Midterm Semester 1 Flashcards
Hippocrates
Father of Medicine
Hippocratic Code
Florence Nightingale
Founder of Modern Nursing
Made school to train nurses
promoted sanitization
Made the nursing career more acceptable and a notable profession
Clara Barton
Founder of the American Red Cross
Helped in the American Civil War
Dr. Ben Carsen
First successful surgeon to separate Siamese twins
Anton Van Leeuwenhoek
Father of Microbiology
Invented Microscope
Francis Crick and James Watsonbeep
Discovered the double helix structure of DNA
Renee Laennec
Father of Pulmonary Disease
Invented Stethoscope
Louis Pasteur
Father of Microbiology Sciences and Immunology
Invented germ theory
Invented pasteurization
Different types of Hospitals
General
Specialty
Government
University/Med. Centers
Health Department Clinics
Clinics that are either specialized or quick access to health facilities
Examples: Surgical clinics, STAT Care, Outpatient clinics, Readi Med, COVID Vaccination Clinics
Hospice
Care for terminally ill patients (6 months or less to live)
Labs
Blood, urine, spinal fluid - either test themselves or send it out to a facility to run tests on these fluids
Dental clinics
Orthodontics or places specialized for dental care
WHO
World Health Organization
Help direct international health within United Nations and lead partners to global health responses
CDC
Centers for Disease Control and Prevention
Division of USDHHS
Concerned with spread and control of diseases
USDHHS
US Department of Health and Human Services
Produce more grant money than any other company
National Agency - goal = protect the health of US citizens
NIH
National Institute of Health
Division of USDHHS
Research and scientific studies
OSHA
Occupational Safety and Health Administration
Protect workers from job related illness/injury
AHRQ
Agency for Healthcare Research and Quality
Federal agency
Establishes for quality, safety, effectiveness of healthcare
Regulate practice in medicine
FDA
Food and Drug Administration
Regulate food and drugs (along with cosmetics, cellphones, and medical devices)
Make sure are safe for public health
HIPPA
Health Insurance Portability and Accountability Act
Enacted in 1996 with five main components
1. When change job, still get insurance
2. Prevent spread of information and protect patient’s privacy
HMOs
Insurance and health delivery systems
Focus on prevention of injury or illness
Medicare
Federal Insurance For: 65+ years old, disability, ESR Med A - hospital Med B - Doctor's visit, O2, therapy Med D - pharmacy
Medicaid
Low income
Physically disabled/blind
Children who qualify for public assistance
TRICARE
Military personal
Managed Care
Aim/Goal = control costs
2nd opinion for medical assistance and plan
Diagnostic Related Groups (DRGs)
Meant for specified diagnosis to help reduce cost of general care (helps to treat that one specific ailment)
Deductible
The amount that must be paid by the patient for medical services before the policy begins to pay
Premium
A fee the individual pays for insurance coverage. The fee is paid to the insurance company
Co-Insurance
Specific percentages of expenses are shared by the patient and the insurance company
Example: The company pays 80% of covered expenses and the patient pays the remaining 20%
Co-Payment
A specific amount of money a patient pays for particular service
Example: $20 for the physician rather than each visit
Characteristics of Not-for-profit Agency
To help those in need and are businesses that are not made to make money
Examples: American Heart Association
American Red Cross
American Cancer Society
American Diabetes Association
Joint Commissions (hospital to prove to the community that they are up to standard)
Organizational Structure Purpose
Maintain control and line of authority/chain of command
ATCs
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Audiologists
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Biological (medical) scientists
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Biological technicians
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Biomedical (clinical) engineers
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Biomedical equipment technicians (BETs)
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Biotechnological engineers (bioengineers)
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Cardiovascular technologist
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Central/Sterile service/supply technicians
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Clinical laboratory scientists (CLSs)
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Clinical laboratory technicians (CLTs)
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Dental assistants (DAs)
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Dental hygienists (DHs)
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Dental laboratory technicians (DLTs)
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Dentists (DMDs and DDSs)
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Dialysis technicians
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Dietetic assistants
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Dietetic technicians (DTs)
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Dietitians (RDs)
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Doctor of Chiropractic (DC)
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Doctor of Medicine (MD)
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Doctor of Osteopathic Medicine (DO)
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Doctor of Podiatric Medicine (DPM)
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Electrocardiograph technicians (ECG)
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Electroencephalographic technologist (EEG)
