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Questions and Answers
What is the primary focus when providing respiratory care?
What is the primary focus when providing respiratory care?
Poor posture can negatively impact joint health.
Poor posture can negatively impact joint health.
True (A)
Explain the importance of ambulation for patients.
Explain the importance of ambulation for patients.
Ambulation helps maintain normal body function and prevents complications like bed sores and atelectasis. It also helps improve overall health and well-being.
Before assisting a patient to ambulate, the bed should be placed in a ______ position and the wheels should be ______.
Before assisting a patient to ambulate, the bed should be placed in a ______ position and the wheels should be ______.
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Match the following safety considerations with their corresponding descriptions:
Match the following safety considerations with their corresponding descriptions:
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What is the recommended duration of the first walking exercise for a patient recovering from dizziness or lightheadedness?
What is the recommended duration of the first walking exercise for a patient recovering from dizziness or lightheadedness?
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To minimize dizziness, encourage the patient to look down at the floor while standing up.
To minimize dizziness, encourage the patient to look down at the floor while standing up.
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What are the three levels of support recommended for walking with a patient recovering from dizziness?
What are the three levels of support recommended for walking with a patient recovering from dizziness?
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Moderate support during ambulation requires the assistance of ____ practitioners.
Moderate support during ambulation requires the assistance of ____ practitioners.
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Match the following patient observations to their importance during ambulation monitoring:
Match the following patient observations to their importance during ambulation monitoring:
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All electrical devices in reach of the patient should not be grounded.
All electrical devices in reach of the patient should not be grounded.
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Which of these is NOT a condition required for a fire to start?
Which of these is NOT a condition required for a fire to start?
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What does the acronym PASS represent in fire extinguisher training?
What does the acronym PASS represent in fire extinguisher training?
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The acronym RACE represents a core fire plan. What does the 'E' stand for?
The acronym RACE represents a core fire plan. What does the 'E' stand for?
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Match the following fire safety terms with their definitions:
Match the following fire safety terms with their definitions:
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The Problem-Oriented Medical Record (POMR) is an alternative documentation format that utilizes a structured approach, often referred to as the ______ format.
The Problem-Oriented Medical Record (POMR) is an alternative documentation format that utilizes a structured approach, often referred to as the ______ format.
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Which of the following is NOT considered a part of the Problem-Oriented Medical Record (POMR)?
Which of the following is NOT considered a part of the Problem-Oriented Medical Record (POMR)?
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Objective information in the SOAP format can be gathered from the patient's verbal description of their symptoms.
Objective information in the SOAP format can be gathered from the patient's verbal description of their symptoms.
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What is the primary purpose of the 'Assessment' section in a SOAP note?
What is the primary purpose of the 'Assessment' section in a SOAP note?
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Accurate charting and record-keeping are crucial for legal reasons and are not subject to variations among healthcare facilities.
Accurate charting and record-keeping are crucial for legal reasons and are not subject to variations among healthcare facilities.
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Match the following SOAP components with their corresponding descriptions:
Match the following SOAP components with their corresponding descriptions:
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Documentation of care given to a patient means that care was ______; no documentation means it was not given.
Documentation of care given to a patient means that care was ______; no documentation means it was not given.
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Match the following record-keeping aspects with their corresponding descriptions:
Match the following record-keeping aspects with their corresponding descriptions:
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Which of the following is NOT recommended for accurate record-keeping?
Which of the following is NOT recommended for accurate record-keeping?
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What is the primary legal implication of failing to document care provided to a patient?
What is the primary legal implication of failing to document care provided to a patient?
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Erasures in medical records are acceptable as long as they are clearly marked.
Erasures in medical records are acceptable as long as they are clearly marked.
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General rules for record-keeping include using the ______ tense and avoiding the use of the future tense.
General rules for record-keeping include using the ______ tense and avoiding the use of the future tense.
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Which of the following best describes the purpose of documentation in respiratory therapy?
Which of the following best describes the purpose of documentation in respiratory therapy?
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What are the three conditions necessary to start a fire?
What are the three conditions necessary to start a fire?
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How do you use a fire extinguisher?
How do you use a fire extinguisher?
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The immediate environment around the patient is a potential risk factor for patient safety.
The immediate environment around the patient is a potential risk factor for patient safety.
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Hospitals have ______ generators to power essential equipment during power outages.
Hospitals have ______ generators to power essential equipment during power outages.
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Match the type of medical safety concern with its description:
Match the type of medical safety concern with its description:
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Which of the following should be avoided when storing or transporting compressed gas cylinders? (Select all that apply)
Which of the following should be avoided when storing or transporting compressed gas cylinders? (Select all that apply)
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The electronic medical record (EMR) has significantly changed how healthcare practitioners document care.
The electronic medical record (EMR) has significantly changed how healthcare practitioners document care.
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What is the main purpose of medical records or charts?
What is the main purpose of medical records or charts?
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Study Notes
RT-108 BSRT-2A Objectives
- Define quality and patient safety
- Understand the importance of quality and patient safety
- Know how to safely move a patient
- Know different hazards and how to respond
- Understand record-keeping and its importance
Quality and Patient Safety
- Quality refers to the sum of a service's or product's properties that satisfy its consumer.
- High-quality services result in high demand and financial success for the provider.
- Patient safety is critical in respiratory care.
