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DMSO > Patient Sonographer interaction > Flashcards

Patient Sonographer interaction Flashcards

1
Q

Sonographer obligations

A

physically

mentally

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2
Q

physical obligations

A

adequate rest

good nutrition

physical exercise

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3
Q

mental obligations

A

recognize stress

recognize anxiety

leave personal/family problems at home

leave work problems at work

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4
Q

Good self image

A

view problems as challenges

accept criticism as learning opportunity

sense of pride in work

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5
Q

Patients rights

A

2004 AHA created plain language brochure

informs patients what to expect during hospital stay in regards to rights and responsibilites

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6
Q

Patients rights explained

A

high quality hospital care

clean and safe environment

involvment in their care

protection of privacy

help when leaving hospital

help with billing claims

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7
Q

HIPPA

A

Health Insurance Portability and Accountability Act

April 14, 2003

first comprehensive federal protection for privacy of health information

HIPPA security rule full compliance by April 21, 2005

up to $250,000 fines and 10 yrs jail time

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8
Q

HIPPA contents

A

patient more control over helath information

set boundries for use and release of records

established appropriate safesuards that health care providers must achieve to protect privacy

holds violators accountable civil and criminal

balance when public responsibility requires disclosure

enables patients to find out how thier information may be used and what was disclosed

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9
Q

Sonographers Obligations to HIPPA

A

put patient information away after hours

take files ouf of sight

set screen savers for shortest time

remove patient ID from any scan that will be used for presentation

keep charts filed with names facing wall to ensure privacy

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10
Q

Sonographers duty to Patient environment

A

keep exam room and equipment clean and organized

provide warm blanket, sponges and pillows

proper ventalation

safe furnishings

private area

anything else I can do?

Scripting

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11
Q

Sonographer duty to emotional surroundings

A

treat patient as individual

respect privacy at all times

introduce self and explain procedure

allow patients to freely express thoughts, opinions and beliefs

be good listener

do not impose personal beliefs on patient

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12
Q

Observe patients response to illness

A

watch for changes in patient

anger

anxiety

frustration

helplessness

grief

guilt

depression

depedency

suspicion

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13
Q

Anger

A

could be verbal or physical toward others

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14
Q

Anxiety

A

feelin gof apprehension

unwilling to adjust to new situation, cry, fear of being left alone, hostile or withdrawn

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15
Q

anziety physical changes

A

rapid pulse

increase BP

increase respiration

headaches

nervousness

prespiration

rapid speech

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16
Q

Frustration and helplessness

A

longer to dianose and treat increase in frustration

men more vulnerable

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17
Q

Grief

A

process of adjusting to loss

loss of health, pregnacy

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18
Q

Grief feelings

A

shock

denial

anger

bargaining

guilt

depression

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19
Q

Guilt

A

why at fault personally

feel situation brought on by own actions

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20
Q

Guilt feelings

A

withdrawal

blame

fault-finding

physical complaints

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21
Q

Depression

A

feelings of helplessness and sadness

loss of energy

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22
Q

Depressoin complaints

A

insomnia

morning fatigue

loss of appetite

other physical complaints

23
Q

Dependency

A

become highly demanding

try to do things they are not capable of due to illness

24
Q

Suspicion

A

feelings of mistrust

fearful that everyone is against them

25
Q

Sonographers response to negative reaction

A

do not get upset

be patient and understanding and secure enough to let patients know that they care

26
Q

Vital signs

A

Pulse

Temp

respiration

BP

27
Q

Pulse

A

indicates heart rate

take at radial artery

28
Q

Average heart rates

A

adults 60-100

children 100-120

Newborn 140

fetus 120-160

Women, children and elderly normally higher rates

atheletes have slower < 60

29
Q

Bradycardia

A
30
Q

Tachycardia

A

>60 BPM

31
Q

variation in rhythm

A

arrythmia

premature beats

palpitations

32
Q

arrhytmia causes

A

coffee

tea tobacco

vertain drugs

33
Q

weak thready pulse cause

A

shock

hemorrhage

34
Q

bounding pulse cause

A

fever

35
Q

Respiration

A

exchange of oxygen and carbon dioxide in lungs

normal breathing quiet, effortless regular

16-20 per minute

36
Q

Dyspnea

A

difficulty in breathing

37
Q

Respiratoin checks

A

counted with patient unaware

30 seconds multiply by 2

38
Q

Blood Pressure

A

pressure of circulating blood on arterial walls

39
Q

Systolic pressure

A

heart contracting

highest pressure

40
Q

Diastolic pressure

A

when heart is resting

lowest pressure

41
Q

normal BP

A

120/80

42
Q

hypertenstion

A

>140/>90

43
Q

hypotension

A

80/50

44
Q

changes in BP

A

strong emotions, pain exercise and some disease can cause increase in BP

resting, depressoin and hemorrhage/shock can cause lower BP

45
Q

Blood volume/flow

A

hemorrhage can cause loss and lower BP

fatty deposits in arteries causes resistance to flow and higher BP

low bvolume in legs caused by blockage reduces ankle pressure

46
Q

pulse oximeters

A

measures oxygen concentration in arterial blood

normal 95-100

used to prevent hypoxia

evaluate effectiveness of respiratory therapy

47
Q

SCanning patients with Tubes

catheters and oxygen

A

keep tubes clear and without stress on them

ensure free when moving patient

DO NOT change rate of flow

IV bag higher than needle insertion

48
Q

NG tubes

A

nasal gastric tubes

used for feeding, to obtain specimens or treat intestinal obstructions, to prevent distention after surgery or drain fluids

do not pull on tube when moving patient

patients are NPO

49
Q

Nasal Cannulas/masks

A

connect to wall oxygen if available

set to same flow

no kinks in tubing

follow dept safety

50
Q

Body Mechanics

A

protection for self and patient

51
Q

Standard precautions

A

wash hands

wear gloves

gowns, masks if required

clean all equipment

dicard sharp objects in proper containers

52
Q

Nosocomial infections

A

acquired by stays in hospital

e-coli

TB

Methicillin-resistant Staphylococcus Aureus (MRSA)

Vancomycin-resistant Enterococcus (VRE) antimicrobial resistant pathogen

53
Q

E-coli cause

A

poor hand washing

54
Q

TB deterant

A

workers must have annual shot

DMSO (22 decks)

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