Test 1 Flashcards
Work ethic
set of values based on moral virtues of hard work and diligence, involving a range of activities, from individual acts to the philosophy of the entire facility
Work ethic vs Ethnical standards
work ethics –> moral virtues based on your standards
characteristics of professionalism
loyalty
courtesy
initiative
flexibility
credibility
confidentiality
What does loyalty mean in professionalism
stay loyal to placing effort into the reason why the company has hired you
building blocks of attitude
cognitive
affective
behavioral
perception of professionalism
teamwork
time management
hygiene
interpersonal skills
emotional intelligence components
self awareness
self regulation
self motivation
empathy
relationship management
self awareness
be aware of your emotions as they arise
self regulation
manage your impulses, soothe yourself and respond appropriately
self motivation
delay gratification, stay motivated and persistent in face of setbacks
empathy
understand others feelings, needs, wants and concerns
relationship management
manage others’ emotions, organize groups and negotiate solutions
empathy vs sympathy
empathy = building connection, feeling with them
Sympathy = building disconnection, feeling bad for them
Connotative meaning
emotional and imaginative association about a word (+ or -)
-open to interpretation
- can be influenced by culture
denotative meaning
strict dictionary meaning to a word
- cannot assume patient knows it
assertive
confidently and comfortably express thoughts and feelings while respecting the rights of the patient (4.1)
aggressive
overpowering and forceful manner to meet their needs at the expense of others
electronic health record
can exchange information in facility and others
electronic medical record
exchanges information at single facility
diversity
it is an incorporate emotional states, beliefs, and individual characteristics not ethnic or minority group in a social system
Cultural competence
the ability to provide quality care, which includes social, cultural, and communication needs, to diverse patient populations
elements of cultural competence
knowledge
empathy and compassion
cultural humility
culture
a set of learned values, beliefs/religion, customs, and practices shared by a group and passed from one generation to another.
subculture
sharing many cultural characteristics but has behaviors and ideas that make them different
Communication
when the patient does not understand they may say yes or nod giving the impression of consent
stereotypes
ending point
no attempt to learn if the individual fits the statement
often incorrect
can have negative results
generalizations
beginning point
determine if appropriate to the individual
applied broadly, may indicate common behaviors and shared beliefs
Cultural humility
a humble and respectful attitude toward individuals of other cultures that pushes on to challenge their own cultural biases, realize they cannot possibly know everything about other cultural, and approach learning about other cultures as a lifelong goal and process
aspects of cultural humility
insight into oneself
openness to others
willingness to see their perspective
transcendence
transcendence
going beyond the existing level of an individual’s knowledge of the world as more complex and dynamic than originally thought
health literacy
the degree to which individuals have the capacity to obtain, process, and understand basic health information
radiology concerns
MRI screening forms
consent forms
discharge instructions
communication pitfalls
transferring personal expectations to patients
making generalizations based on personal views
assuming patients can understand what is being said
treating each person the same
Electrocardiography
electro heart photo
what does an electrocardiography do?
amplifies the electrical impulses of the heart to be recorded
what is a sinoatrial node?
the hearts pacemaker by stimulating atrial systole
what is a atrioventricular node?
transmits the bundle of HIS (heart) to stimulates ventricular systole
how does the AV node pulses travel
bifurcates into right and left and centers Purkinje fibers
polarization
resting phase, no electricity activity
Depolarization
electrical stimulation of myocardial cells
stimulates contractions (systole)
repolarization
just after depolarization where polarization occurs
P wave
atrial depolarization
what does the P wave mean
SA nodes are contracting
PR segment
return to baseline after atrial contraction
QRS complex
ventricular contraction
completion of cardiac depolarization
ST segment
time between ventricular contraction and recovery
T wave
ventricular depolarization
PR interval
atrial contraction to ventricular contraction
SA to AV node
if heart rate increases PR interval ________
decreases
QT interval
time between QRS complex through T wave
what occurs during QT interval
ventricular depolarization and repolarization
how many electrodes and lead ECG
10 electrodes
12 lead
what does a lead mean
view of the heart
precordial lead placement
V1-V6
chest
arrhythmias
abnormal cardiac rhythms
sinus in arrhythmias
electrical charge is normal but change in rate or rhythm
atrial in arrhythmias
problems with electrical discharge of the atria (P wave)
ventricular in arrhythmias
problems with discharge of ventricles (QRS complex and T wave)
types of work hazards in healthcare workers
sharps injuries
harmful exposures to chemicals and hazardous drugs
back injuries
latex allergy
violence
stress
what does CDC stand for
centers for disease control and prevention
what is the CDC? what do they do?
federal organization that investigates, identifies, prevents and control diseases
vaccination recommendations
what does NIOSH stand for
national institute for occupational safety and health
what does NIOSH do?
focuses on safety and issues related to health
what does OSHA stand for?