- Key safety risks include patient movement, electrical hazards, fire hazards, and general safety concerns.
Proper Lifting Technique and Patient Movement
- Basic Body Mechanics: Posture relates body parts to each other.
- Poor posture can cause stress on joints and tendons.
- Correct technique involves a straight spine and using leg muscles for lifting.
- Steps for proper lifting include: planning, a clear route, facing forward, keeping back straight, bending knees, appropriate footwear, good grip, keeping object close to body, and feet shoulder-width apart.
- Moving patients in bed: conscious patients assume comfortable positions; bedridden patients often assume an upright position; patients may need specific positions for procedures such as postural drainage.
- Ambulation: assists with maintaining normal body function; preventing complications like bedsores and atelectasis is important; patients should be evaluated to determine their stability level prior to ambulation.
Safe Patient Movement Steps
- Place the bed in a low position, lock the wheels.
- Place all equipment close to the patient to prevent dislodgment during movement.
- Assist patient to sitting position, supporting shoulders and armpits.
- Gently rotate patient to position for ambulation.
- Patients should remain in position until dizziness subsides.
- Encourage ease of breathing, and use minimal to moderate support while initiating ambulation.
- Restrict ambulation time for the first exercise (5-10 minutes).
- Monitor patient color, breathing, strength, and complaints during ambulation.
- Document the date, time, duration, and patient tolerance of the ambulation session.
Electrical Safety
- Electrical hazards, including shocks, exist in hospital settings due to electrical equipment.
- Invasive devices like internal catheters and pacemakers increase the potential for shock risk.
- All electrical equipment brought into patient care areas needs expert approval and regular checks.
- Electrical equipment should be connected to grounded outlets via three-wire cords.
- The third (ground) wire prevents voltage buildup.
Fire Safety
- Health care facilities experience significantly reduced fires due to education and strict fire codes.
- Hospital fires often start in kitchens.
- Hospital fires are often in areas using oxygen, making them intense, faster burning, and more difficult to extinguish
- Three conditions for fire: flammable material, oxygen, and heat.
- Fire extinguishers use acronym PASS: pull, aim, squeeze, sweep.
- RACE is a core fire plan acronym for response: Rescue, Alarm, Contain, Evacuate
- RTs play a crucial role in hospital fire safety: shut off oxygen, evacuate patients, and treat smoke inhalation victims.
Medical Gas Cylinders
- Compressed gas cylinders used in respiratory therapy require special storage and handling methods.
- Improper storage/handling increases the risk of fire, explosive releases, and toxic effects.
- Cylinders must be stored on appropriate racks or chained containers and without support.
Record-Keeping
- Electronic health records (EHR) changes the way care is documented but overall content remains the same.
- Patient records provide a snapshot of events and situations during patient stay.
- Records are considered property of institutions, strictly confidential, and legal documents.
- Accurate charting throughout a patient's stay in the health care institute is essential, whether for documentation purposes, or legal reasons.
- Charting should be relevant, meaningful and for use for days, months, or years to come.
Components of a Traditional Medical Record
- Healthcare facilities have their own specific medical record keeping standards.
- Records in acute care settings have similar sections.
- Documentation sheets are designed to be brief and decrease time spent on documentation.
- Entries include measurements allowing tracking of trends in patient status
General Sections in a Patient Medical Record
- Details like admission data, history and physical exams, immunizations, physician orders, progress notes, nurses' notes, medication records, allergies, and vital signs are included.
- Additional details such as I/O sheets, laboratory results, consultation notes, surgical or treatment consent forms, anesthesia & surgical records, specialized therapy, specialized flow data, and advanced directives
- A detailed, current set of records is useful for a variety of future purposes
Legal Aspects of Recordkeeping
- Accurate documentation of patient care means that the care was or was not given.
- Records are legal documents that can be used to prove care was administered, or not
- Incomplete or absent records may lead to accusations of neglect.
- Records should reflect standards of care.
Practical Aspects of Recordkeeping
- Documentation is needed for treatments; procedures and activities should be charted in clear terms.
- Clarity and brevity in the record is essential, though, it is crucial to comprehensively document each encounter.
- Documentation of consultations must include date and time.
- Data should be within the professional domain.
General Rules
- Entries typically need to be printed or handwritten, though some facilities use an electronic format.
- Some facilities require supervisor review for student hand-written records
- Do not use ditto marks and avoid erasures.
- Record entry should follow specific time requirements, treatment specifics, complaints, behaviors, and avoid blank lines.
- Writing tasks should always use present tense, rather than future tense.
- Important and meaningful conversations should be recorded.
Problem-Oriented Medical Record (POMR)
- An alternative record-keeping format in some health care institutions.
- A POMR format consists of four primary parts: Database, Problem List, Plan, and Progress notes.
- Progress notes, which use the SOAP format, contain subjective information (obtained from the patient), objective information (observations of the patient), assessments (analyses of the patient's problem), and plans (actions to resolve the problem).
Additional Guidelines for Progress Notes Using the SOAP Format
- Subjective data is sourced from the patient, family, or similar people - objective data is based on observations, physical exams, or laboratory tests.
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Description
This quiz explores essential concepts related to respiratory care and the importance of ambulation for patients. It covers safety considerations, support levels, and monitoring during ambulation. Test your knowledge on best practices for helping patients recover effectively.
