Week 8.1 Acute Care terminology, team members and communication

Question 1

definition of acute care

Answer 1

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.

Question 2

what are some types of acute care

Answer 2

emergency are, urgent, short term stabilization, critical care, prehospital care, trauma dan acute care surgery.

Question 3

what are of the units in acute care?

Answer 3

• 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

Question 4

how can PTs help in the ED

Answer 4

treat cases like vertigo or sprained ankles, reduces the strain on other medical professionals

Question 5

what ratio of patients to nurses does a general care unit have

Answer 5

1 nurse to 4/5 patients

Question 6

which level of care has the lowest nurse to patient ratios

Answer 6

ICU (and trauma, CCU, NCU, PICU, NICU). because they need the most monitoring and the most care

Question 7

what is a step down unit

Answer 7

bridge between the ICU and the general medical care

Question 8

TF: patients never move between units during their hospital stay

Answer 8

false, they can

Question 9

what is a hospitalist

Answer 9

a physician who is the lead, and has no outside practice .

Question 10

what are some examples of specialty physicians

Answer 10

neuro, ortho, cardio, pulm, nephro, someone you may need to have a consultation with

Question 11

what is a primary nurse

Answer 11

the nurse in charge of care

Question 12

what is a charge nurse

Answer 12

the nurse who looks over the nurses and their patients

Question 13

what is a nurse manager/director

Answer 13

in the ICU, might look over many people

Question 14

what is a house supervisor

Answer 14

manage the safety and care, and the number of beds in the hospital that are open

Question 15

who is part of rehab team?

Answer 15

PT, OT, ST

Question 16

who are case mangers and what do they do

Answer 16

usually and RN, but includes social workers, speaks with insurance, family members, and helps with DC plans

Question 17

difference between multi-disciplinary and interdisciplinary.

Benefits?

Answer 17

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

Question 18

why is having multi and inter disciplinary teams important

Answer 18

patient safety, and reduce the medical errors made

Question 19

poor communication leads to…

Answer 19

increased length of stay, excessive resources used, poor patient and family satisfaction, employee turnover.

Question 20

when does DC planning begin

Answer 20

day 1

Question 21

what is of the utmost importance

Answer 21

HIPAA

Question 22

what is written communication

Answer 22

medical records, EMR

Question 23

what are some types of verbal communication

Answer 23

multi-disciplinary rounds, professional to professional and team huddles.

Question 24

definition of SBAR

Answer 24

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

Question 25

what are the components of SBAR

Answer 25

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.

Question 26

TF: SBAR is part of the medical record

Answer 26

false

Question 27

what are multi-disciplinary rounds

Answer 27

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.