Occupational safety and health administration
what does OSHA do?
federal organization that provides guidelines to held reduce safety hazards in the workplace
types of blood-borne diseases transmitted through needles
Hep B and C
HIV/AIDS
Herpes
when was fire safety introduced?
May 15, 1929
what caused fire safety to be reexamined?
the cleveland clinic fire
steam + xray film = fire + poisonous gas
what is the facility’s fire plan?
know the telephone number or procedure for reporting a fire
know the location of the nearest alarms and firefighting equipment
know your role in the evacuation plan
what is accidental poisoning
any substance that is harmful to your body when ingested, injected, or absorbed through the skin
what is considered a poison
cleaning solutions
disinfectants
examples of disaster planning
earthquakes
hurricane
flood
tornados
bombings
arson
riots
shootings
hostage-taking
code silver
active shooter
code brown
severe weather
code pink/purple
missing child
code black
bomb threat
code blue
cardiac arrest or medical emergency
code red
fire
code green
emergency operations plan activation
code white
hospital evacuation
code orange
assistance needed or hazardous spill
bioterrorism
the use of biologic agents to create fear and threat
terrorism
violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda
terrorism by nuclear exposure
an attack on a domestic nuclear weapon facility
use of a dirty bomb (radiation dispersal device)
what is considered a dirty bomb
radioactive dispersal device –> radioactive source + conventional explosives
decontamination
removal of contaminated clothing and immersion in shower
how to tell how much patient needs help with transportation
identify patient
collect patient’s chart and pertinent information
request information on patient’s ambulatory chart
methods of moving patients
sheet transfer
log roll
sliding board transfer
wheelchair transfer
is IV contrast considered a medication?
yes
6 rights of medication administration
right:
medication
dose
time
route
patient
documentation
qd
every day
bid
two times a day
tid
three times a day
qid
four times a day
ac
before meals
pc
after meals
qhs
every bedtime (night)
prn
as needed
enteral
medication inserted and absorbed within the GI track
PO
by mouth
enema
by rectum
suppository
by rectum, vagina or urethra
tubal
by NG, gastrostomy or jejunostomy
percutaneous
absorbed through the skin or mucous membranes
topical
applied to skin
instillation
applied to mucous membranes
ex. mouth, ear, eyes, noses and vagina
inhalation
aerosolized liquids and gases
sublingual
under the tongue
buccal
in the cheek
parenteral
routes other than GI
intradermal (ID)
within the dermis
intramuscular
within the muscle
intravenous
within the vein
subcutaneous
under dermis in fatty tissue
oxygen therapy regulations (2)
must be ordered by physician
oxygen is a drug
nasal canula
2 prongs in nostril, loops over ears, and tighten under chin
types of oxygen delivery methods
nasal canula
face mask
spirometry
lung expansion exercise
typically post surgery
transtracheal catheter
catheter placed in trachea
tracheostomy tube
surgical placement of tube
air/fluid exits tracheostomy
patient may not be able to talk
endotracheal tube
mouth to trachea
patient faints during needling
remove needle
lay patient down
call for help
loosen tight clothing
apply cold compress/washcloth to forehead
stay with patient
document
extravasation
blown vein
what to do during extravasation
stop injection
remove needle
try to get venous access in another spot
document
patient feeling for extravasation
burning feeling
Who’s responsibility to prevent infection
YOURS
medical asepsis
inhibits growth and transmission of microorganisms
how do we maintain medical asepsis
cleaning
surgical asepsis
destroys microorganisms
how do we maintain surgical asepsis
sterilizing
chain of infection
transmission
entry
susceptible host
infectious agent
reservoir
exit
how to stop chain of infection
if any of the portion of the chain is taken out
vehicle
means by which microorganism are carried
vector
person or animal that harbors and spreads organisms
fomite
inanimate vehicle (chest bucky, xray table)
contamination
condition of being exposed to harmful agent
healthcare associated infection
nosocomial infection
airborne precautions
standard + N95
patient transport with mask
droplet precautions
standard + patient transport with mask
contact precautions
standard + isolation gown
standard precautions
washing hands
limit body substance entry
autoclave
Sterilization equipment
pressurized steam 250-255 for 20-40 minutes
