| Term | Definition |
|
3 potential risks in a health care facility |
patient movement, ambulation, electrical hazards, fire hazards |
|
primary causes of accidents in hospitals |
wet floors, overloaded shelves, patients left unattended, bed rails, frayed electrical cords, failure to follow proper procedure, equipment in hallway |
|
class A fires material |
wood, paper, cloth |
|
used to extinguish class A fires |
water,chemical wall extinguishers |
|
class B fires material |
oil, gas, other liquid |
|
used to extinguish class B fires |
CO2, dry powder extinguisher |
|
spreads flames in class C fires |
water |
|
class C fire type |
electrical |
|
used to extinguish class C fires |
Co2 or dry powder extinguisher |
|
supine |
position flat on back |
|
prone |
position flat on stomach |
|
fowlers |
position on back head up 45* angle |
|
high fowlers |
position on back head up 90* angle |
|
semi-fowlers |
position on back head up 20* angle |
|
Trendelenburg |
position on back feet elevated higher than head |
|
MSDS |
material safety data sheet |
|
98'000 deaths are a result of |
medical errors |
|
7'000-14'000 deaths are a result of |
medication errors |
|
ADE |
adverse drug event |
|
define ADE |
injuries caused by drugs |
|
Infusion pump |
automated route that administers medication through in fusion |
|
sentinel event |
mistakes that have caused harm already but can be used to to avoid similar mistakes in the future |
|
sources of medication errors |
preparation, dispensing and administration, system failure, supervision, |
|
studying medication errors |
improperly set up pump, unlicensed worker dispensing medication, misreading physician handwriting, misreading packaging |
|
prevention of medication errors |
information technology system, central database, built-in alerts, comprehensive workflow, pharmacist part of team, hospital-wide computer ordering system , bar coding, unit-doe system |
|
five "rights" |
drug, dose, patient, time, route of administration |
|
4 Procedures of physical assessment |
Palpation, Inspection, percussion, Ausculation |
|
7 points to check for during Inspection |
Head and neck, Thoracic configuration, AP Diameter,, Pectus Excavatum, Kyphosis, Scoliosis, Kyphoscoliosis |
|
What abnormalities are seen during inspection in the head and neck region |
Distended large jugular veins, ventricular failure, trachea midline shift. |
|
Abnormality observed during inspection of AP Diameter |
Barriel chest |
|
when a patient has Kyphoscoliosis, scholiosis, kyphosis, what happens to their breathing |
it becomes very restricted due to body position |
|
6 abnormal breathing patterns |
Apnea, Biot's, Cheyne-Stokes, Kussmaul's, Apneustic, Paradoxical |
|
During Palpation what 4 points to look for |
Vocal Fremitus, Tactile Fremitus, Thoracic Expansion, Crepitus |
|
What is Palpation of the chest |
Tapping on the surface to evaluate underlying structures, and intensity of pitch |
|
What is normal resonance |
low pitched and easily heard |
|
what does increased resonace mean |
louder |
|
how does decreased resonance sound |
dull |
|
Define Ausculation |
Identifying normal and abnormal lung sounds with a stethoscope |
|
5 steps of Ausculation technique |
position patient sitting upright, instruct to breath deeper than normal with mouth open, bell or diaphragm must be placed directly against the chest wall, ausculation should be systematic, one full ventilatory cylc |
|
skills needed for assessing a patient |
Observation and inspesction skills, interviewing skills, measuring vital signs |
|
What 3 points is being observed during observation on the patient |
Overall appearance, mental status, level of consciousness (glasgow coma scale) |