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What is an appropriate task a PCT can perform related to patient education?
Reinforcing teaching about a wound care technique taught by a nurse
What should a PCT do before weighing a patient?
Verify the scale is balanced and set to zero before use
What are two steps when collecting a bilirubin sample?
Turn off the light and use an amber-colored tube
What are the two types of ankle range of motion (ROM)?
Dorsiflexion and plantar flexion
What are early signs that a patient may experience syncope (fainting)?
Pallor (pale) and diaphoresis (sweating)
What is the purpose of CLIA?
Establish quality standards for lab testing of human specimens
What is the correct action before entering an isolation room?
Put on PPE first, even if the patient is calling for help
Why should blood collection tubes be inverted?
To prevent clotting
What should a PCT do after removing a soiled dressing during an aseptic dressing change?
Remove gloves, perform hand hygiene, and apply new gloves
What is a requirement of the Patients’ Bill of Rights? Is it for short-term or long-term facilitiies?
One example: Sharing information about diagnoses and treatment with the patient
Short term stays
What is the correct hand hygiene method for C. diff?
Wash hands with soap and water, not hand sanitizer
What should be placed in an impermeable laundry bag?
Soiled linens like a urine-soiled washcloth
How should linens contaminated with C. diff stool be handled?
Place soiled linens in a biohazard linen bag
List 2 OSHA guidelines to prevent needlestick injuries?
- Do not recap needles
- Needles should be disposed of in the sharps container.
- Dispose of sharps container when it is â…” way full
- Do not empty the sharps container
What should you do if you observe unethical behavior by a coworker?
Follow the chain of command and report to the charge nurse
Do not confront the coworker.
Why is pressure applied after needle removal? How long do you hold pressure?
Reduces the chance of a hematoma.
Apply pressure for 2-3 min
These are examples of what kind of asepsis?
Steam, boiling water, radiation, dry heat
What is medical asepsis?
What do large U waves indicate on an ECG?
Decreased potassium levels
Receiving an influenza vaccine is an example breaking what chain of infection?
The susceptible host link
List 3 points/keys/steps in performing ostomy care.
Remove old wafer from top, not bottom
Measure stoma: Cut wafer - 1/16th inch larger than the stoma
Apply pressure to the stoma for 1-2 min to ensure seal.
Stoma should be moist/reddish-pink in color
Wipe off skin with warm water/toilet paper then apply gauze - followed by cleaning stoma with warm plain water.
Look for signs of skin breakdown.
When emptying bag - wipe out the lower 2 inches of the bag, turn it up like a cuff.
List 2 characteristics of a a patient who is dehydrated.
Urine output decreases
Urine is concentrated,
Urine is taking on a dark yellow color.
Report this finding and the amount of urine output over the past 4 hr to the nurse.
List 2 things you must do/verify prior to someone who is choking?
1st verify if the visitor is able to speak. Ask "Are you choking?"
If the visitor is unable to speak, her airway is obstructed and emergency treatment is necessary.
List 2 of the 4 teachings regarding my patient using a walker.
Advance the walker 10 to 18 inches with each step.
Adjusted so the handgrips are level with the patient's hips
The patient should step into the perimeter of the walker as they walk.
Lift the walker up with each step and place it squarely on the ground.
List 2 of the 3 points about removing a IV catheter.
Turn the infusion clamp to the "off" position prior to removing the IV catheter.
Hold dry sterile gauze over the IV site when removing the catheter.
Hold pressure for 2-3 min after removing catheter
List 2 examples of Patients Bill of Rights.
Patients Bill of Rights:
ensures that patients can be involved in making decisions about their own care
have a clean and safe environment
protection of privacy
high-quality care,
help when leaving the hospital
help with billing concerns.