SLEEP APNEA
What is our very first step to evaluate a patient for sleep apnea?
Screening form filled out PRIOR to seating for hygiene visit
Emails with patient information attached must be sent through:
An encryption portal (Protected Trust)
Give an example of cross contamination:
Touching your hair/lab coat/ face/ glasses then touching something in your patients set up or in your patients mouth. (many examples you could list - audience can be the judge if you're right)
How often are you recording the patients vitals during IV sedation?
What is every 5 minutes
Name 3 health problems that can result from untreated sleep apnea:
Hypertension, Stroke, Arrhythmias, Cardiomyopathy, Heart Failure, Diabetes, Obesity, Heart Attacks.
Notice of Privacy Practices must be listed:
In the reception area, as well as upon request
Give an example of a critical item and non critical item in regards to infection control:
Critical: Anesthetic needle
Non critical: Patient chair
The scale of critical to non critical is how close it gets to the direct contact with patient tissues. Highly critical needs to be disposable or sterilized. Non critical can be disinfected or covered with a barrier.
Pregnancy test
Med list
Health History
What is the goal of HIPAA
To protect a patients private health information from being disclosed without patients consent or knowledge.
List where to place all 3 stickies for ECG monitoring:
White: Right chest/peck
Red: Left abdominal below black
Black: Left chest/peck
3 signs for an adult that may be symptoms of sleep apnea? (that the patient would be able to detect NOT the clinician)
Waking up tired and unrested, Habitual Snoring, Dx with HBP, Waking headaches, Daytime drowsiness and fatigue, blocked nasal passages, Others noticing stopped breathing during sleep, wake up choking/gasping, grinding teeth in sleep, neck circumference > 40cm, BMI >35
(these are straight from the "Sleep and Breathing Questionnaire" form)
Name three ways HIPAA is violated:
Sharing PHI (protected health info), loss or thief of devices, texting about patients, improper disposal of records, unencrypted data, hacking, etc.
What are we monitoring during IV sedation?
BP, CO2, ECG, Pulse, Oxygen levels
As the clinician what are 3 signs your patient may be at higher risk for an airway obstruction?
Malocclusion, high vaulted pallet, Narrow pallet (cotton roll), serrated tongue, large tongue and tonsils, signs of wear, increased decay due to mouth breathing, retrognathic jaw/neck, dark circles under eyes, etc. (Dr. Yang can verify answer, if she doesn't answer first lol)
HIPAA stands for what?
Health Insurance Portability and Accountability Act
Name a medication given through IV and what it is used for:
Dr. Lee will verify your answer lol