M Part 1 Flashcards
Transfer of patient from one HW to another
Entails everything you’ve done that day
Endorsement
Contract wherein the pt voluntarily gives permission to someone to perform a procedure or service
Consent
Types of consent
written
verbal
implied
Consent required for examinations that involve greater than usual risks
Written Consent
Frequently used consent during examination
Verbal
Consent for emergency cases
Implied
Conditions for valid informed consent
- Legal age
- Sound mind
- Freely/ voluntarily
- Adequately informed
Guidelines in acquiring consent
- Full explanation
- Competent to sign
- Only parents/legal guardians for minor
- ” for mentally incompetent
- Complete before signed
- Only physician named
- Any condition
- May be revoked
Content of consent
- Authorization clause
- Disclosure
- Anesthesia
- No-guarantee
- Tissue-disposal
- Patient understanding
- Signature
Content of physicians request
Parents personal info
Admitting/reffering physicians name
Hospi identif no
Infection control or isolation info
Type of examination
adequately informed:
-what info are required
risks
advantages
alternatives
[frequency] clean counters and surfaces
twice daily (start/end of shift)
three types of disinfectant used
disinfectant
dilute bleach
germicide cloths
[frequency] clean shelves and doors
weekly
[frequency] clean lead aprons and gloves
weekly
clean immediately after contact with blood/body fluids
[frequency, parts] mobile x-ray machines
weekly
-x-ray tube
-tube arm
-collimator
- parts in contact w/ floor
[frequency, parts] x-ray machine, tables, VGD
dust daily: overhead tracks, spot film devices, II, TV monitor
wipe weekly: control stands, spot film devices, entire table
reducing the total number of organisms/pathogen
microbial dilution
First Level includes:
a. simple cleanliness
proper cleaning
dusting
linen handling
b. handwashing technique
Second Level includes:
disinfection
-chemical materials/substances
highest form of cleanliness
Third Level
Third Level includes:
surgical asepsis/ sterilization
[heat, gas, chemical]
methods of isolating body substances
standard precaution
microorganisms that may cause diseases
pathogen
[3] standard precautions
correct cleaning equip.
correct hand hygiene
correct disposal of contaminated wastes
when is standard procedure applied
a. contact w/ bloody procedure
b. mucous/saliva expo
c. non intact skin -opening
d. nasal cavity/mucosal lining
CDC meaning
Center of Disease Control and Prevention
when to use alcohol-based hand rubs:
- before/after incontact w/ pt
- before putting on gloves
- after removal of gloves
- after touching equipment/materials
contaminated material
fomite
reduces the incidence of airborne infections and transfer of pathogens by fomite
housekeeping
disinfectant for HIV
sodium hydrochlorite bleach (clorox)
methods of sterilization
chemical
dry heat
conventional gas sterilization
gas plasma technology
autoclaving
immerion and soaking in a bath of germicidal solution-sterile water rinse
chemical
dry heat [time, temp]
1-6hrs
329-338deg F
165-179deg C
sterilization for items that would be damaged by high temps, mixture of gases [gases, temp]
freon and ethylene oxide
135 deg F
57 deg C
[gas, energy, disadv] gas plasma technology
hydrogen peroxide gas
subjected to radiofrequency breaks it into free radicals
cannot be used for powders, liquids, cellulose, paper, cotton, linen
quickest and most conventional [temp]
250-275 F
121-135 C
