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ERP
Examining Room Procedures
| Question | Answer |
|---|---|
| Pathogens need the following elements & conditions to survive and proliferate... | Food, O2 (usually), Termperature(98.6 optimal), Darkness, Moisture, Neutral pH. |
| What is the Neutral pH range..? | 7.35-7.45 |
| A Disease producing microorganism is aka | A Pathogen |
| Animal,insect,or human capable of sustaining growth of a pathogen is known as .. | The Reservoir Host |
| Portal of Exit - Exit portals include... | Respiratory, GastroIntestinal , GenitoUrinary, Wounds |
| Modes of Transmissions Include... | Air, Droplets, Contact |
| A living organsim that carries microorganisms from an infected person to another person is called.. | A Vector |
| Portal of Entry include... | Wounds(non-intact skin) , Mucous membranes, Respitory, GastroIntestinal , GenitoUrinary |
| Maintaining cleanliness to prevent the spread of microorganisms and to endure that there are as few microorganisms in the medical environment as possible is called.. | Medical Aspesis |
| Any inanimate reservior of pathogens is called a ... | Fomite |
| An object contains disease producing organisms means it is. | Contaminated or Dirty |
| An object does not contain disease producing organisms means that it is.. | Clean |
| The process of reducing pathogens to a safe level is called.. | Sanitization |
| Sanitization Includes... | Vacuuming and cleaning daily, Proper ventilation, Screens and insecticides, Proper disposal of biohazard material, Avoiding contact between soiled objects and clothing, Keeping equipment clean |
| The act of destroying or inhibiting the activity of pathogens is called.. | Disinfection |
| Disinfection agents include: | Chemical Germicides, Alcohol (70%Isopropyl) - Iodine (>2% solution) - Bleach (10% solution) |
| Destruction of all microorganisms in or on an object.. | Sterilization |
| Sterile items wrapped in cloth or four layer thickness paper can be stored safely for.. | 30 Days |
| Items wrapped in heat sealed dustcovers can be safely stored for... | 6 months |
| Linen wrapped in tape sealed dustcovers and items wrapped in tape sealed paper and/or plastic can be stored safely for... | 3 months |
| Items Necessary to create a suture tray BEFORE Before sterilization include : | Tray, Drapes, 4x4 gauze pads, Med cups(2), Needle holder, Thumb forceps, Iris Scissors |
| OSHA stands for... | Occupational Safety and Health Administration |
| Characteristics of biohazard bags include : | Usually color coded red, Leak Resistant, Closable, Contain a biohazard label |
| Characteristics of sharps containers include: | Usually color coded red, Punture resistant, Leak resistant, Closable, Contain a biohazard label. |
| The laboratory refrigerator should be maintained between... | 36-48 degrees |
| The food refrigerator should be maintained between.. | 32-40 degrees |
| Vital Signs refer to .. | T, P, R, BP |
| Defferent types of thermometers include.. | Mercurial, Disposable, Electronic, Tympanic, Temporal |
| C stands for __ and c stands for __ | Centigrade - celsius |
| A fluctuating fever is called.. | Intermittent |
| A fluctuating fever that remains elevated is called.. | Remittent |
| A fever that is elevated and does not fluctuate is called.. | Continuous |
| Before obtaining an Oral temp with a glass thermometer, shake down below.. | 96.0 degrees |
| Normal Oral Temp range for 6yrs-Adult.. | 97.6-99.6 |
| Normal Rectal temp range 6yr - Adult ... | 98.6-100.6 |
| ___Arteries located on either side of the Anterior Neck... | Carotid Arteries |
| ___ Arteries are located at the crease of the elbows.. | Brachial Arteries |
| ___ Arteries are located at the lateral aspect of the wrists on the thumb side.. | Radial Arteries |
| ___ Arteries are located at the Medial aspect of the superior thighs.. | Femoral Arteries |
| ___ Arteries are located in the Posterior Patellar regions.. | Popliteal Arteries |
| ___ Arteries are located on the Dorsal surface of each foot adjacent to the extensor tendon of each great toe.. | Dorsalis Pedis Arteries |
| ___ Arteries are located on the Medial side of each ankle posterior to each medial malleolous | Posterior Tibial Arteries |
| Normal Pulse Range - Infant under 1 yr.. | 80-160 BPM |
| Normal Pulse Range - 1 to 6 yrs | 75-130 BPM |
| Normal Pulse Range - 6 to 11 years | 70-115 BPM |
| Normal Pulse Range - 11 to 16 Yrs | 55-110 BPM |
| Normal Pulse Range for Adult | 60-100 BPM |
| Normal Respiratory Range for an Infant | 26-40 RPM |
| Normal Respiratory Range in a child 1 to 6 yrs | 20-30 RPM |
| Normal Respiratory Range 6 to 11 Yrs | 18-24 RPM |
| Normal Respiratory range 11 to 16 is.. | 16-24 RPM |
| Normal Respiratory range for an Adult.. | 12-20 RPM |
