patient sonographer interaction reverse Flashcards by William Kerns

reverse

physically

mentally

Sonographer obligations

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adequate rest

good nutrition

physical exercise

physical obligations

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recognize stress

recognize anxiety

leave personal/family problems at home

leave work problems at work

mental obligations

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view problems as challenges

accept criticism as learning opportunity

sense of pride in work

Good self image

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2004 AHA created plain language brochure

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

Patients rights

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high quality hospital care

clean and safe environment

involvment in their care

protection of privacy

help when leaving hospital

help with billing claims

Patients rights explained

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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

HIPPA

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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

HIPPA contents

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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

Sonographers Obligations to HIPPA

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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

Sonographers duty to Patient environment

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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

Sonographer duty to emotional surroundings

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watch for changes in patient

anger

anxiety

frustration

helplessness

grief

guilt

depression

depedency

suspicion

Observe patients response to illness

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could be verbal or physical toward others

Anger

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feelin gof apprehension

unwilling to adjust to new situation, cry, fear of being left alone, hostile or withdrawn

Anxiety

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rapid pulse

increase BP

increase respiration

headaches

nervousness

prespiration

rapid speech

anziety physical changes

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longer to dianose and treat increase in frustration

men more vulnerable

Frustration and helplessness

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process of adjusting to loss

loss of health, pregnacy

Grief

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shock

denial

anger

bargaining

guilt

depression

Grief feelings

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why at fault personally

feel situation brought on by own actions

Guilt

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withdrawal

blame

fault-finding

physical complaints

Guilt feelings

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feelings of helplessness and sadness

loss of energy

Depression

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insomnia

morning fatigue

loss of appetite

other physical complaints

Depressoin complaints

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become highly demanding

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

Dependency

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feelings of mistrust

fearful that everyone is against them

Suspicion

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

Sonographers response to negative reaction

# reverse Pulse Temp respiration BP

Vital signs

# reverse indicates heart rate take at radial artery

Pulse

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

Average heart rates

# reverse \>60 BPM

Tachycardia

# reverse arrythmia premature beats palpitations

variation in rhythm

# reverse coffee tea tobacco vertain drugs

causes arrhytmia

# reverse shock hemorrhage

weak thready pulse cause

# reverse fever

bounding pulse cause

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

Respiration

# reverse difficulty in breathing

Dyspnea

# reverse counted with patient unaware 30 seconds multiply by 2

Respiratoin checks

# reverse pressure of circulating blood on arterial walls

Blood Pressure

# reverse heart contracting highest pressure

Systolic pressure

# reverse when heart is resting lowest pressure

Diastolic pressure

# reverse 120/80

normal BP

# reverse \>140/\>90

hypertenstion

# reverse 80/50

hypotension

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

changes in BP

# reverse 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

Blood volume/flow

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

pulse oximeters

# reverse 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

SCanning patients with Tubes catheters and oxygen

# reverse 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

NG tubes

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

Nasal Cannulas/masks

# reverse protection for self and patient

Body Mechanics

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

Standard precautions

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

Nosocomial infections

# reverse poor hand washing

E-coli cause

# reverse workers must have annual shot

TB deterant