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Cardio Assess Unit 7

SPC Cardiopulmonary Assessment Unit 7 Exam 3

Key elements of a sound "Problem-Oriented Medical Record" (POMR)? 1. Subjective Info 2. Objective Info 3. Patient Assessment 4. Treatment plan w/ Measurable Outcomes 5. Post Treatment Evaluation 6. Revision of Treatment plan if/when warrented
Define S.O.A.P.? S-Subjective: Patient states chief complaint O-Objective: Therapist finds vitals, ABGs etc. A-Assessment: Therapist conclusion regarding S & O data P-Plan: Treatment plan
Key elements of a sound "Clinical Practice Guideline" (CPG)? 1. Description/Definition 2. Setting 3. Hospital/Home 4. Indications/Contradictions 5. Hazards/Complications 6. Limitations 7. Assess of need & outcome 8. Resources 9. Monitoring 10. Frequency 11. Infection Control
Define "Therapist Driven Protocol" (TDP)? Patient care plans are initiated and implemented by therapists and are designed and developed with physician input. They are approved by the medical staff and the hospital governing board.
Key components of (TDP)? 1. Patient Assess form 2. Triage Scale 3. Protocol/Algorithm
Respiratory Care Protocol? To test the severity of respiratory treatment needs
O2 Protocol? The treat hypoxemia, decrease work of breathing, and decrease myocardial work
Hyperinflation Therapy Protocol? The prevent or treat consolidation & atelectasis
Bronchial Hygiene Therapy Protocol? To enhance mobilization of bronchial secretions
Aerosolized medication Protocol? Bronchodilator, Anti-inflammatory, Mucolytic, & Antibiotic
Mechanical Vent Protocol? To provide and support alveolar gas exchange and eventually return the patient to spontaneous breathing.
Treatment-Based Protocol? 1. Designed for a specific type of therapy: CPT, Aerosol, etc. 2. Closely tied to CPG's
Diseased-Based Protocols? 1. Designed for specific diseases: Asthma, CHF, etc. 2. Pathology & Compliance drive the protocol
Signs/Symptoms-Based Protocol? Signs and symptoms drive a list of treatment modalities
Treatment-Based advantages? 1. Very Specific 2. Diagnosis Unnecessary
Treatment-Based Disadvantages? 1. Require excellent assessment skills 2. Sometimes lengthy and cumbersome
Disease-Based Advantages? 1. Easy to write 2. Easy to follow
Disease-Based Disadvantages? 1. Multiple disease states may cause confusion 2. Symptoms exist prior to diagnosis
Sign/Symptom-Based Advantages? 1. Patient treated for immediate symptoms 2. Treatment easily modified
Sign/Symptom-Based Disadvantages? 1. Require excellent assessment skills 2. Difficult to write
Created by: Langhout1418