Summary

This document is a patient care review covering various aspects of healthcare, including infection control and medical practices. It also features insights into patient communication and other important medical procedures.

Full Transcript

2024 Patient Care Review Patient Care Review Patient Care consists of 33 questions out of the 200 on your registry exam. It’s not a lot, but it’s not something you want to neglect either. The Content Specifications are only a list of topics, and do not include a complete curriculum guide. It can...

2024 Patient Care Review Patient Care Review Patient Care consists of 33 questions out of the 200 on your registry exam. It’s not a lot, but it’s not something you want to neglect either. The Content Specifications are only a list of topics, and do not include a complete curriculum guide. It can be found here: https://assets-us-01.kc-usercontent.com/406ac8c6-58e8-00b3-e3c1-0c312965deb2/c28cf141-f45c-44ef-acde-984929886e01/RAD_C S_2022.pdf Chapter 1 Introduction to Imaging and Radiologic Sciences Chapter 2 Professional Organizations Terms Accreditation is the voluntary peer-review process through which an agency grants recognition to an institution for a program of study that meets specified criteria Certification is the voluntary process through which an agency grants recognition to an individual on demonstration, usually by examination, of specialized professional skills. Licensure is the process by which a governmental agency grants permission to individuals to practice their profession. The registry is the list of individuals holding certification in a particular profession. JRCERT- Joint Review Committee on Education in Radiologic Technology- publishes the Standards, details the minimum requirements for how accredited programs will operate (accredits educational institutions) ARRT- American Registry of Radiologic Technologists- encourages the study and elevates the standards of radiologic technology, examines and certifies eligible candidates, publishes list of registrants ASRT- American Society of Radiologic Technologists- founded in 1920; publishes the Practice Standards; advances the professions, maintains high standards of education, enhances the quality of patient care, produces educational curriculum guides, publishes journals, etc. Chapter 5 Introduction to Clinical Education Terms Learning objectives- concise description of an observable behavior achieved by students Competency- the observable, successful achievement of performance objectives Learning outcomes- assessed at the program level, measurable expectations for student learning Observe-Assist-Perform- the stages of clinical education Chapter 17 Infection Control Establishment of Infectious Disease and Chain of Infection Vector - Carrier, usually an arthropod, that transfers an infectious agent from one host to another Fomite - Object that is able to harbor pathogenic organisms and so may serve as an agent in the spread of infection Precautions Standard Precautions: To be Transmission-based applied to all patients regardless Precautions: Geared toward of infectious status. specific types of infections. Hand washing- most effective Contact Precautions at preventing spread of C Diff, MRSA, Chicken Pox infection Airborne Precautions Gloving TB, Chicken Pox, Measles PPE Droplet Precautions Needle Recapping Flu, Mumps Biospills Chapter 11 Patient Interactions Maslow’s Hierarchy of Needs Each level of needs must be satisfied before one can move up to the next level. Self- actualization represents the highest level and the fulfillment of one’s goals or potential. If a patient’s physiologic needs are not met, they will not feel safe. Nonverbal Communication What are some of the different types of nonverbal communication? Paralanguage- “music of language”- pitch, stress, tone, pauses, speech rate, volume, accent, and quality of your voice Body language Touch/ Palpation Professional appearance Personal hygiene Physical presence Visual contact Stages of Grief Use the acronym DABDA: Important concepts when working with terminally ill patients: Denial Autonomy Advance directive DNR (Do Not Anger Resuscitate) Bargaining Depression Acceptance Chapter 12 History Taking History Taking Six elements of taking effective Sacred Seven elements of a complete histories: history: 1. Open-ended questions 1. Localization 2. Facilitation 2. Chronology 3. Silence 3. Quality 4. Probing questions 4. Severity 5. Repetition 5. Onset 6. Summarization 6. Aggravating or alleviating factors Determine the chief 7. Associated manifestations Chapter 13 Biomechanics and Ergonomics Transferring Patients What are the four types of wheelchair transfers? What is involved in each? Assisted standing pivot transfer Two-person lift Standby assist transfer Hydraulic lift How many people are necessary for a safe cart to table transfer? As many as necessary! Five is ideal for a patient in a cervical collar, two on each side and one at the head, four if no collar present Chapter 14 Immobilization Techniques Simple vs. Involved Immobilization Techniques Simple Techniques: Involved Techniques: Positioning sponges Cervical collars Stability Bar Backboards Velcro Straps Splints (inflation, traction) Sandbags Sheet restraints (mummy wrap) Head Clamps Commercial restraints (Pigg-O-Stat, Octostop board) Tape, stockinette The most effective method of immobilization is good communication!! Chapter 18 Aseptic Techniques What is Asepsis? The goals of aseptic technique are to protect the patient from infection and to prevent the spread of pathogens and/or harmful microorganisms. Surgical Asepsis Protection against infection before, during, and after surgery by using sterile techniques Medical Asepsis The removal of or destruction of infected material Sterile (Aseptic) Procedures Dressing Changes Tracheostomies Chest Tubes Catheters Insertion of Central Lines Pacemakers Basic Principles of Sterile Technique Only sterile items are used in sterile fields. If in doubt, it is unsterile. An unsterile item should be removed, covered, or replaced. Sterile fields need continuous monitoring. Create sterile fields as close to the time of use as possible. Sterile persons should avoid unsterile areas. Anything below the waist is unsterile. Persons in sterile gowns pass back to back. Unsterile persons cannot reach above or over a sterile field Sterile materials must be kept dry. Sterile gloves must be kept in site. Chapter 19 Nonaseptic Techniques Nonsterile (Nonaseptic) Procedures Nasogastric tubes- who inserts the NG tube? What position should the patient be in? Urinals Bedpans Enemas (Cleansing or diagnostic (BE)) Colostomies Chapter 15 Vital Signs, Oxygen, Chest Tubes, and Lines Normal Vital Signs ▶ Temperature ▶ Pulse ▶ 97.6° to 100° F ▶ Adult 60 to 100 ▶ Average oral 98.6 BPM ▶ Respirations ▶ Child 70 to 120 BPM ▶ Adult 12 to 20 ▶ Blood Pressure breaths per minute ▶ Systolic

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