Healthcare Practices and Infection Control
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Questions and Answers

What is the scope of practice?

What you are allowed/not allowed to do by state law.

An expired certificate means you may not pass medications.

True

Which of the following are ways to prevent infection? (Select all that apply)

  • Wear gloves (correct)
  • Immunizations (correct)
  • Wash hands (correct)
  • Do not visit doctor
  • Match the following terms to their definitions:

    <p>Germs = Microorganisms that can cause infection Place = The location of infection spread Host = An organism that provides a hotspot for infection Portal of Entry = The means through which germs enter a host</p> Signup and view all the answers

    What are common signs and symptoms of infection?

    <p>Inflamed skin, fever/chills, pus, vomiting/nausea, diarrhea, sore throat/cough, painful urination.</p> Signup and view all the answers

    The most accurate way to take temperature is _______.

    <p>rectal</p> Signup and view all the answers

    What are the five vital signs that alert us to change?

    <p>Temperature, Blood Pressure, Pulse, Respiration, Oxygen.</p> Signup and view all the answers

    What is the range for a radial pulse?

    <p>60-100 bpm, average 80.</p> Signup and view all the answers

    At what range should respirations be monitored?

    <p>12-20 per minute.</p> Signup and view all the answers

    What is needed to take vital signs? (Select all that apply)

    <p>Stethoscope</p> Signup and view all the answers

    When is a good time to monitor respirations?

    <p>When the person is unaware.</p> Signup and view all the answers

    What two pressures are measured when taking blood pressure?

    <p>Systolic and Diastolic.</p> Signup and view all the answers

    What does CRMA stand for?

    <p>Certified Residential Medication Aide.</p> Signup and view all the answers

    How long are psychotropic medications good for?

    <p>3 months or 90 days.</p> Signup and view all the answers

    How long are narcotics valid for?

    <p>1 month or 30 days.</p> Signup and view all the answers

    List two locations for taking a pulse.

    <p>Radial (thumb side of person's wrist) and Apical (stethoscope, mid nipple of left chest).</p> Signup and view all the answers

    Who can accept telephone orders?

    <p>RN or pharmacist.</p> Signup and view all the answers

    What are Schedule 2 medications?

    <p>Controlled substances that need to be counted and signed daily if used, kept separate from other meds, and double-locked.</p> Signup and view all the answers

    What is a normal blood pressure reading?

    <p>120/80.</p> Signup and view all the answers

    When must one re-certify?

    <p>After two years.</p> Signup and view all the answers

    What does PRN stand for?

    <p>As needed.</p> Signup and view all the answers

    What is the average body temperature?

    <p>98.6.</p> Signup and view all the answers

    Which methods can be used to check temperature? (Select all that apply)

    <p>Otic</p> Signup and view all the answers

    What medications must be kept separately? (Select all that apply)

    <p>Oral</p> Signup and view all the answers

    Study Notes

    Scope of Practice

    • Defines what is permitted and prohibited by state law for healthcare professionals.

    Expired Certificate

    • Individuals with an expired certificate are not authorized to administer medications.

    Infection Prevention

    • Key methods include:
      • Handwashing
      • Wearing gloves
      • Staying up to date with immunizations

    Breaking the Chain of Infection

    • Disrupt the following four links to prevent infection:
      • Germs
      • Place
      • Host
      • Portal of Entry

    Signs and Symptoms of Infection

    • Common indicators:
      • Inflamed skin
      • Fever and chills
      • Presence of pus
      • Vomiting and nausea
      • Diarrhea
      • Sore throat and cough
      • Painful urination

    Methods to Measure Temperature

    • Five routes for taking temperature:
      • Orally
      • Axillary (underarm)
      • Rectally
      • Otic (ear)
      • On the skin

    Most Accurate Temperature Measurement

    • Rectal measurement is the most reliable method.

    Vital Signs (VS)

    • Key vital signs include:
      • Temperature (T)
      • Blood Pressure (BP)
      • Pulse (P)
      • Respiration (R)
      • Oxygen Saturation (O2)

    Radial Pulse

    • Normal range: 60-100 beats per minute, with an average of 80 bpm.

    Respiratory Rate

    • Normal range: 12-20 breaths per minute.

    Equipment for Taking Vital Signs

    • Essential tools include:
      • Blood pressure cuff
      • Stethoscope
      • Thermometer
      • Timer

    Locations to Measure Pulse

    • Common locations include:
      • Radial pulse: Wrist
      • Apical pulse: Mid-nipple area of the left chest, using a stethoscope

    Monitoring Respirations

    • Best observed when the individual is unaware to avoid altered breathing.

    Blood Pressure Measurement

    • Two types assessed:
      • Systolic (pressure during heartbeats)
      • Diastolic (pressure when the heart is at rest)

    CRMA Acronym

    • Stands for Certified Residential Medication Aide.

    Medication Duration

    • Psychotropic medications are valid for three months (90 days).
    • Narcotics are valid for one month (30 days).

    Pulse Measurement Locations

    • Various locations include:
      • Radial (wrist)
      • Brachial (elbow)
      • Carotid (neck)
      • Apical (chest)

    Accepting Telephone Orders

    • Authorized personnel to accept include registered nurses (RNs) or pharmacists.

    Schedule II Medications

    • Controlled substances that require:
      • Daily counting and signing if in use
      • Weekly counting if not in use
      • Two-person presence for destruction
      • Separate and double-locked storage

    Blood Pressure Norms

    • Typical reading is 120/80 (systolic/diastolic).

    Recertification Requirements

    • CRMA must recertify every two years, with a 30-day grace period before retaking the class.

    PRN Medication

    • Allows medication to be taken "as needed."

    Normal Body Temperature

    • Average is typically 98.6°F.

    Medication Labeling Requirements

    • Prescription must include:
      • Prescription number
      • Expiration date
      • Name, strength, and dosage of the drug
      • Refill date
      • Directions for use
      • Resident's full name
      • Prescriber’s full name
      • Accessory and cautionary instructions
      • Pharmacy name and address

    Medication Measuring Equipment

    • Graduated containers must be used for accurate measurement of liquid medications.

    Medication Absence Protocol

    • If a resident's absence from the facility exceeds 72 hours, medications must be packaged and labeled by a pharmacist, except for those who self-administer.

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    Description

    Test your knowledge on the essentials of healthcare practices, including infection prevention, vital signs, and the implications of expired certifications. This quiz covers key methods for breaking the chain of infection and accurate temperature measurement techniques.

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