1) Movement & ambulation, electrical hazards, fire hazards, and general safety precautions.
2) Ambulation begins as soon as the patient is stable and free from severe pain. Monitor the patient’s level of consciousness, color, breathing, strength/weakness, and complaints(pain, SOB).
3) Current- Flow of electricity from a point of higher voltage to lower voltage.
Amps-Report of current. 120 Volts/1000 Ohms = .12A or 120mA <– Current
Microshock- Clinical situation where the normally high resistance of the skin is bypassed.
4) Macroshock- Exists when a high current is applied externally to the skin.
6) Fires in oxygen-enriched atmospheres are larger, more intense, faster burning, and more difficult to extinguish. Oxygen is non flammable but supports combustion.
7) Increase risk of fire, explosive release of high pressure cylinders, and toxic effect of some gases.
8) National Fire Protection Association (NFPA). It regulated storage of medical gases.
9) “Teach Back”-RT sends information to the patient and has the patient repeat what he/she said in their own words.
10) Use of keywords, eye contact, and proper use of touch.
11) Channel- Method used to transmit messages.
12) Improve Listening Skills: Work at listening, stop talking, resist distractions, keep your mind open, hear the speaker out before making an evaluation, and maintain exposure.
Enhance communication: Focus on improving sending, receiving, and feedback skills.
13) Requesting Clarification.
14) Compromising and Collaborating.
15) Flow Sheets- Recors measurement made over time during specialized procedures(mechanical ventilation, kidney dialysis).
16) Admission Sheet- Records patient info(name, address, religion), admitting physician, and admission diagnosis.
Progress Sheet- Keeps a continuing account of the patients progress for the physician.
Consultation Sheet- Records notes by physicans who are called in to examine a patient to make a diagnosis.
Vital Signs Sheet- Records the patient’s temp, pulse, respirations, and blood pressure over time.
Lab Sheet- Summarizes the results of the lab tests.
17) – Entries should be printed/handwritten
– Use standard abbreviations only
– Do not use ditto marks
– Use present tense
– Do not erase
– Record each patient interaction and sign entry
– Be accurate
– Document patient’s complaints
– Use proper spelling
– Document all important convos
– Don’t leave blank lines
18) About 25%.
20) ETT impend local host defenses and provide biofilms that may facilitate adherence of pathogens.
21) When instruments have been inadequately cleaned between patients before disinfection or sterilization.
22) SARS- Severe Acute Respiratory Syndrome. –HICPAC reccomends wearing an effective filtration mask when within 6 FEET of a patient or entering a room with a patient on droplet isolation.
23) Hepatitis B.
24) Bordetella Pertussis(whooping cough), N. Meningitidis(meningococcal meningitis), Bacillus Anthracis(anthrax), influenza virus, HIV, and group A streptococci.
25) Soaps reduce surface tension and form an emulsion with organic matter. Equipment is soaked in hot water and soap. Soap work poorly in hard water.
29) Steam Sterilization.
30) Cleaning, disinfecting, rinsing, drying, and storage.
31) Cost, Quality, and Reuse.
33) 1- Use of standard definitions for HAIs.
2- Use of microbiology based data including resistance patterns for pathogens of significance.
3- Establishment of risk stratification for infection risk when available.
4- Monitoring of results and indentify trends that indicate unusual rates of infection or transmission within the facility.
5- Provision of feedback to stakeholders within the institution.
34) Hepatitis A, HIV, Enteric Bacteria, and Staph.
36) HEPA helps reduce ETT contamination.
37) KNOW ABBREVIATIONS IN EGANS… ATPDS-CD