chapter 1,2,3,5 egans book – Flashcards
73 test answers
Unlock all answers in this set
Unlock answers 73question
what does Coarc mean?
answer
Committee on accreditation for respiratory care
Unlock the answer
question
what do they do for the respiratory care?
answer
provide the funding and guidelines for educational programs for respiratory therapy to be taught.
Unlock the answer
question
what does ARCF mean?
answer
American Respiratory Care Foundation
Unlock the answer
question
what do they do for respiratory care?
answer
they provide scholarships and grants for respiratory students
Unlock the answer
question
who is Thomas Beddoes?
answer
the father of respiratory
Unlock the answer
question
when is respiratory care week?
answer
1982 delcared by Reagan it is the 3rd week in october
Unlock the answer
question
how many specialty areas are there for respiratory?
answer
11
Unlock the answer
question
what are the specialty areas?
answer
long term care neonatal-pediatrics surface and air transport pulmonary rehab polysomnography education critical care case management home care pulmonary diagnostic management
Unlock the answer
question
what is a misallocation?
answer
when something has gone wrong / a mistake
Unlock the answer
question
how can a respiratory therapist prevent misallocations?
answer
by following protocols
Unlock the answer
question
what are three ways of misallocations?
answer
1. treatment wasn't started when it should have been 2. treatment wasn't stopped when it should have been 3. used the wrong kind of method
Unlock the answer
question
what are the trends for the future of the profession?
answer
advances in treatment generational growing chronic diseases controlling cost prevent disease patient education pulmonary rehab
Unlock the answer
question
what are examples of therapist protocol?
answer
aerosol therapy oxygen therapy suctioning pulse oximetry arterial blood gases
Unlock the answer
question
what do respiratory therapist do?
answer
assessment, treatment,management control, diagnostic evaluation, educations, and care of patients with deficiencies and abnormalities of the CP system.
Unlock the answer
question
name at least three major people in history that have helped in the health care field
answer
Laennec invented the stethoscope Thomas beddoes is the father of respiratory Macewen performed oral endotracheal intubaion Roentgen discoverd the X-ray
Unlock the answer
question
how many types of aerosol medications are there?
answer
2 types
Unlock the answer
question
what are the two types
answer
bland aerosols and drugs
Unlock the answer
question
what is a bland aerosol?
answer
sterile water and saline
Unlock the answer
question
define quality?
answer
characteristic reflecting a high degree of excellence fineness or grade.
Unlock the answer
question
why is delivering quality challanging
answer
because of the pressure of great health care quality but limiting the cost.
Unlock the answer
question
who is our medical director?
answer
Dr. Joshi
Unlock the answer
question
what is the responsibility of the medical director?
answer
they oversee the clinical education program.
Unlock the answer
question
define professional
answer
a calling that requires specialized knowledge and intensive academic preparation
Unlock the answer
question
what are ways to demonstrate professionalism?
answer
complete an accredited RCP program obtains professionalism credentials maintaining the highest practice standards by engaging learning/continuing education conducting research to advance the quality of respiratory care. participating in professional organizations like AARC.
Unlock the answer
question
Define HIPAA
answer
sets standards regarding the way sensitive health care information is communicated and revealed in the transmission of medical records, and in the written and verbal communication of information in the hospital.
Unlock the answer
question
what are the goals of protocols?
answer
improve allocations of services enhance patient care reduce patient cost preserve the physicians ability to specify orders if desired enhance the efficiency of patient care
Unlock the answer
question
patient safety
answer
be aware be alert assess potential equipment/ electrical hazards
Unlock the answer
question
what should you have when moving a patient?
answer
proper body mechanic principles good posture team work communication
Unlock the answer
question
what can happen if you don't have proper body mechanics?
answer
strains and sprains
Unlock the answer
question
what should you assess and monitor before moving a patient?
answer
color, breathing, comfort level, strength, weakness, complaints.
Unlock the answer
question
when should ambulation begin?
answer
ambulation from bed is essential and should be done as soon as the patient is physiologically stable and free of severe pain
Unlock the answer
question
what are the benefits of ambulation?
answer
better medication delivery. allows the diaphragm to expand. allows for better gas exchange in the lungs. allows for better oxygenation status. has patients use more respiratory and core muscles. allows for pulmonary drainage.
Unlock the answer
question
4 values of pft
answer
VT - tidal volume RV- air remaining in the lungs after a full forced breath out FVC- amount of air that can be forced out of the lungs after a max intake. FEV1- forced expiratory volume in one second.
Unlock the answer
question
what is the most important part of providing safe patient care?
answer
communication
Unlock the answer
question
what are the types of communication?
answer
verbal, written, and nonverbal.
Unlock the answer
question
which type is the primary cause of breakdown in communication?
answer
non verbal
Unlock the answer
question
what are the five components?
answer
sender,message, channel, receiver, feedback.
Unlock the answer
question
what are guidelines for effective communication?
answer
1. approach each patient and situation unique 2. create a supportive climate for communication 3. seek to understand before being understood 4. provide information in timely, understandable manner. 5.allow time for patient question and concerns. 6. provide open ended questions. 7. allow the patients to have teach back. 8. remember it is not always what you say, its how you say it as well. 9. maintain role flexibility.
