put on an examining gown and then remove the draw sheet
Women
-Cover the pt w/ draw sheet & have gown ready.
-Remove the clothing from the less affected side first & then remove the clothing
from the more affected side.
DISABLED PATIENT
Frequently patients are taken to the diagnostic imaging department with an IV infusion to place.
PATIENT WITH AN INTRAVENOUS INFUSION