Definitions
Define Chief Complaint
Patient's reason for seeking care
Use 3 or 4th finger,cleanse,wipe away first drop of blood,use 2nd drop for testing
Capillary blood glucose test
consult reports, home health report,health history,physical exam report, progress note, medication record
Examples of clinical documents
Potential risk of an individual with high cholesterol
CAD
3-4 inches above the elbow, snug but not too tight, never leave on more than one minute
Guidelines for applying a tourniquette
Define susceptible host
some one capable of being infected with a disease or pathogen
Check name, use clear and concise statements,use black ink, write legible, never write for someone else
Documenting in the medical record
What is a therapuetic service report?
Documentation of the assessment and treatment needed in order to restore the patients ability to function
Flood, earthquake, hurricane
Natural disasters
How do you prevent a vein from rolling?
Anchor
Define bevel
top slanted part of the needle
Place 2-3 fingers on groove on inner aspect of wrist below thumb,santitize hands, have patientsit,hold moderate gentle pressure, count 30 seconds
Guidelines for obtaining radial pulse
Pt lifestyle, health habits and living environment
Social History
Loss of blood volume or body fluids
Hypovolemic shock
70-90mg/DL
Normal fasting blood glucose
Define QNS
"quantity not sufficient" not enough specimen
Place in lithotomy position,ask patient to breathe slowly and deeply and relax
Instructions for GYN exam
A collection of subjective data about the patient,family history and review of health status of blood relatives
health history and family history
Severe allergic reaction to too much histamine released in response to an allergen
Anaphylactic Shock
90 degree angle,aspirate,inject
IM injection
Define droplet infection
indirect transmission of a pathogen by tiny contaminated droplets
Cleanse each side of the meatus in front to back motion,void a little,collect sample,finish voiding in toilet, close and cap sample
Clean catch method
7 rights: right dose,right patient,right medication,right route, right time,right technique, right documentation
Guidelines for administering medication
The body's response to a threat or change
Stress
45 degree angle, squeeze tight, loosen slightly when injecting, pull needed out, release completely
SQ injection