Referral, Screening & Eval Flashcards
Out come of screening will determine
Client factors, areas of occupation, performance skills, performance patterns and/or contexts/environments
Evaluation is
The comprehensive process of obtaining. And interpreting the data necessary to understand the individual, system or situation.
Next is to select an assessment tool
While anyone can referrer themselves/others to OT, the final decision is up to
State licensure laws or 3rd party reimbursement
Important considerations when choosing an assessment tool during evaluation
Baseline function & needs/concerns as determined by the screening;
Environmental context: LOS, setting focus, legislation & resources; sociocultural roles, physical environment;
Temporal context: chronological/developmental age, disability duration/stage of illness;
Eval tool compatibility with FOR;
Ethical concerns
In school/edu settings the assessment info must be related to the multiple aspects of educational performance:
1.Academic 2.Mobility 3.Psychosocial 4.Behavioral 5.Self-care
Standardized Assessments are:
Always in same content, admin and scoring.
Admin protocol: instructions in what to do, ensuring consistency/identifies materials.
Scoring protocol: provides ratings and criteria for determining ratings/provides norms (age, gender & diagnostic groupings)
Characteristics of a standardized instrument:
Description of its purpose
Administration and scoring protocol
Established norms and validity
Hand hygiene with SP should occur when?
Before having direct patient contact.
After contact with blood, body fluids, or excretions, mucous membranes non-intact skin or wound dressings.
After contact with patient intact skin.
If hands move from a contaminated body site to a clean site.
After contact with inanimate objects in immediate vicinity of patient.
After removing gloves.
Standard precautions combine
Universal precautions and body substance isolation
Standard precautions include a group of infection prevention practices that apply to:
All patients regardless of suspected/confirmed infection status in any health care setting
SP are based on the principle that all ________ may contains transmissible infectious agents.
Blood, body fluids, excretions (except sweat) non-intact skin and mucous membranes
Personal Protective Equipment (PPE) - gloves
Wear gloves when it can be reasonably anticipated that contact with any potentially infectious materials may occur.
Wear gloves with fit and durability appropriate for the task.
Remove gloves after contact with a patient and/or surrounding environment.
Never wear same pair of gloves for different patients.
Discard gloves; do not wash -can use reusable utility gloves for cleaning medical materials.
Change gloves if moving from contaminated to non-contaminated body site.
PPE - Gowns
Wear a town for direct contact if the patient has uncontained secretions/excretions.
Remove gown and perform hand hygiene before leaving the patients room.
Do not reuse gowns, even for the same patient.
Routine donning of gowns when entering a high-risk unit is not indicated.
PPE - Mouth, Nose & Eyes
Use during procedures that are likely to generate splashes/sprays.
During aerosol-generating procedures in patients who are not suspected of being infected.
Airborne precautions - used for patients known/suspected to be infected with serious illness transmitted by airborne droplet nuclei (ex: mycobacterium TB, measles, chickenpox)
Transmission based precautions
Respiratory isolation room
Mask
Limit movement/transportation; mask patient when transporting.
