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ST > LP 7-8 > Flashcards

LP 7-8 Flashcards

1
Q

pathology

A

tissue/organ

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2
Q

transition

A

from healthy to no healthy

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3
Q

immunocompromised patient

A

decreased ability to fight infection, poor nutrition, poor skin integrity

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4
Q

death and dying

A

natural progression of life

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5
Q

example of incident report

A

falls, med errors

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6
Q

golden hour

A

providing treatment within first hour for trauma victim

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7
Q

who signs in the case of a minor?

A

parent or legal guardian

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8
Q

surgical consent

A

authorizes performance of surgical intervention

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9
Q

urgent procedures pregnant patient

A

delayed until 3 trimester

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10
Q

obese patients

A

overworked heart, high BP, compromises all systems

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11
Q

active euthanasia

A

action that speeds up the process of dying

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12
Q

health concerns with downs syndrome

A

heart defects, GERD

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13
Q

who is responsible for consent?

A

surgeon

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14
Q

patient is surrounded by family and friends in post op area

A

love and belonging needs

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15
Q

what procedures should be first of the day?

A

diabetic so they can get back on regular dietary schedule

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16
Q

passive euthanasia

A

does nothing

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17
Q

bacteriology

A

cultures

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18
Q

rule for maslows hierarchy

A

lower level needs must be met in order to meet higher level

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19
Q

what is something witness be signed?

A

identification of patient, voluntary signing, mental competence

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20
Q

diabetic patient

A

infection, dehydration
special: monitor sugar levels and need for insulin
vascular system compromised

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21
Q

social psychologist

A

individuals relation to others

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22
Q

possible complications of a trauma patient

A

hypothermia, blood loss, infection

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23
Q

anesthesia administration

A

lists anesthesia provider, risks and possible alternatives

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24
Q

life map

A

your story, beginning to end of life

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25
Q

regression

A

may regress to earlier stage of light ex: pout, cry

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26
Q

legal guidelines for consents

A

freely, legal age, parent or guardian, mentally competent pt

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27
Q

cytology

A

smears, fluids

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28
Q

whole brain death

A

nonreversible loss of all brain function, no heartbeat, non responsive, lack of pupil reflexes

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29
Q

what is the medical record?

A

interaction between the patient and health care providers during illness or treatment

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30
Q

patients still on life support

A

documentation signed by family will dictate what organs

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31
Q

therapeutic procedures

A

treat or manage a diease

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32
Q

maslows hierarchy

A

physiological needs, safety, love and belonging, esteem, self actualization

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33
Q

cardiac death

A

irreversible loss of cardiac and respiratory function, no heartbeat or respirations, may HAVE BRAIN WAVES

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34
Q

what needs to be done if consent not done correctly?

A

incident report, could become a legal issue

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35
Q

aim of surgery

A

restore organs to as near normal function as possible, remove pathological processes

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36
Q

special consent

A

required for procedures that entail a higher than normal risk
ie: surgery, transfusion, chemo

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37
Q

patient removed from life support

A

corneas, skin, bone

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38
Q

self actualization

A

fulfill what one believes is ones purpose

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39
Q

convalescence

A

resolution

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40
Q

What can general anesthesia in pregnancy cause?

A

preterm labor, fetal death, low birth weight

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41
Q

documentation verified before surgery

A 
H&P
treatments
diagnostic and therapeutic reports
consent
checklist
vitals
orders
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42
Q

what should documentation be?

A

objective

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43
Q

developmental psychologist

A

individual

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44
Q

organ transplant

A

whole brain death

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45
Q

preoperatively special needs

A

take care of anxiety, maintain nutritional status

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46
Q

palliative

A

end of life care, patient comfort

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47
Q

incident reports

A

unusual events that may have legal ramifications for staff/patients/visits

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48
Q

what is included on a surgical consent?

A

legal name and signature, procedure, signature of witness, date and time of signatures

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49
Q

general consent

A

admission to hospital

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50
Q

what does a medical record include?

A

identification patient, care team, diagnosis, tx plan, medication record

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51
Q

safety needs

A

environment is safe

52
Q

what is the primary role of the ST?

A

the patient

53
Q

who is able to witness signing of consent?

A

physician, NURSE, general- other hospital employees

54
Q

social needs

A

ones identification or interaction with another individual or group
ex: family, relationship

55
Q

what does JACHO develop?

A

standards and performance criteria, check yearly to make sure are practiced

56
Q

higher brain death

A

nonreversible loss of higher brain function, respiration, bp, heartbeat still present

57
Q

main responsibility of the ST intraop

A

sterile technique

58
Q

purpose of consent

A

protects patient from unapproved and unwanted procedures, protects surgeon

59
Q

what does stress do to the body?

A

loss of appetite, change in digestion, mental status

60
Q

what needs to be done post op when count not done?

A

a xray

61
Q

documentation intra op

A

anesthesia records, pts condition, counts, start/stop time

62
Q

does everyone experience all the stages of grief?

