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Medical Imaging > mi 116 unit 2 > Flashcards

mi 116 unit 2 Flashcards

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USMLE® Step 1 flashcards
1
Q

what is needed and what must be identified

A

patient bracelet (name and DOB)

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2
Q

how many identifiers are needed and why

A

two; to make sure the patient is getting the right treatment

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3
Q

red

A

allergy

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4
Q

yellow

A

fall risk

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5
Q

purple

A

DNR

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6
Q

green

A

latex allergy

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7
Q

orange

A

blood bank

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8
Q

hot pink

A

arm restriction

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9
Q

6 types of wristband errors

A

absent wrist band, wrong wrist band, more than one wrist band, partially missing info, partial erroneous info on wrist band, illegible identification

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10
Q

standard precautions

A

protection for the patient, yourself, and anyone else you directly or indirectly contact

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11
Q

history taking

A

be specific and obtain clinical information to contribute to diagnosis process

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12
Q

ways to interview

A

respect by always introducing yourself and using MR. &Ms.
genuineness
empathy by sharing concern

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13
Q

objective

A

signs that can be seen, heard, felt, smelled or read on a chart

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14
Q

subjective

A

data perceived only by patient=emotions, level of pain

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15
Q

questioning skills

A

open ended questions, facilitation, silence, probing questions, repetition and summarization

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16
Q

chief complaint

A

single most important issue of the patients clinical history, allows the radiologist to focus on a specific area, do not need a complete medical history

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17
Q

sacred seven

A

localization, chronology, quality, severity, onset, aggravating or alleviating factors, associated manifestations

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18
Q

localizations

A

palpation (defines the exact, precise area of concern of the chief complaint

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19
Q

chronology

A

time (duration since onset), frequency, course

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20
Q

quality

A

character of the symptom

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21
Q

severity

A

intensity, quantity, extent

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22
Q

onset

A

what were you doing when it happened ?

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23
Q

what else to look for while taking history and images

A

balance, level of consciousness, range of motion, pain and vital signs

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24
Q

end of history taking

A

pre-exposure instructions, length of procedure, immobilization, inform, questions, post exposure instructions

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25
Q

charting

A

a form of written communication done by the treatment team about the patient

26
Q

rules of documentation

A

must be accurate, spelled correctly, concise, complete, factual and well arranged

27
Q

charting rules

A

has to be in black or blue ink
correct patient
proper spelling and grammar,
military time, one approved abbreviations
neat
documented properly

28
Q

date and time

A

put a date and time on every entry
military time
signature
identify who wrote what

29
Q

error to documented chart

A

draw a single line, write mistaken entry, sign and date correction

30
Q

if using paper chart

A

never tamper with handwritten notes, do not write over previous entries, do not change numbers left to right or vice versa

31
Q

important parts of the patient charts to RT’s

A

history and physical
physician/nurse practitioner orders
hall pass
informed consent
advance directive
radiology procedure report

32
Q

H & P

A

only tell condition of time of admission

33
Q

who can write orders

A

doctor/physician (MD or DO), medical resident, nurse practitioner

34
Q

orders

A

good for up to 14 months at RH

35
Q

RH orders

A

all patients order should be viewed in EPIC, if ordering physician is not the same as the person who entered the order , it must be authorized by the MD, RNs, PA and nurse practitioners can place orders

36
Q

Hall pass/ “hand off” communication/ SBAR

A

should include the patients name, date and time
lists the patients name and phone number of caregiver
person receiving chart needs to validate hall pass

37
Q

situation

A

what is going on with the patients

38
Q

background

A

what is the clinical background or context

39
Q

assessment

A

anticipated changes in condition/ what do I think the problem is ?

40
Q

recommendation

A

what would I do to correct the problem?

41
Q

universal protocol

A

a standard procedure with multiple checks utilized within the admission/assessment process to minimize the risk of wrong sit, wrong procedure and wrong patient surgery

42
Q

body mechanics

A

moving, lifting, positioning and handling patients and equipment safely is known as body mechanics

43
Q

base of support

A

standing with the feet and the space between the between

44
Q

center of gravity

A

sacral level 2

45
Q

mobility muscles

A

found in the limbs= use for lifting

46
Q

stability muscles

A

found in the torso= use for support

47
Q

when transferring patients…

A

always ask the patients if they can independently do the transfer
let the patient do as much as possible
check the chart
be productive with certain diagnosis
inform the patient of what you are doing and list your steps out

48
Q

rules for safe patient transfer

A

stand with feet apart
patient center of gravity should be held close to transferee’s center of gravity
use transfer belt if available
keep back stationary and let legs do the lifting
no twisting

49
Q

beware of orthostatic hypotenstion

A

dizziness, fainting, blurred vision and slurred speech
patient should stand slowly
talk throughout transfer

50
Q

wheelchair transfers

A

standby assist
assisted standing pivot
two person lift
hydraulic lift

51
Q

things to remember

A

make sure his or her feet are properly covered for support
always transfer to the patients strong side
brakes are locked
footrest removed or folded
always let the patient known what you’re going to do or need them to do

52
Q

standby assist

A

used for patient who have the ability to transfer from a wheelchair to a table on their own
WHEELCHAIR AT 45 DEGREES away from table

53
Q

assisted standing pivot transfer

A

for patients who cannot transfer independently but can bear weight on their legs a standing pivot technique is used
wheelchair at 45 degrees angle

54
Q

two person lift

A

used on patients who are lightweight and cannot bear weight on their lower extremities

55
Q

stretchers

A

aka sheet transfer, three carrier lift and litter

56
Q

when moving a patient

A

try to avoid tearing the patient skin
be aware of IV tubing, oxygen tubing, urine bags, catheters and draining devices
have patient cross arms over her chest during transfer

57
Q

log roll

A

a technique used to turn patient whole body when it must be kept in a straight alignment at all times

58
Q

what is a fall

A

falls are the most common hospital accident
an unplanned, sudden decent to the floor
without or with injury

59
Q

most prone to falling

A

elderly, frail, sensory deprivation, medicated

60
Q

routine application of immobilizations

A

positioning sponges
stability bar
velcro straps/restraints
sandbags
heel clamps

61
Q

restraints

A

a physical restraint is any manual method or physical or mechanical device, material, or equipment attached to or adjacent to the residents body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body

62
Q

soft limb restraints can also be used

A

must be able to put a finger in

Medical Imaging (14 decks)

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