Patient Sonographer interaction Flashcards by William Kerns

Sonographer obligations

physically

mentally

How well did you know this?

Not at all

Perfectly

physical obligations

adequate rest

good nutrition

physical exercise

How well did you know this?

Not at all

Perfectly

mental obligations

recognize stress

recognize anxiety

leave personal/family problems at home

leave work problems at work

How well did you know this?

Not at all

Perfectly

Good self image

view problems as challenges

accept criticism as learning opportunity

sense of pride in work

How well did you know this?

Not at all

Perfectly

Patients rights

2004 AHA created plain language brochure

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

How well did you know this?

Not at all

Perfectly

Patients rights explained

high quality hospital care

clean and safe environment

involvment in their care

protection of privacy

help when leaving hospital

help with billing claims

How well did you know this?

Not at all

Perfectly

HIPPA

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

How well did you know this?

Not at all

Perfectly

HIPPA contents

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

How well did you know this?

Not at all

Perfectly

Sonographers Obligations to HIPPA

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

How well did you know this?

Not at all

Perfectly

Sonographers duty to Patient environment

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

How well did you know this?

Not at all

Perfectly

Sonographer duty to emotional surroundings

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

How well did you know this?

Not at all

Perfectly

Observe patients response to illness

watch for changes in patient

anger

anxiety

frustration

helplessness

grief

guilt

depression

depedency

suspicion

How well did you know this?

Not at all

Perfectly

Anger

could be verbal or physical toward others

How well did you know this?

Not at all

Perfectly

Anxiety

feelin gof apprehension

unwilling to adjust to new situation, cry, fear of being left alone, hostile or withdrawn

How well did you know this?

Not at all

Perfectly

anziety physical changes

rapid pulse

increase BP

increase respiration

headaches

nervousness

prespiration

rapid speech

How well did you know this?

Not at all

Perfectly

Frustration and helplessness

longer to dianose and treat increase in frustration

men more vulnerable

How well did you know this?

Not at all

Perfectly

Grief

process of adjusting to loss

loss of health, pregnacy

How well did you know this?

Not at all

Perfectly

Grief feelings

shock

denial

anger

bargaining

guilt

depression

How well did you know this?

Not at all

Perfectly

Guilt

why at fault personally

feel situation brought on by own actions

How well did you know this?

Not at all

Perfectly

Guilt feelings

withdrawal

blame

fault-finding

physical complaints

How well did you know this?

Not at all

Perfectly

Depression

feelings of helplessness and sadness

loss of energy

How well did you know this?

Not at all

Perfectly

Depressoin complaints

insomnia

morning fatigue

loss of appetite

other physical complaints

Dependency

become highly demanding

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

Suspicion

feelings of mistrust

fearful that everyone is against them

Sonographers response to negative reaction

do not get upset be patient and understanding and secure enough to let patients know that they care

Vital signs

Pulse Temp respiration BP

Pulse

indicates heart rate take at radial artery

Average heart rates

adults 60-100 children 100-120 Newborn 140 fetus 120-160 Women, children and elderly normally higher rates atheletes have slower \< 60

Bradycardia

Tachycardia

\>60 BPM

variation in rhythm

arrythmia premature beats palpitations

arrhytmia causes

coffee tea tobacco vertain drugs

weak thready pulse cause

shock hemorrhage

bounding pulse cause

fever

Respiration

exchange of oxygen and carbon dioxide in lungs normal breathing quiet, effortless regular 16-20 per minute

Dyspnea

difficulty in breathing

Respiratoin checks

counted with patient unaware 30 seconds multiply by 2

Blood Pressure

pressure of circulating blood on arterial walls

Systolic pressure

heart contracting highest pressure

Diastolic pressure

when heart is resting lowest pressure

normal BP

120/80

hypertenstion

\>140/\>90

hypotension

80/50

changes in BP

strong emotions, pain exercise and some disease can cause increase in BP resting, depressoin and hemorrhage/shock can cause lower BP

Blood volume/flow

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

pulse oximeters

measures oxygen concentration in arterial blood normal 95-100 used to prevent hypoxia evaluate effectiveness of respiratory therapy

SCanning patients with Tubes catheters and oxygen

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

NG tubes

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

Nasal Cannulas/masks

connect to wall oxygen if available set to same flow no kinks in tubing follow dept safety

Body Mechanics

protection for self and patient

Standard precautions

wash hands wear gloves gowns, masks if required clean all equipment dicard sharp objects in proper containers

Nosocomial infections

acquired by stays in hospital e-coli TB Methicillin-resistant Staphylococcus Aureus (MRSA) Vancomycin-resistant Enterococcus (VRE) antimicrobial resistant pathogen

E-coli cause

poor hand washing

TB deterant

workers must have annual shot