Patient Rights
HIPPA primarily protects what?
Patient health information
How many rights of Delegation are there?
5
What is the primary role of a nurse assistant?
To assist patients with daily care and basic needs.
Name two communication barriers?
Language barrier, hearing and vision impaired, emotional and psychological distress, cultural differences, medical terminology
Define Vital Signs
Temperature, pulse, respirations, and blood pressure
What is malpractice?
When a patient is harmed when a healthcare worked fails to uphold their duty of care
What is delegation?
A nurse assigns a task to another healthcare worker
What does "scope of practice" mean?
Specific tasks and responsibilities a healthcare worker is legally allowed to perform.
A patient is Spanish speaking only and is visiting with family. The PCT walks in to explain to the patient that they need to draw labs to make sure the antibiotic is working correctly to remove their infection. The PCT allows the family to explain this procedure to them. What should the PCT have done instead?
The PCT should have called for a translator, requested a physician or a nurse on staff inform the patient of the procedure, or utilized a translation application.
What are ADLs?
Daily self-care activities such as bathing, eating, and dressing
A patient's care team is discussing their plan of care in the room in front of the patient, but not with the patient. What patient right are they failing to uphold?
The patient's right to make decisions and information about their medical care.
Name the rights of delegation
Right Task, Right Circumstance, Right Person, Right Directions, and the Right Supervision/Evaluation
Name three healthcare facilities a PCT might work.
Hospital, Nursing Home, or Rehabilitation Centers
A 5 year old patient is admitted to the hospital and her mom is at the bedside. When explaining how to take vital signs, is it appropriate to speak to the patient and the mom, or should the PCT only explain the task to the mom?
Define dyspnea
Shortness of breath or difficulty breathing
What law helps to protect residents in the nursing home?
OBRA
A nurse assigns a seasoned PCT to a stable patient that needs their catheter removed. The nurse then asks the PCT to report back to her following the removal. Is this able to be delegated?
Yes. The PCT is "seasoned" and is able to remove ca catheter from a stable patient. The nurse then asks the PCT to follow up with her.
A PCT is able to complete patient ADL's and give medications in a home health setting. T or F?
False, a PCT cannot give medications at any time.
A PCT is needing to ambulate a patient before breakfast. The patient is elderly and wearing hearing aids. Is it appropriate for the PCT to yell at the patient?
No, just because the patient is wearing hearing aids does not indicate the patient cannot hear the PCT speak in a normal tone and volume.
Define edema
Swelling caused by fluid retention
When a patient refuses care, what should the PCT do?
Document and inform the nurse.
A nurse asks a PCT to ambulate a patient recently recovering from sedation following heart surgery using a gait belt. The nurse then asks the PCT to follow up with him. Is this task appropriate to delegate?
No, the patient is recovering from sedation, meaning, they could be very unstable and a fall risk. The nurse should assess the patient while ambulating the first time to ensure their safety.
What are two important professional qualities of a PCT?
Compassion and goof Comminication Skills
When speaking to a high school aged patient, the PCT explains that their vital signs show tachycardia and hypertension. What communication barrier is this?
Using medical jargon is not appropriate to someone that may not understand all of the terms.
Define cyanosis
Bluish discoloration of skin due to lack of oxygen