Legal Terms
Infection Control
Pharmacology
Physical Monitoring
Miscellaneous
100
This act was created in 1996 to protect the privacy of patient health information. Full name of act required, no acronym.
What is the Health Insurance Portability Accountability Act?
100
Urinary tract infections from utilization of urinary catheters in hospitals are considered this type health care associated infection.
What is a nosocomial infection?
Additional info....
Catheter-Associated Urinary Tract Infection (CAUTI) is another acronym for this.
Central line-associated bloodstream infection (CLABSI) is a highly prevalent problem in the intensive care unit. These infections are associated with over 28,000 deaths yearly and cost over $2 billion.
100
Five rights you need to double check before drug administration.
What is right patient, right drug, right dose, right route, and right time?
100
Acceptable heart and respiration rate for adults fall in these ranges.
What are 60-100 for BPM and 12-16 per minute for respirations?
100
A diabetic patient came into the hospital for an UGI and was instructed to withhold food for 8 hours prior to exam. The patient starts to complain of hunger, tremors, and confusion. They are experiencing this....
What is hypoglycemia?
Hypoglycemia is a condition in which your blood sugar (glucose) level is lower than the standard range. May have an excess of insulin in body not used due to fasting.
Treatment:
The 15-15 rule—have 15 grams of carbohydrate to raise your blood glucose and check it after 15 minutes. If it’s still below 70 mg/dL, have another serving.
200
A radiologic technologist verbally threatens to cause harm to a patient if they do not follow instructions.
What is assault?
Assault is the intentional act of making someone fear that you will cause them harm. You do not have to actually harm them to commit assault. Threatening them verbally or pretending to hit them are both examples of assault.
200
These are the 3 types of transmission-based precautions.
What are contact, droplet, airborne?
Contact-Touching individuals known or suspected of having diseases spread by direct or indirect contact.
Droplet- Persons known or suspected of having diseases spread by droplets
Airborne- Individuals known or suspected to have diseases spread by fine particles dispersed by air currents.
200
A complication involving contrast leaking outside of the vein is termed this.
What is extravasation/infiltration?
There is no known effective treatment for contrast medium extravasation, although initial steps should include elevation of the affected extremity above the level or the heart and use of cold or warm compresses . No medical interventions have been deemed helpful. Severe extravasation injuries can develop slowly (up to hours after an extravasation), all discharged outpatients should be given clear instructions concerning where and when to seek additional medical care (including for worsening pain, development of paresthesia, diminished range of motion, and new skin ulceration or blistering). Surgical consultation should be obtained whenever there is concern for a severe extravasation injury with compartment syndrome.
200
The most accurate way to measure body temperature is through this route.
What is rectally? 99.6
200
A patient is having dyspnea so the attending physician asks you to evaluate the severity using this tool.
What is a pulse oximeter?
o2 sats should be 95% or higher on patient w/o lung disease.
300
After a student failed to grasp the concept of legal doctrines, the teacher placed them in a head lock. The student then filed a lawsuit with this claim.
What is battery?
Battery is the intentional act of causing physical harm to someone.
300
Handwashing, linen changing, and disinfecting IR's are this type of asepsis.
What is medical asepsis?
300
These two drugs could be used to treat an anaphylactic reaction.
What is diphenhydramine or Benadryl?
Antihistamine to help with allergic response such as urticaria.
300
Nasal cannula rates are not to exceed this flow value.
What is 4 liters per minute?
300
Your patient loses 750-1300 ml or 15-25% loss of fluid and passes out due to this shock.
What is hypovolemic shock?
This happens because you’ve lost a large amount of your blood volume. You can also get hypovolemic shock from losing a large amount of fluids after a lot of diarrhea, throwing up or sweating.
400
The doctrine that holds the employer legally liable for the actions of the employed technologist.
What is respondeat superior?
Latin phrase that means- Let the master answer. It provides a better chance for an injured party to actually recover damages, because under respondeat superior the employer is liable for the injuries caused by an employee who is working within the scope of his employment relationship.
400
Indirect transmission includes these three categories.
What are airborne, vehicle (fomite), and vector?
Airborne particles in air
Vehicle- Include food, water, biologic products (blood transfusions), and fomites (inanimate objects such as handkerchiefs, bedding, or surgical scalpels).
Vector-Vectors are living organisms that can transmit infectious pathogens between humans, or from animals to humans. Many of these vectors are bloodsucking insects. Causes more than 700,000 deaths annually.
400
Intramuscular, intravenous, intrathecal, epidural, subcutaneous, intraarterial, pulmonary (Asthma) and intradermal are this route of drug administration.
What is parenteral route administration?
The parenteral route refers to bypassing the gastrointestinal system. Usually with a needle, inhalation or sublingual as it goes in blood.
400
If you observe a patient with a stain on the bed with a red and yellow circular appearance near their ear, it is termed this sign and this fracture can be suspected.
What is the halo sign, indicative of a basilar skull fracture?
400
Flight team arrives with your patient and gives report to the attending ER physician. Flight nurse reports the patient is at a score of 15 using this system of methodology.
What is the Glasgow Coma Scale (GCS)?
The total Coma Score thus has values between three and 15, three being the worst and 15 being the highest. The score is the sum of the scores as well as the individual elements.
500
A stroke patient was on the cardiac cath lab table unrestrained, was instructed not to move, but as technologist turned way, patient fell off the table resulting in injury. This incident would lead to a legal case through this latin doctrine meaning "the thing speaks for itself".
What is Res ipsa loquitur?
In a medical malpractice case, res ipsa loquitur will usually apply if the injured patient proves that:
The harm ordinarily would not have happened unless someone was negligent.
The harm occurred while the injured party was under the care and control of the health care provider.
The injured patient did not contribute to the harm.
Where res ipsa loquitur applies, the jury can presume that the health care provider was negligent without requiring further proof from the injured party. It then falls on the provider to disprove any wrongdoing.
500
Reverse isolation that protects patients with suppressed immune systems may also be referred to as this type of precaution.
What is neutropenic precautions AKA protective isolation?
Neutropenia is a condition where your blood has low amounts of white blood cells called neutrophils. These cells are responsible for fighting infections.
500
Kidney function can be determined with these three lab tests ideally in these value ranges.
What are BUN (8-25), creatinine (.6-1.5), and GFR (90-120)? *GFR reference from the National Kidney Foundation and requirements for GFR may vary by facility.*
**The stance of the American College of Radiology in their Manual on Contrast is that “at the current time, there is very little evidence that IV iodinated contrast material is an independent risk factor for acute kidney injury in patients with eGFR ≥30
500
A paraplegic patient is having a cystogram and complaining of headache, apprehensiveness, high blood pressure, and diaphoresis. They could be suffering from this condition.
What is autonomic dysreflexia?
Treatment is stop causative agent which is filling the bladder. Drain asap.
500
Also know as "EQ". It's the ability to manage your emotions effectively. This concept defines a person’s ability to understand their emotions, mood and develop self-regulation. It is based off 5 concepts:
Self-awareness
Self-regulation
Motivation
Empathy
Social skills
What is emotional intelligence?
Sympathy is where you feel bad for your patient.
Empathy is where you put yourself in another persons shoes and is a piece of emotional intelligence. EI takes it to the next level to make a connection with the patient and really listen to them like you care.
Self-awareness-Not opinionated
Self-regulation-Prevent negative outburst of emotion
Motivation-Be a team player and help
Empathy-Be sensitive to others
Social skills-Find ways to work well with people you come in contact with.