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Medical Technology

terminology

TermDefinition
Occupied Bed Making bed with pt in it.
Unoccupied Bed Making bed without pt in it.
Bed Cradle Metal frame placed between bottom and top sheets to hold blankets off pt's feet.
Foot Board Padded board placed at the end of the bed to keep feet aligned in a ninety degree position.
Pressure Relief Mattress Mattress used to decrease potential for pressure sores/ulcers.
Closed Bed Bed with top blanket or cover pulled over the pillow. Bed is "made".
Open Bed Covers are fan-folded to end of bed so pt can get into it easier. Used more often in hospitals.
Surgical Bed Covers are fan-folded to the side away from the door.
Mitered Corner Method of folding & tucking bottom edge of sheets/blankets to secure them onto bed.
Over bed Table Table which is able to go over the bed or chair and may be raised or lowered.
Call Light Method of allowing pt to signal that assistance is required, usually by pushing a call light.
Absorbent Pads Pads placed on bed over the bottom sheet to absorb liquids, such as urine. May also be used as a draw sheet.
Admission Process Procedure for welcoming a new pt and completing documentation according to your job description.
Discharge Process Procedure for assisting to pack up pt's belongings prior to leaving.
Transferring Patient Procedure for assisting to be taken home or to another healthcare facility.
Admission Inventory Listing all items pt brings with them during their admission to the facility.
AMA Pt leaves medical facility without Doctors permission or "against medical advice".
Medical Record Legal document or pt chart containing health information and actions of healthcare staff.
Care Plan/Plan of Care Contains goals for the pt and steps on how to achieve those goals. Defines care to be provided.
Kardex Condensed or mini-care plan. Details day to day care and pt's ability to perform ADL's.
ADL Activity of Daily Living. Things one does each day to care for self, such as brushing teeth, using cup, dressing, etc.
Comprehensive Assessment Document which contains all information needed about pt, including medical/surgical history, next of kin, funeral desired, etc.
Care Conference Meeting with all persons caring for pt including family. Purpose is to review and revise care plan.
Aphasia Inability to understand communication. Expressive is the inability to speak. Receptive is inability to talk.
Charge Nurse RN or LPN supervising the rest of the staff. This is a person all problems are reported to.
Report Giving information about your pt's to the oncoming shift of care givers.
Cueing Assisting a pt to complete an ADL by refocusing.
Subjective Information that only the pt can tell you from his/her point of view. example: pain
Objective Information gathered by yourself using one of your five senses.
Verbal Communication Words, sounds (either spoken or written) used to send a message.
Non-Verbal Communication Information given through body language, gestures, facial expressions & tone of voice.
Confidentiality Keeping information about the pt to yourself.
Culture System of beliefs, values, tradition & behaviors a pt learned from people they grow up with.
Charting Mistake Error in charting. Correct by drawing a line through item and initial. Do NOT white-out.
Graphic Sheet Table used for documenting information, such as vital signs or intake/output.
MAR Record of medications given by nurse.
Telephone Etiquette Anwsering the phone with a smile & pleasant voice by the third ring. Identify yourself by name & title.
Created by: dcolestock16