Test #1 Flashcards
Well being groups (5)
Social physical Psychological Economical Environment
Chain of Infection Transmission
- Infectious Agent
- Reservoir
- Portal of Exit
- Mode of Transmission
- Portal of Entry
- Susceptible Host
Donning Steps
Putting on
1) perform hand hygiene
2) put on gown
3) put on mask
4) put on eye protection
5) put on gloves
Doffing Steps
Taking Off
1) remove gloves
2) remove gown
3) perform hand hygiene
4) remove eye protection
5) remove mask
6) perform hand hygiene
Hep B
Viral
Usually spread by exposure to infected blood
Has a vaccine
Hep C
spread by exposure to infected blood
No vaccine
HIV
Compromises immune system
No vaccine
Airborne Transmissible Diseases (3 ex.)
Tuberculosis
Chicken Pox
Rubeola
Droplet Transmission
Pertussis - Whooping Cough Mumps Rubella Meningitis Influenza
What are common OSI
PTSD
Anxiety Disorders
Depression
Substance Abuse
3 stages of lifting
Plan
Communicate
Execute
What consideration are needed in the planning stage of lifting
The patient size
What position is the patient in
What equipment
What route
What components are in scene safety
Safety
Is it medical or trauma
Clues to what happened
What does EMCAP mean and when is it used
In scene survey Environment Mechanism of injury Causalities Allied Heath PPE
General impression
How does the person look Hands off assignment Are they tracking me Awake not awake etc. Are they sick
Initial assessment
Enter Greet patient Maintain steady eye contact Introduce yourself Position yourself Obtain consent Event history Level of consciousness ABC
3 types of consent
Verbal
Implied
Informed
Level of consciousness mnomic
AVPU Alert verbal Pain Unresponsive
ABC
Airway
Breathing
Circulation
Vital Signs (7)
Heart Rate (pulse) Respitory rate Pupil response Skin condition Blood pressure Glasgow coma scale (GCS) Temperature
When measuring heart and respiratory rate what are the 3 things you are looking for
Rate
Rhythm
Volume
What are the 3 criteria for the Glasgow coma scale and what is the min/ max score
Eye opening
Verbal response
Motor response
3-15
Eye opening response (GCS)
Open spontaneously (4)
Open to verbal command (3)
Open to pain (2)
No response (1)
Verbal Response GCS
Talking/oriented is (5) Confused speech/disoriented (4) Inappropriate words (3) Incomprehensible sounds (2) Not responsive (1)
Motor GCS
Obeys command (6) Localization to pain (5) Flexion/withdrawal (4) Abnormal flexion (3) Extension (2) No response (1)
PALLOR
Is preset when red blood cell perfusion to the capillary beds of the skin is poor
Can loook at lips or eye conjunction
Cyanosis
Indicates a relative lack of oxygen perfusion although the number of red blood cells may be adequate to carry any available oxygen
Echymosis
Is localized bruising or blood collection with or under the skin
What do you check when assessing pupils ( 3 things)
Size
Shape
Symmetry
Where is the Distal pulse
Ankles
OPIM
Other potential infectious material
LOC
Level of consciousness
TIC
Tenderness
Instability
Crepitation
Medical Assessment Order (11 steps )
Scene survey General impression Initial assessment Identify Cheri complaint Incident history Focused assessment ( includes hx and PE) Past medical history, meds and allergies Vital signs Secondary survey Ongoing assessment
Chief complaint
What seems to be the problem
Why they called us
Hx
History
PE
Physical exam
OPQRST meaning and what it is for
Pain Assessment Onset (what were you doing when it started) Provoke ( anything make it better/worse) Quality (what does it feel like) Region/ Radiates Severity (1-10) Time (when did they start)
SAMPLE
Signs/symptoms Allergies Medications Past medical history Last oral intake ( last hospitalization) Events prior
Hypertension
High BP
Hypotension
Low BP
What to assess in secondary survey (6)
Head Neck Chest Back Abdomen Extremities
JVD
Jugular Vein Distension
Paradoxical
Chest moving opposite of each other when they breath
Creative
Bone on bone grinding
3 types of abdominal pain
Visceral
Inflammation
Referred pain
DACP-BLS
Deformity , contusion, abrasion, puncture, penetration
Bruising tenderness, laceration, swelling
Parapelegia
Lower thoracic
Some internal organs and legs
Quadriplegia
Higher thoracic and cervical
Cervical nerves
Diagprham Deltoids Biceps Wrist Rotate arm Triceps Bend fingers
Thoracic nerves
Spread fingers
Chest muscles
Abdominal muscles
Muscles in the back
Lumbar nerve
Hip muscles
Thigh muscles
Knee muscles
Foot
Sacral nerves
Bladder and bowel
Hyperflxiom
Forward
Hyper extension
Backwards
Comprehension fracture
Simple crack
Osteoporosis most common cause
Burst fracture
Burst or broken
Severe
Vertebrae is crushed in all direction
Distraction
Sepererization to pulling apart