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Nonsystems Flashcards

1
Q

altruism

A

Putting patients needs before own

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2
Q

beneficence

A

doing the right thing, being moral and charitable

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3
Q

autonomy

A

patient has full rights to make informed decisions

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4
Q

what to do if 18 or younger refuses treatment

A

talk to their parents

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5
Q

JACHO

A

joint commission on accreditation of healtchcare organization
accredits hospitals, SNF, HHA, PPO, HMO, mental health institutions
make sure everything is set up well and standards are met to prevent negligence in care

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6
Q

CARF

A

commissions of accredited rehab facilites
accreditation to rebab programs/facilities
ensure minimum standards met by rehab clinics to maintain accredidation and safety of patients

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7
Q

CMS

A

center for medicare and medicaid services
what/how much will be reimbursed by medicare

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8
Q

OSHA

A

occupational safety and health administration
determine safety of work environment
ex: prevent harmful radiation at X-ray center

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9
Q

Contact precautions:
clinical syndromes
hand hygeine
PPE
Room
Patient transport

A

Clinical syndromes: MRSA, VISA, VRE, clostridium difficile, lice, scabies, impetigo, gram negative bacteria, controntrolled diarrhea, aminoglycoside resistant, Hep-A, Hep-B, dermatitis, rota virus

hand hygeine: wash before entering and leaving room

PPE: gloves and gown when in direct contract with patient or items in their room (remove before leaving room)

Room: private room or roommates with same infection

Patient transport: minimize transport, patient washes hand if leaves room

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10
Q

droplet precautions
clinical syndromes
hand hygeine
PPE
Room
Patient transport

A

clinical syndromes: mumps (rubella), streptococcus A, neisseria meningitidis, PNA, influenza, pertussis

hand hygeine: hand washing upon entering and leaving room

PPE: mask when working within 3ft of pt. contact precautions when skin lesions present

Room: private room

Patient transport: minimize transport. pt wears surgical mask when leaves the room. follow cough ettiquete

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11
Q

airborne precautions
clinical syndromes
hand hygeine
PPE
Room
Patient transport

A

clinical syndromes: measles, tuberculosis, varicella, SARS, fisseminated herpes zoster, chicken pocks, smallpox

hand hygeine: hand washing upon entering and leaving room

PPE: N95 mask (fit tested). gown and gloves if severe contamination. discard mask upon leaving room

Room: private with negative airflow

Patient transport: minimize transport. pt wears surgical mask when leaves room. follows cough ettiquete

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12
Q

worksation recommendations

A

monitor 18-20in wide
screen 10deg below horizontal
screen 20in away from eyes
below workdesk:
30in wide
19in deep
27in height
2-3 inches between thighs and desk

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13
Q

CPR rate of compressions

A

100-120/min

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14
Q

CPR compression depth

A

> 2in (5cm)

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15
Q

how long should each breath be for CPR

A

1 second, should cause chest to rise

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16
Q

should there be pauses between compresions with CPR

A

NO - minimize compressions

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17
Q

Proper don PPE order

A

gown, mask, goggles, gloves

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18
Q

proper dof PPE order

A

gloves, goggles, gown, mask

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19
Q

Hickman catheter

A

central line tunneled under skin
used for antibiotics, nutritional solutions and blood samples

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20
Q

Swanz Ganz Catheter

A

balloon floatation device
inserted through IJV or femoral vein into pulm artery
monitors blood flow and function of heart

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21
Q

Central venous pressure catheter

A

measures BP directly from right atrium and SVC

22
Q

arterial line

A

monitor arterial blood gasses

23
Q

chest drainage tube

A

remove blood, air, purulent matter from chest/pleural cavity
inserted through incision in chest and can be connected to mechanical or gravity based suction system

24
Q

what to do if chest tube disloged

A

If dislodged, have the patient exhale, place gauze
or a gloved hand over the area and call nursing staff

25
caution with catheters
hang below level of bladder, do not empty bag if output is being monitored, empty or alert staff if overfilled
26
IV lines care
27
arterial line - what to do if dislodged
arm should not be held above head for extended periods, alert staff if fluid is low due to air bubbles
28
femoral line caution
avoid repetitive hip flexion and hip flexion >45 degrees
29
WC seat height
heel to politeal fold +2in 19.5-20.5in
30
WC seat depth
post buttocks to popliteal fold - 2in 16in
31
WC seat width
widest part of thighs +1.5-2inin 18in
32
WC back height
seat to axilla - 4in (consider cushions) 16in
33
armrest height
seat to olecranon + 1in (account for cushion) 9in
34
wheelchair propulsive vs recovery phase
propulsive phase - initial hand contact on push rim, ends with release of hand contact from push rim recovery phase - starts with release of hand contact from push rim, ends with initial hand contact with push rim
35
mechanics of wheelie
Patient places hands back on hand rims, then pull them forward abruptly and forcefully
36
how to descend curb WC
backwards with forward head and trunk lean
37
3 person lift indications
transfer pt from stretcher to bed
38
2 person lift indications
transfer pt to dif heights/surfaces or to floor
39
dependent squat pivot transfer
transfer pt who cant stand independently but can bear some weight through trunk and LEs
40
axillary/standard crutches measurements
axilla space is 2" want crutch 2" lateral and 4-6in anterior to toe elbow angle while holding is 20-25deg - for height - multiply by 77% or subtract 16in from height radian N can get compressed if too high!
41
forearm (loftstrand) crutches measurements
forearm cuff 1.5-2" distal to olecranon crutches are 2" lateral and 4-6in anterior to toe of shoe elbow at 20-25deg holding
42
cane measurements
cane 2" lateral and 4-6" anterior to toe of shoe elbow at 20-25deg holding cane ascending: good foot, then bad foot+cane descending: bad foot+ cane, then good foot
43
longitudinal arch foot orthoses indications
aka scaphoid pad for pes planus
44
UCBL orthoses indication
controls hindfoot valgus reduces subtalar motion. controls calcaneal eversion, forefoot abduction
45
posterior leaf spring indications
recoils during swing phase to produce dorsiflexion
46
Klenzak joint indications
DF spring assist incorporated into stirrup
47
what orthoses to use for PF stop/resistance
plastic hinged AFO or steep posterior stop
48
What is level of supervision for PTA and PT
general supervision - need to b available by telecommunication
49
What is level of supervision for PT student
Direct supervision - physically present and immediately available
50
What is level of supervision for PT aide
Direct personal supervision -physically and immediately available

NPTE (60 decks)

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