Unlock the answer
question
what are some communication barriers?
answer
education, blind, deaf, language
Unlock the answer
question
how can you get through some of the communication barriers?
answer
1. don't assume the patient has the same understanding as you 2. having different value systems can interfere with communication. 3. emphasis on status can be a barrier as to who is in charge. 4. conflicts of interest, not willing to share information or invading territory.
Unlock the answer
question
advanced directives
answer
living will POA- power of attorney DNR- do not resesatate modifications
Unlock the answer
question
admission sheet
answer
admitting diagnosis admitting physician name, address, nearest of kin, pertinent, patient information
Unlock the answer
question
history and physical
answer
patients admitting history and physical exam, and other medical history of patient
Unlock the answer
question
physicians orders
answer
record of all physician orders and prescriptions
Unlock the answer
question
physicians progress notes
answer
daily account of physicians assessments and plans for the patient
Unlock the answer
question
nursing notes
answer
describes the nursing care given throughout each day to the patient
Unlock the answer
question
medication record/ med rec
answer
record of all medicates/ iv's given to the patient
Unlock the answer
question
graphic sheets
answer
record of vital sign taken throughout the day intake nad output
Unlock the answer
question
laboratory
answer
all hematologic lab results as well as sputum cultures, ABG results, pleural fluid result, any other specimen results etc.
Unlock the answer
question
consults
answer
specialty physician consults performed
Unlock the answer
question
x-ray
answer
reports of all x-rays taken of the patient
Unlock the answer
question
respiratory progress notes/flow sheets
answer
documentation of assessment,therapeutic modalities, diagnostic procedures, educational instructions, mechanical ventilator flow sheets ect
Unlock the answer
question
EMR
answer
electronic, medical record
Unlock the answer
question
what is a soap note?
answer
it is a POMR method/ format for progress notes S- subjective- data provided by patient regarding feelings or concerns ex: the patient complains of pain in left foot. O- OBJECTIVE- factual measurable data done by oneself or from other professional reports or test results observations, physical exam. ex: x-ray results A- ASSESSMENT- determination of cause of subjective and objective data similar to diagnosis from above information, analysis of patients problem. P- PLAN- treatment selection to best correct the cause identified in the assessment.
Unlock the answer
question
there are two approaches to address ethical issues in health care
answer
1. specific- professional code of ethics 2. general- use of ethical theories and principles to reach a decision.
Unlock the answer
question
autunomy
answer
patients right to informed consent and therefore the right to decide their own course of treatment. use of deceit or coercion to get a patient to reverse a decision to refuse a treatment is considered unethical.
Unlock the answer
question
veracity
answer
bind the health care provider and the patient to tell the truth 94% of americans want to know the truth, even the negative outcome/ facts problems revolve around issues such as benevolent deception- when truth is withheld from the patient for his own good
Unlock the answer
question
nonmaleficence
answer
avoid harming patients and actively prevent harm where possible some procedures can have poor outcomes, but eval intent first. if the intent is good the harmful effect is seen as an unintended resul
Unlock the answer
question
beneficence
answer
goes beyond doing no harm and states RCP should actively contribute to the health and well being of patients. as HCP, we have the ability to keep someone alive but at what cost/ benefit/outcome/meaningful recovery.
Unlock the answer
question
confidentiality
answer
respect the secrets which are confided even after the patient has died
Unlock the answer
question
justice
answer
fair distribution of care 1. distributive justice- some form of rationing delivery of care due to cost vs. revenue 2. compensatory justice- recovery for damages that were incurred as a result of the action of others.
Unlock the answer
question
role duty
answer
must understand the limits of your role and to practice with fidelity ex: discussing patients progress with family members, when it's not your place.
Unlock the answer
question
systems of law
answer
legal issues in respiratory care- professional liability in the practice of respiratory care or any helthcare profession is immense and plays a major role in skyrocketing cost in healthcare need to minimize cost, but still accountable. divided into two systems 1. public- deals with relationships between private parties and government 2. civil- recognition and enforcement of right and duties of private individuals and organizations
Unlock the answer
question
public law
answer
two division 1. criminal- acts or offenses against the welfare or safety of the public. offenses punishable by fines,imprisonment, accuser is the state, person prosecuted is the defendant. 2. administrative- consists of countless, regulations set by government agencies health care facilities by these rules, RT'S must follow as well.
Unlock the answer
question
civil law
answer
protects private citizens/ organizations from others who would take advantage
Unlock the answer
question
tort
answer
tort- a civil wrong against an individual for which a court provides a remedy in the form on an action for damages. torts keep the peace between individuals and substitute a remedy instead of vengeance three types 1. negligent-omission or commission 2. intentional- willful act that violates another interest 3. liability assessed regardless of fault
Unlock the answer
question
negligence
answer
failure to perform one's duties competently acts of omission or commission elements of negligence 1. practitioner owes a duty to the patient 2.practitioner breaches that duty 3. breach of duty causes damage 4. damage or harm done to patient
Unlock the answer
question
malpractice
answer
is a form of negligence and can involve professional misconduct unreasonable lack of skill or fidelity of professional duties, evil, practice or unethical conduct three classifications 1. criminal- crimes like assault, battery, euthanasia 2. civil- negligence or practice below a reasonable standard 3. ethical- violations of professional ethics
Unlock the answer
question
intentional torts
answer
a wrong committed intentionally to produce harmful result 1. slander- verbal defamation of an individual by false words that damage the reputation 2. libel- printed defamation by written words, cartoons , ect, that causes harm 3.must be seen or heard by third party.
Unlock the answer