A

no

63
Q

what are anesthesia and circulator responsible for?

A

consent is correct, properly signed

64
Q

physiological needs

A

most basic needs

65
Q

esteem needs

A

positive evaluation of oneself

66
Q

what are hospitals required to report?

A

child/elder abuse, births/deaths, criminal acts

67
Q

tribute

A

entrust you with his life and health

68
Q

surgery from a pts point of view

A

act of faith, invasion of privacy, act of submission

69
Q

rationalization

A

looking for reasons this may have developed, may be a mistake

70
Q

acceptance

A

has enough time to work through he first 4 stages

71
Q

1st trimester surgery

A

increased chances of spontaneous abortion

72
Q

medical records department

A

transcribes, collects, reviews and verifies medical records

73
Q

trauma patient

A

most life threatening will be performed before lesser injuries

74
Q

when does advance directive kick in?

A

patient no longer able to make decision

75
Q

life stage development

A

recognition of the psychosicial concerns of patient

76
Q

physical needs

A

activity related to genetics, physiology, or anatomy

ex: hunger, thirst

77
Q

the surgical patients adaption to stress involves only physiologic changes

A

false

78
Q

isolation precautions

A

prevent transmission of pathogenic microorganisms

79
Q

denial

A

doesn’t accept the situation

80
Q

how might religious values cause conflict with modern medicine?

A

moral values

legal problems

81
Q

life sustaining therapy

A

without this therapy the patient would die

82
Q

JACHO

A

state, local federal laws which regulate medical documentation

83
Q

what are obese patients prone to?

A

tissue breakdown, clot formation, delayed healing

84
Q

what can charts determine?

A

negligence

85
Q

psychological needs

A

identification and understanding of oneself

ex: self esteem

86
Q

what is included in a advance directive?

A

living will and or power of attorney

87
Q

life threatening circumstances consent for surgery

A

2 physicians agree it is necessary and sign consent, cant be surgeon

88
Q

are incident reports part of patient general record?

A

no

89
Q

repression

A

ignore the medical issue ex: may skip treatment

90
Q

what age do we achieve physiological stability?

A

2-6 years old

91
Q

advance directives

A

the right of an incapacitated patient to self determination

92
Q

3 stages of adaptation to illness

A

transition, acceptance, convalescence

93
Q

4 components to an individual

A

physical needs
psychological needs
social needs
spiritual needs

94
Q

how st can communicate with pt

A

communicate with circulator, plan for things that may help pt, introduce self, don’t joke about situation

95
Q

love and belonging

A

social needs

96
Q

consent for surgery

A

informed consent in understandable language

97
Q

bargaining

A

may bargain with God to let you live until…

98
Q

5 stages of grief

A 
denial
anger
bargaining
depression
acceptance
99
Q

abd surgeries pregnant

A

2nd trimester, fetus stable

100
Q

who is PTSD mostly associated with?

A

military personnel

101
Q

maslows hierarchy

A

establishes a means of prioritizing needs

102
Q

depression

A

great loss, doom, sadness, no hope

103
Q

life support systems

A

preserve a patients life

104
Q

power of attorney

A

authorizes one person to take legal actions in behalf of another, health care of financial

105
Q

steps taken to expedite care of a trauma patient

A

flexible, emergency supplies ready, move quickly

106
Q

what forces a revolution in thinking, feeling, behavoir

A

developmental change

107
Q

spiritual need

A

identification and understanding of ones place in an organized universe

108
Q

can a patient take back a consent?

A

yes

109
Q

responsibilities of the st when a pregnant patient has general surgery

A

move quickly to keep anesthesia to a minimum

110
Q

3rd trimester pregnant

A

premature labor, enlarged uterus displaces organs

111
Q

risk management departments

A

attempt to identify factors that caused incident

112
Q

coping mechanisms

A

denial
rationalization
regression
repression

113
Q

typical order of priority for trauma patient

A

head, chest, abd, extremities

114
Q

what should be done if an error in documentation occurs?

A

justify/ and or correct

115
Q

euthanasia

A

painless inducement of quick death

116
Q

emancipated

A

married or independently earning a living or given birth if under 18

117
Q

elective surgeries for pregnant

A

until recovery from delivery

118
Q

surgeons point of view

A

necessary, art, science, risk

119
Q

patients new role of dependence may manifest personality characteristics such as

A

anger, depression, fear

120
Q

what is documentation?

A

placing of information into a patients record

121
Q

what is surgery?

A

treatment of abnormal conditions of the body, or treats disease

122
Q

postoperatively special needs

A

prevent infection

123
Q

advantages of electronic health records

A

improves safety
done at bedside
decrease workload

124
Q

blanket consent

A

authorizes any related procedure deemed necessary by the surgeon

125
Q

intraoperatively special needs

A

basic physiological needs, oxygen, warmth

ST (35 decks)

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