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healthcare facility environment

Terms in this set (76)

LTC
long term care
ECF
extended care facility
client unit
-the are where most client care is provided
-this are may be around the client's bed in a hospital or in the bedroom/ living room of a person's home
nursing unit
an area containing several units, usually with a centralized desk or an office
furniture
bed, bedside stand, chair, lamp, ect
linens
mattress pads, pillowcases, blankets, ect
toilet equipment
soapdish, washbin, toothbrush, etc
portable commode
lightweight and sturdy toilet that can be easily moved in and out of the room
other articles
mugs, call button, TV, VCR, telephone, ect
intercom
allows clients to communicate with healthcare providers at the nursing station
auxiliary personnel
-from the housekeeping department
-usually responsible for cleaning client units in hospitals and ECFs
ophthalmoscope
an instrument used for examining the eyes
otoscope
an instrument used to examine inside the ears, nose, and throat
protocols
procedures or standards to follow by employees and students in the healthcare setting
rationale
reason for each specific step in every nursing prodedure
24-hour clock
-a.k.a military time
-used in hospitals and other healthcare facilities
-helps to prevent errors and misunderstandings
pathologist
determines the underlying nature of disease through their examination and study of tissue specimens
autopsy
-examination after death
-pathologist perform this
-may take place in the hospital or in another outside facility
morgue
-the place where dead bodies are kept until identified and released to a funeral home or family
-it is under a pathologist's direction
research laboratory
-where studies and experiments on animals are conducted to understand, cure, or prevent human disease
radiology department
-performs diagnostic x-ray studies to aid healthcare provides in determining the exact location and nature of disorders
-sometimes called nuclear medicine
-supervises and performs the implantation and injection of radioactive and opaque materials for treatments and examinations
-in some causes, voiding studies and other urological diagnosis are done in this department
electroencephalography (EEG) department
-a.k.a neurodiagnostic department
-records results of the "brain wave" test, which determines electrical activity within a client 's brain
-also administers evoked-potential examinations, does specialized sleep studies, and monitors clients who have seizures
-is one of the specific diagnostoc tools used to determine biological death
electrocardiogram (ECG/EKG)
-a recording of the heart's electrical activity
-may be done by a specialized department or by the ICU or EEG department
electromyogram (EMG)
-a record of the minute electrical impulses within muscles
-may be done by the EEG, ECG, PI, or respiratory care department, or in the clinicals laboratory
physical therapy (PT)
-directs its efforts toward preventing physical disability
-assist clients to regain the best possible function of their affected body parts through individually planned programs of exercise and activity, w/ emphasis on gross motor muscle activity
-registered physical therapists (RPTs) and physical therapist assistants (PTAs)
occupational therapy (OT)
-helps clients move toward rehabilitation, paying particular attention to fine motor skills and ADL
-staff may evaluate the client's ability to care for himself or to live independently
-registered occupational therapists (OTRs: occupational therapists, registered) and certified occupational therapy assistants (COTAs)
respiratory therapy (RT)
-a.k.a respiratory care department or cardiopulmonary (CP) department
-responsible for measures prescribed by healthcare providers to assist clients who have certain cardiac or respiratory disorders
-oversee oxygen administration for all clients and the use of continuous positive airway pressure (CPAP) machines to assist certain client with night time breathing
-administers nebulizer treatments, draw blood for blood gas analysis, ect
operating room (OR) and post-anesthesia care unit (PACU)
-a.k.a recovery room (RR) or post-anesthesia recovery room (PARR)
-concerned with the care of surgical clients after surgery
-same-day surgical centers (SDSU or ambulatory surgery unit (ASU)
nursing unit/ station
led by nurse managers, head nurses or clinical care supervisors (CCS)
pediatric unit (PEDS)
responsible for the care of children
obstetrics department (OB)
-a.k.a birthing center
-provides care to mothers and newborns
medical unit
responsible for care for adults who have medical conditions that doesn't require surgery
surgical unit
-for the care of clients before and after surgery
-subdivisions of medical-surgery
orthopedic (ORTHO)
muscular disorder
urology (UROL) or genitourinary (GU)
disorders for kidney, bladder, liver, and male reproductive system
neurology (NEURO)
CNS/PNS disorders including disorders of the brain
geriatics (GERI)
care of older adults
dermatology (DERM)
skin disorders
oncology
for cancer clients
gynecology (GYN
for female reproductive disorders
emergency department (ED)
-formerly called the emergency room (ER)
-gives care to persons whose conditions require immediate attention
intensive care unit (ICU)
provide care for critically ill clients
specialized ICU
-neonatal or newborn (NICU)
-pediatric (PICU)
-surgical (SICU)
-medical (MICU)
-trauma (TICU)
coronary care unit (CCU)
-cares for clients with serious heart disorders
-specially prepared in cardiac care and interpretation of ECGs
-clinet may move into a coronary step down unit or a coronary rehabilitation unit (CRU)
dialysis unit
provides care for clients who need chronic renal dialysis
mental health unit (MHU, MH) or psychiatry unit (PSYCH)
serves clients with emotional or psychiatric disorders
chemical dependency (CD)
serves persons with chemical abuse issues and their significant others
clinical decision unit (CDU)
