Quiz 1 Flashcards
diagnosis-related groups (DRGs)
system that determines how long you stay depending on your illness
needs and DRGs determine facility
acute illness
comes quickly then lasts a short time
subacute
too sick to go home but not sick enough to go to the hospital
long care facilities requirements
not hospital sick, must be able to recover from the thing you were admitted for
long-term care
persons who cannot care for themselves and are permanently disabled
hospice
end of life care, 0-6 month prognosis, palliative care
palliative care
symptom control, not focused on cure
interdisciplinary team
team with people of all specialties
C.P.
care plan
baseline vs
normal range of vital signs for each person
pulse deficit
difference between apical and radial pulse
normal respiration
12-20
normal bpm
60-100
spO2
pulse ox
systolic
top number, below 120, active heart rate
diastolic
bottom number, under 80, resting heart rate
HTN
hypertension
void
pee, empty ya bladder
axillary normal temp
96.6
oral normal temp
97.6
rectum normal temp
98.6
nosocomial infection
infection acquired while in a healthcare facility
clean
has microorganism but no pathogens
can something be contaminated but not dirty?
hek ya
contaminated
microorganisms
dirty
pathogens
terminal cleaning
thorough cleaning after a patient is discharged
important bed cleaning stuff
no wrinkles, don’t shake linens, if it touches the floor get rid of it, if its dirty wear gloves
4 elements of communication
sender, receiver, message and feedback
objective data
what you observe (what you use when reporting)
subjective dataa
what the subject tells you
how many people for a mechanical lift?
2
what do patients need when they move?
grippy socks or shoes
first things you do when doing bed stuff
wash hands, bed locks, in lowest position
what do you do before leaving?
bed locks, lowest position, call light
highest temp for hot water?
110
number 1 injury in health care?
back
important restraint things?
MD order, only in hospitals, safety checks every 30 min, remove every 2 hours
what should you use instead of restraints?
bed/WC alarms, wandergaurds
RACE
rescue, activate, contain, extinguish
who do you save first in a fire?
ambulatory patients
WC
wheelchair
dangling
patient is sitting at the edge of their bed
what side do you put the walker/cane on?
strong side
scope of practice
what you can legally do
OBRA
omnibus budget reconciliation act
what does OBRA do
sets regulations for CNA and spells out residents rights
ombudsman
liaison between family and staff (deals with complaints)
PHI
protected health information (like HIPPA)
AMA
against medial advice
abuse
anything that results in harm of a client
negligence
unintentional wrong that causes harm
patients chart
legal document and patients have the right to see it
power of attorney
someone who can make decisions for a client when they can make safe decisions themselves
another name for a bed sore
decubitus ulcer
stages of skin break down
1: skin is red
2: blister
3: crater/open
4: eroded underlying itssue
ways to prevent ulcers
reposition every 2 hours keep linen dry and wrinkle free keep skin clean and dry dont rub skin, pat check incontinent
Maslows Hierarchy of Needs
must meet physiological needs before moving on
highest on the hierarchy of needs
self actualization
lowest on the hierarchy of needs
physiological
growth
physically getting bigger
development
physically and psychologically maturing
how long should you wait after a patient eats/drinks to take temp?
10-15 min
aphasia
unable to communicate
dysphasia
difficulty communicating
most accurate temp reading?
rectal
least accurate temp reading?
axillary