| When the apical pulse is higher than other pulse sights, it is called.. | A Pulse Deficit |
| Pressure exerted on the arterial walls during cardiac contraction is called | Sytole |
| Pressure exerted on the arterial walls during cardiac relaxation is called | Diastole |
| Normal Systolic Range 6 yrs and Above | <120 mm/Hg |
| Systolic pressure between 120-139mm/Hg | Prehypertension |
| Systolic Pressure between 140 - 159 mm/Hg | Hypertension Stage 1 |
| Systolic pressure >160mm/Hg | Hypertention Stage 2 |
| Normal Diastolic Range for ages 6 and Above | <80 mm/Hg |
| Diastolic Pressure between 80 - 89 mm/Hg | Prehypertension |
| Diastolic Pressure between 90-99 mm/Hg | Hypertension Stage 1 |
| Diastolic Pressure >100 mm/Hg | Hypertension Stage 2 |
| Abnormally low BP occuring when an individual assumes a standing posture is called | Orthostatic Hypotention or Postural Hypotension |
| The point where the radial pulse disappears is called the | Palpatory Systolic Pressure |
| Maintain the examination rooms at approx. | 72 degrees |
| The patients medical history provides information for : | Research, Reportable Diseases, Insurance claims |
| A HIPPA violation can result in : | $250,000 fine, Incarceration for 10yrs , Civil action by whose information you disclosed |
| Six C's of Charting... | Client's words must be recorded exactly("") , Clarity, Completness, Concisness, Chronological order, Confidentiality. |
| Q.D means | Every Day |
| a.c means | Before meals |
| p.c. means | After meals |
| Breath Sounds Include | Clear, Rales(crackles), Rhonchi (wheezing), Stridor(high pitch sound indicative of airway obstruction) |
| GU Descriptions indicative of BPH | Urinary Hesitancy, Urinary Urgency, Urinary Retention, Noturia |
| Flat usually Erythmatous lesion | Macule |
| Raised Lesion < 1cm | Papule |
| Raised Lesion > 1cm | Nodule |
| Mechanical Superficial Damage to the skin | Abrasion |
| Chemical Superficial trauma to the skin | Excoriation |
| Erosion of the skin or mucous membrane | Ulcer |
| Xeroderma | Dry Skin |
| Icthyosis | Dry Scaly Skin |
| Thinkening or lump | Cyst |
| Urticaria is aka | Hives or Wheals |
| Ecchymosis is AKA | Hematoma, Contusion, Bruise |
| Cut, Rip or tear is aka | Laceration |
| Hypertrophied Skin | Callus |
| i in - __ cm | 2.54cm |
| PFSH | Past Family & Social History |
| Superior R+L regions of the abdomen are called the | Hypochondriac regions |
| Medial R+L region of the abdomen are called the | Lumbar Region |
| Inferior R+L regions of the abdomen are called the | Inguinal (Iliac) Regions |
| Superior medial region of the abdomen is called the | Epigastric Region |
| Medial Region of the abdomen is called the | Hypogastric region |
| Lying flat on your back is called | Horizontal Recumbent (Supine) |
| Sitting at a 90 degree angle with the legs on the table is called the | High-Fowlers position |
| Sitting at a 45Degree angle with the legs on the table is called | Semi-Fowlers position |
| Position the patient should assume for an exam of the abdomen is called | Dorsal Recumbent |
| Patient lies flat on their back with both knees bent and feet flat on the table.. | Dorsal Recumbent |
| Position patient should assume for a pelvic(vaginal) exam is | Dorsal Lithotomy |
| Left leg is slightly bent and the right leg is sharply bent and the left arm is behind the patient | SIMS position |
| Position the patient should assume for an examination of the back, spine, or posterior legs is.. | Prone |
| Lying flat on the table , facedown with the head turned to one side | prone |
| Position the patient should assume for an exam of the rectum is the | Knee -Chest position |
| Placing the patient with their head lower than their legs is called | Trendelenburg |
| OU | Both eyes |
| OD | Right eye |
| OS | Left eye |
| Instruments used for gripping tissues or other objects are called | Forceps (clamps) |
| Common names assiciated with Hemostats include: | Halsted mosquito, Kelly, Rochester-Pean |
| Surgical gut is designed to be absorbed by the body in.. | 5-10days |
| Chromic gut is designed to be absorbed by the body in.. | 20-40days |
| Common brand name associated with absorbable sutures is.. | Vicryl |
| Non-Absorbable sutures should be removed in | 7-10days |
| Non-Absorbable sutures include.. | Silk, Surgical cotton, Polyester, Nylon, Stainless Steal |
| Very Finest or thinnest suture size is.. | 11-0 |
| Largest suture size is.. | 5-0 |
| Wound drainage that contains serum is called.. | Serous |
| Wound drainage that contains blood is called | Sanguinous |
| Wound drainage that contains blood and serum is called | Serosanguinous |
| Eliminating bacteria, FBs and necrotic cells from a wound is called.. | Debridment |