-provides care for clients who need additional observation, diagnostic testing, or treatment before hospital admission or discharge
-many facilities use the area as a chest pain center and treat and observe stable chest pain clients here
-stays in here are usually less than 24 hours
intermediate care unit
provides care for clients requiring a moderate amount of skilled nursing care
self-care unit
provides care for clients who are transitioning form the hospital or skilled nursing facility to home
rehabilitation (REHAB)
-a.k.a physical medicine and rehabilitation (PM&R)
-provides psychosocial support and rehabilitative services to people with a physical disability and need assistance to regain as much capacity for activity as possible
hospice
-a.k.a palliative care
-provides physical and emotional care to dying individuals
outpatient department (OPD)
provides care for clients after discharge from the facility
urgent care
provides care to clients who can be treated without being admitted to the hospital and who are not considered to have emergency condition
client education department
-provides educational services for staff, clients, and to community
-responsible for staff development and community wellness programs
hyperbaric chamber
-used in specialized situation where high concentration oxygen is required
-include cases of gas gangrene or the client who has suffered a diving accident and surfaced too rapidly
administration
oversees the efficiency of all departments
dietary department (nutritional therapy)
-nutritional department
-prepares all meals for clients, in accordance with instructions given by healthcare providers
-dietitians teach clients and families about special diets
pharmacy department
-responsible for dispensing medications ordered by healthcare providers
-pharmacists may instruct client on the use and side effect of prescribed medication
-consulting pharmacologists may also be available for intensive instruction or to advice clinicians regarding suggested medication regimens
housekeeping department
-environmental services
-provides cleaning services to the client units and common areas of the facility
laundry
responsible for providing clean bed linens, client gowns, robes, staff lab coats, drapes, ect
building maintenance
provide service related to the buildings and grounds, and repairs in the facility
-responsible for maintaining fire extinguishers and sprinkler systems
central service supply (CSS) or central supply room (CSR)
cleans and sterilizes equipment and instruments for use throughout the facility
admission department
-process client when they enter and leve the facility
-bills are paid and insurance claims processed in the business office
medical records
-keeps medical records for all clients whole have ever been in the facility
-responsible for ensuring that all notations are made on the chart or the electronic record
-responsible for prompt retrieval of all records if they are needed
-the staff makes sure that the proper DSM (diagnostic and statistical manual for mental disorders or DRG/RUG (diagnosis-related group/ resource-utilization group) codes are assigned
-accredited record technician (ART) or registered record administrator (RRA) may be called into court with a client's record during a legal action
volunteer service
personnel assists in operating a gift shop, deliver mail, flowers, toys, books to clients, operate an information desk in the lobby, or run a coffee shop
chaplaincy service
provide spiritual support to clients and families during illness, surgery, and death
social service department
provides counceling and assistance to clients and families in matters of finance, home care, discharge planning, and living arrangement
management information services (MIS) or health information management (HIM)
-provides computer support for the organization
-includes maintenance of the electronic health record (EHR)
-often responsible for training new employees in the use of the computered record-keeping system and assists in troubleshooting computer problems
telecommunication
-enable healthcare providers to communicate with clients in different locations using a telephone and a computer
-allows providers to review images, tests, laboratory values, and ECG, to examine skin conditions, and to diagnose medical conditions without requiring clients to come over the facility
-important in rural areas
biomedical electronics
purchases and maintains items such as computers, cardiac monitors, IV pumps, ECG machines
case management department
-provides service coordination, health assessment, education, and discharge planning for clients who are at high risk for readmission
-once high risk clients are identified, case managers follow up with them in the community after discharge to maximize wellness, provide healthcare, and coordinate services
quality improvement (QI)
-a.k.a continuous quality improvement (CQI)
-promote the organization's effort toward ensuring quality care by continually improving systems, services, and processes and enhancing customer service and satisfaction
-clients and families are asked to evaluate care during and after hospitalization in an ongoing effort to meet and exceed customer expectations, improve performance throughout the organization, and improve processes to remove barriers to excellent service
consulting nurse service /telehealth
-provides telephone advice to callers who need assistance deciding if and to seek medical attention
-nurses use pre approved, computerized protocols to assess the problem and to provide advice
-in many organizations, this is combined w/ physician referral services and community health and wellness education services
outreach department
-particular in an area such as psychiatry
-the staff visit clients at home, usually on an emergency basis, to help determine what action should be taken
-the facility may also maintain a crisis line or suicide prevention center as part of the outreach
poison control center
large facilities maintain this for the state or region
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