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NPTE > Nonsystems > Flashcards

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
Q

caution with catheters

A

hang below level of bladder, do not empty bag if output is being monitored, empty or alert staff if overfilled

26
Q

IV lines care

A
27
Q

arterial line - what to do if dislodged

A

arm should not be held above head for extended
periods, alert staff if fluid is low due to air bubbles

28
Q

femoral line caution

A

avoid repetitive hip flexion and hip flexion >45
degrees

29
Q

WC seat height

A

heel to politeal fold +2in
19.5-20.5in

30
Q

WC seat depth

A

post buttocks to popliteal fold - 2in
16in

31
Q

WC seat width

A

widest part of thighs +1.5-2inin
18in

32
Q

WC back height

A

seat to axilla - 4in
(consider cushions)
16in

33
Q

armrest height

A

seat to olecranon + 1in (account for cushion)
9in

34
Q

wheelchair propulsive vs recovery phase

A

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
Q

mechanics of wheelie

A

Patient places hands back on
hand rims, then pull them forward
abruptly and forcefully

36
Q

how to descend curb WC

A

backwards with forward head and trunk lean

37
Q

3 person lift indications

A

transfer pt from stretcher to bed

38
Q

2 person lift indications

A

transfer pt to dif heights/surfaces or to floor

39
Q

dependent squat pivot transfer

A

transfer pt who cant stand independently but can bear some weight through trunk and LEs

40
Q

axillary/standard crutches measurements

A

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
Q

forearm (loftstrand) crutches measurements

A

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
Q

cane measurements

A

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
Q

longitudinal arch foot orthoses indications

A

aka scaphoid pad
for pes planus

44
Q

UCBL orthoses indication

A

controls hindfoot valgus
reduces subtalar motion. controls calcaneal eversion, forefoot abduction

45
Q

posterior leaf spring indications

A

recoils during swing phase to produce dorsiflexion

46
Q

Klenzak joint indications

A

DF spring assist incorporated into stirrup

47
Q

what orthoses to use for PF stop/resistance

A

plastic hinged AFO or steep posterior stop

48
Q

What is level of supervision for PTA and PT

A

general supervision
- need to b available by telecommunication

49
Q

What is level of supervision for PT student

A

Direct supervision
- physically present and immediately available

50
Q

What is level of supervision for PT aide

A

Direct personal supervision
-physically and immediately available

NPTE (53 decks)

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