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Electroneurodiagnostic technologist (END)
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Embalmers
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EMT
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Endodontics
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Epidemiologists
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First responder
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Forensic science technicians
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Funeral directors
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Genetic counselors
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Geriatric aides/assistants
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Health care administrators
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Home health care assistants
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Housekeeping workers/sanitary managers
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licensed practical/vocational nurses (LPNs/LVNs)
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Massage Therapists
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Medical administrative assistants
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Medical assistants (MAs)
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Medical coders
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Medical Illustrators
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Medical interpreters/translators
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Medical (clinical) laboratory assistants
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Medical laboratory technicians and technologists (MLTs and MTs)
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Medical librarians
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Medical Secretaries/health unit coordinators
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Medical transcriptionists
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Medication aides/assistants
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Mortuary assistants
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Multicompetent/multiskilled worker
A worker trained in one field or occupation that receives additional education to work in a second or even a third occupation
Nurse assistants
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Occupational therapists (OTs)
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Occupational therapy assistants (OTAs)
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Ophthalmic laboratory technicians
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Ophthalmic medical technologists (OMTs)
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Ophthalmic technicians (OTs)
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Ophthalmologists
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Opticians
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Optometrists (ODs)
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Orthodontists
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Paramedic (EMT-P)
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Patient care technicians (PCTs)
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Perfusionisits
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Pharmacists (PharmDs)
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Pharmacy technicians
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Phlebotomists
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Physical therapists (PTs)
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Physical therapist assistants (PTAs)
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Physicians
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Physician assistants (PAs)
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Process technicians
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Psychiatric/mental health technicians
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Psychiatrists
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Psychologists
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Radiologic technologists (RTs)
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Recreational therapists (TRs)
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Recreational therapy assistants
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Registered nurse (RNs)
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Respiratory therapists (RTs)
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Respiratory therapy technicians (RTTs)
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Social workers (SWs)
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Speech-language pathologists
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Surgical technologists/technicians (STs)
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Veterinarians (DVMs or VMDs)
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Veterinary assistants
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Veterinary technologists/technicians (VTs)
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Communication process/cycle
Message; sender to receiver, message received
Barriers to effective communication
Deafness or hearing loss Blindness or impaired vision Aphasia or speech impairment Beliefs and practices regarding health and illness Language differences
Certification
The certificate or statement issued to a qualified person by the appropriate association that means a person has fulfilled the requirements of education and performance and meets the standards and qualifications established by that association or government agency
Licensure
