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Patient Care > Lesson 5 > Flashcards

Lesson 5 Flashcards

1
Q

What are some sonographer’s general responsibilities? (6)

A
  1. Protect yourself
  2. Safe practice
  3. Continuing education
  4. Communication
  5. PPE
  6. Legal protection
    - make sure you have the appropriate coverage
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2
Q

What are some responsibility to colleagues? (3)

A
  1. Respectful
  2. Teamwork
  3. Be professional
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3
Q

What are some responsibility to yourself? (7)

A
  1. Protect yourself
  2. Safe practice
  3. Continuing education
  4. PPE
  5. Legal protection
  6. Respectful
  7. Teamwork
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4
Q

What are some responsibility to the profession? (3)

A
  1. Continuing education
  2. Being professional
  3. Confidentiality
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5
Q

What are some responsibilities to the patient? (6)

A
  1. Patience
  2. Empathy
  3. Unbiased treatment
  4. Confidentiality
  5. Give them the best possible exam
  6. Helpful
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6
Q

What are the steps to follow for an exam? (7)

A
  1. Review the requisition
  2. Introduce yourself
  3. Ask questions
  4. Listen
  5. Give clear instructions
  6. Perform exam
  7. Clear discharge instructions
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7
Q

Review the requisition (3)

A
  1. Be sure you understand it before you move onto doing the exam
    - what are we doing and why
  2. Ensure the exam ordered is appropriate and within your clinical expertise
    - make sure everything matches
  3. Review the previous reports and the images
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8
Q

What does every requisition need? (3)

A
  1. Patients name
  2. Type of exam
  3. Doctors signature
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9
Q

What do you need to tell the patient when introducing yourself? (3)

A
  1. Your name
  2. Your occupation
    - if your a student let them know
  3. What exam you intend to do on them
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10
Q

What do you need in order to verify the patient?

A

Two identifiers

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11
Q

What are examples of identifiers you can ask for? (4)

A
  1. Name
  2. Date of birth
  3. What exam they are having
  4. Address
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12
Q

Why do you ask the patients questions? (2)

A
  1. To build a rapport with your patient

2. Expand on the information that you have been provided with

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13
Q

What are examples of questions you can ask your patient? (4)

A
  1. Why did you see your doctor?
  2. Do you have pain?
  3. If yes, where and when?
  4. Have you had previous surgery?
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14
Q

What is the most crucial step in the entire exam process?

A

Listening

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15
Q

Why is listening the most crucial step in the entire exam process?

A

This is where additional information can be gained whether the patient intends to give or not
- will give you better results

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16
Q

What do you give clear instructions on? (5)

A
  1. What to change into and where
  2. What to do with their valuables
  3. Where to go or wait when they are ready
  4. Explain what you will be doing before the exam
  5. Get their consent both before and during the exam
17
Q

Why is it important to perform the exam in the time provided? (3)

A
  1. Be on time with the schedule
  2. Next patients may have a full bladder or fasting, etc
    - uncomfortable
  3. Get as many people through
18
Q

What should you do when performing the exam? (4)

A
  1. Consistently monitor your patient for any changes in their physical or mental status
  2. Be aware of any accessory equipment they have with them
  3. Ensure you are using your resources effectively, while still acting in the best interest of your patient
    - realize where the resources come from
  4. Utilize the department’s information technology system to effectively document your patient’s information while maintaining confidentiality
  5. Get consent before you start
19
Q

What do you do at the end of your exam? (4)

A
  1. Give your patient clear instructions
  2. Let them know their doctor will receive the results within 10 business days
    - follow up if they dont hear anything
  3. Be aware of what information you are allowed to divulge to your patient
  4. Let them know they can leave
20
Q

What should you always project to your patient?

A

Empathy

21
Q

How do you answer the question, do I really need to have that probe inserted into my rectum?

A

No you don’t have to do this exam, but your doctor thinks this is the best way to figure out the situation. However if you don’t want to do it you can go back to your doctor and you can try and figure out another plan

22
Q

How do you answer questions professionally?

A

Educate the pros and cons of doing the exam or not doing the exam

23
Q

How can you help the patient change? (4)

A
  1. Types of gowns used
    - how to dress into it
  2. Directions for changing
  3. Where to go and what to do with their clothing
  4. Patients that require assistance
24
Q

How do you provide instructions to your patients? (4)

A
  1. Ensure you know what test you are doing so as to provide proper changing instructions
  2. Look at your patient, speak slowly and clearly
  3. Tell them exactly what to take off and what to put on and how to put it on
  4. When you’re done explaining, confirm that they understand you and ask if they have any questions
  5. Give them a private place to get changed and ensure they know where to put their belongings and where to go (or wait) once finished changing
25
Q

Do you assume everyone needs help?

A

No

- always ask

26
Q

Steps to giving assistance when helping them change? (7)

A
  1. Determine the extent of their disability
    - remember, someone who is disabled physically will usually have a better idea of how you can help them as apposed to someone who is mentally disabled
  2. Explain the procedure fully, be sure that they understand what you need to do.
  3. Ensure the door is closed, or the curtain is drawn
  4. Always preserve the patient’s modesty by not uncovering them unnecessarily
  5. Be sure to talk to the person while you are helping them to alleviate any anxieties and embarrassment during the process
  6. Do not rush through the procedure
  7. Be gentle in your movements and pull the clothing, not the person
27
Q

What is the rule of thumb when giving assistance?

A

The most disabled/affected limb should be dressed first and undressed last

28
Q

How do you undress a patient with a labral tear in their right shoulder? (6)

A
  1. Remove the sleeve from their left arm
    - as they have full mobility in that arm
  2. Rest the gown on the patient so they stay covered
  3. Pull shirt off head
  4. Gently remove the shirt off of the right arm where there is limited mobility
  5. Keeping the patient covered, put gown on the right arm first, sliding it up gently without moving the injured arm
  6. Put left sleeve of gown on and tie gown in back
29
Q

How do you undress a patient with an IV drip connected to their left dorsal hand? (7)

A
  1. Remove the right arm from the right sleeve of the shirt
  2. Ensure the patient stays covered by laying the gown over them
  3. Close lock on the saline drip and remove it from the IV pole ensuring to not allow air into the tubing
  4. Remove the left sleeve feeding it over the IV and saline bag
  5. Feed the saline bag and IV tubing through the left sleeve of the gown
  6. Apply the gown to the left arm and re-hang it and open the IV
  7. Apply the gown to the right arm and tie it in the back
30
Q

What are examples of medical equipment? (7)

A
  1. Oxygen, and oxygen delivery systems
  2. Pulse oximeters
  3. Suction devices
  4. IV poles, pumps and trees
  5. Chest tubes
  6. Bed pans, urinals and emesis basins
  7. Foley catheters and urinary drainage bags
31
Q

How much oxygen is in the room?

A

21%

32
Q

What do you have to watch out for with IV poles and pumps?

A

Always ensure you are not pulling on any lines when moving a patient or pushing a patient
- call a nurse if you need to operate the pump (we are not allowed to do this)

33
Q

Where should you keep the chest drainage bag/box?

A

Keep below the chest at all times so fluid stays in receptacle, and doesn’t flow back into pleural space
- usually hands off the bed (be careful not to hit it)

34
Q

Where do you empty bed pans?

A

Into the toilet

  • rinse in a dirt sink
  • place in a dirty receptacle for cleaning

Patient Care (10 decks)

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