Week 8.1 Acute Care terminology, team members and communication Flashcards
definition of acute care
all platforms used to treat sudden, unexpected, urgent and emergent episodes of injury or illness that can lead to death or disability if not intervened.
what are some types of acute care
emergency are, urgent, short term stabilization, critical care, prehospital care, trauma dan acute care surgery.
what are of the units in acute care?
- general medical
- specialty inpatient services (neuro or CP)
- surgical (like general surgery or individual units by type of surgery like ortho, CP, general)
- combined MED/SURG
- ob/gyn
- post-anesthesia care unit (PACU)
- pre-op
- ED: usually the point of entry in the system
how can PTs help in the ED
treat cases like vertigo or sprained ankles, reduces the strain on other medical professionals
what ratio of patients to nurses does a general care unit have
1 nurse to 4/5 patients
which level of care has the lowest nurse to patient ratios
ICU (and trauma, CCU, NCU, PICU, NICU). because they need the most monitoring and the most care
what is a step down unit
bridge between the ICU and the general medical care
TF: patients never move between units during their hospital stay
false, they can
what is a hospitalist
a physician who is the lead, and has no outside practice .
what are some examples of specialty physicians
neuro, ortho, cardio, pulm, nephro, someone you may need to have a consultation with
what is a primary nurse
the nurse in charge of care
what is a charge nurse
the nurse who looks over the nurses and their patients
what is a nurse manager/director
in the ICU, might look over many people
what is a house supervisor
manage the safety and care, and the number of beds in the hospital that are open
who is part of rehab team?
PT, OT, ST
who are case mangers and what do they do
usually and RN, but includes social workers, speaks with insurance, family members, and helps with DC plans
difference between multi-disciplinary and interdisciplinary.
Benefits?
multi is when you have many doctors with different degrees, and inter is when you have RT, with PT and OT.
Benefits are having many perspectives and well-rounded views of the patient
why is having multi and inter disciplinary teams important
patient safety, and reduce the medical errors made
poor communication leads to…
increased length of stay, excessive resources used, poor patient and family satisfaction, employee turnover.
when does DC planning begin
day 1
what is of the utmost importance
HIPAA
what is written communication
medical records, EMR
what are some types of verbal communication
multi-disciplinary rounds, professional to professional and team huddles.
definition of SBAR
change of shift, a briefing guide for staff and providers to follow to communicate changes in patient status, or update on non-emergent events, labs
what are the components of SBAR
S: situation: what is happening with the patient.
B: background: whats the clinical background or context.
A: assessment: what do I think the problem is
R: recommendations: what do I think needs to be done for this patient.
TF: SBAR is part of the medical record
false
what are multi-disciplinary rounds
consists of the entire team, meets daily, patient centered, focusing on communication, sharing information, making decisions, safety, plans, costs of patient, daily goals, communication with patient and caregivers.