A process whereby a government agency authorizes individuals to work in a given occupation. This clearly defines the scope of practice for that occupation
Registration
Testing requires some health care careers performed by regulatory body (professional association or state board) that administers examination and maintain a current list or registry of qualified personnel in a given healthcare area
Purpose of CEUs
Additional hours of education a specific healthcare career area during a specified period
3 Different Leadership Styles
Democratic - encourage participation of all individuals, listens to opinions of others, guides individual group members to a solution
Autocratic - “dictator”, total control, seldom asks for other opinions, people follow in fear of punishment, sometimes beneficial to situations
Laissez-faire - informal, minimal rules, independent with little or no direction
Telemedicine
The use of technology to connect patients without meeting in person (using video, audio, and computers)
Patient Rights
Patient’s right to privacy while receiving care
Patient’s right to die with dignity (die with how they wish to feel without conflicting opinions telling how to feel or how to die)
Stress and Stress Management
Name for the body’s reaction to any stimulus that requires a person to adjust to changing environment
Stop - immediately stop what you are doing to break out of the stress response
Breathe - take a slow deep breath to release the physical tension you are feeling
Reflect - Think about the problem at hand and the cause of stress
Choose - Determine how you want to deal with the stress
Subjective Data
Data that is collected from listening to the patient and from what they tell you
Example: Pain Level
Objective Data
Data that is collected using your five senses and from running tests and observations
Example: Visible symptoms such as holding stomach due to pain or a test for Appendicitis
Eriksen’s 8 Stages of Growth
Infancy (birth to 1): Trust vs. Mistrust; feeding Toddler (1-3): Autonomy vs. shame/doubt; toilet training Preschool (3-6): Initiative vs. guilt; independence School-age (6-12): Industry vs, inferiority; school Adolescence (12-18): Identity vs. role confusion; peers Young Adulthood (19-40): Intimacy vs. isolation; love relationships Middle Adulthood (40-65): generativity vs. stagnation; parentally Older Adulthood (65-Death): Ego integrity vs. despair; reflection on life
Piaget’s 4 Stages of Cognitive Development
Sensorimotor (birth-2)
Preoperational (2-7)
Concrete Operational (7-11)
Formal operational (11+)
Kubler Ross’ Stages of Grief
Denial: refusal to believe Anger: no longer able to deny Bargaining: accepts death but wants more time Depression: death will come soon Acceptance: accepts fate
Direct and Indirect ways of meeting means
Hard work, setting realistic goals, situation evaluation, cooperation with others
Defense Mechanisms
Rationalization Projection Displacement Compensation Daydreaming Repression Suppression Withdrawal
Infant Reflexes
Startle reflex
Rooting reflex
Sucking reflex
Grasping reflex
Maslow’s Hierarchy of Needs
Lower needs must be met before the individual can try to meet higher needs
Lowest to Highest: Physiological, Safety and Security, Love and Affection, Esteem, and Self-Actualization
Proper Body Mechanics
- Wide and sturdy base
- Bend from knees and hips not back muscles (waist and keep back straight)
- Use strongest muscles
- Use weight of body
- Carry close to body
- Avoid twisting (pivot)
- Avoid long periods
- Call for assistance
Safety Consideration in Health Care
Not only patient safety but also that of the care provider to allow for an efficient and safe environment for both parties to ensure the best care for all
Purpose of Material Safety Data Sheets
Provided by manufacturers, informs of any hazardous products they sell and how to identify, clean up, and exposure care
16 Sections
Endogenous Diseases
Diseases that develop from within the body
Example: Tumor or cancer
Exogenous Diseases
Diseases that originate from outside the body
Example: Flu or other such diseases that are “caught”
Fire Safety
PASS - P =Pull the trigger, A = Aim the nozzle at base, S = Squeeze the handle, S = Sweep side to side
RACE - R = Rescue (remove residents in immediate danger), A = Alarm (activate the fire alarm or alarm others), C = Contain (contain fire by closing doors and windows), E = Extinguish/Evacuate (Extinguish the fire), F = Follow (Follow facility protocol)
Principles of Infection Control
Antisepsis/Cleaning - Absence of disease-producing microorganisms (prevent growth of pathogens and can be used on skin)
Disinfection - Destroys or kills microorganism (used on objects and kills”99.9%”)
Sterilization - Destroys all microorganisms including spores and viruses (steam under pressure, gas, radiation, and/or chemicals)
Chain of Infection
Organism/Pathogen/Infectious Agent Reservoir Portal of Exit Trans-mission/Mode of Transmission Portal of Entry Vulnerable Hosts/Susceptible Host
Standard and Transmission-based Precautions
Standard: hand and respiratory hygiene, PPE, sterile tools, sharps safety, and injection precaution
Transmission-based: Airborne (transmit through a droplet in the air; masks), Droplet (stays on objects for others to touch and contract; PPE of gloves and dress), and Contact (in contact with patient; could be through fluids or exposure; full PPE)
Personal Protective Equipment
Gloves, eyewear, masks, and dresses
Aspects of Microorganisms/Pathogens
Microorganism = microbe, very small, found everywhere, in and out of the body Pathogen = microorganisms that cause infection and disease (germs)
Causes of High Cost for Health Care
Technological advances
Aging Population + Improved Survival Rate
Health-related lawsuits