Term
| Tips for accepting criticism: |
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Definition
don't take it personally
accept you are not perfect
find aspects you can agree with
find ways you can improve
don't hold a grudge
view your work/actions in the view of others
if emotional, wait to respond |
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Term
| phases of constructive feedback |
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Definition
1. evaluation phase
2. feedback phase
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Term
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Definition
gather data
listen, observe
objective vs subjective data
consider expectations
be fair, identify self bias |
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Term
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Definition
be specific and direct
don't let emotions interfere
be sicere, respecful and honest
reinforce expectations |
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Term
| what is the E of a SOAPE note? |
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Definition
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Term
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Definition
precontemplation
contemplation
preparation
action
maintenance |
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Term
| What three blood borne pathogens are of concer? |
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Definition
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Term
Which fluid is NOT of concern when using precautions?
Blood
Semen
urine
synovial fluid |
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Definition
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Term
| Body fluids to be cautious about: |
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Definition
vaginal secretions
synovial fluid
CSF
pleural fluid
peritoneal/pericardial fluid
amniotic fluid
semen
BLOOD or any fluid contaminated with blood |
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Term
| Fluids that precautions DO NOT apply: |
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Definition
feces
nasal secretions
sputum
sweat
tears
urine
vomitus
saliva (except when it has blood in it) |
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Term
Which individual is considered 'safe'?
Mom
Joe the plumber
New little baby
IV drug user |
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Definition
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Term
| is it necessary to wash your hands (before and after seeing a patient) when you use gloves for the duration of the appointment? |
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Definition
| Yes, always always always wash your hands before and after seeing a patient |
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Term
| Objects that can be contaminated and penetrate the skin: (5) |
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Definition
needles
syringes
lancets
scalpels
razor blades |
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Term
| T/F When using sharps they should ALWAYS be recapped so no one can get hurt. |
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Definition
| aboslutely positively FALSE |
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Term
| What is the primary reason for risk exposure? |
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Definition
| no using universal precautions |
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Term
| T/F Most injuries are due to uncooperative patients. |
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Definition
False.
Most injuries are SELF inflicted |
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Term
| What is the primary reason for exposure? |
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Definition
Needle sticks - 80% of all work related exposures
however, only 54% are reported |
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Term
| Transmission of HIV is (>,<, =) than Hep B. |
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Definition
<
HIV has less of a transmission rate than hep B
Hep B can live in dried blood for up to a week |
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Term
| If you are exposed to HIV, what steps of counseling/precautions are taken? |
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Definition
sexual abstinence or condom use 6-12 weeks
avoid pregnancy
DC breat feeding
avoid donating blood, serum, or semen, tissue
may work w/o concern
report any flu like symptoms |
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Term
| If you are exposure to HBV or HCV, what precuations/counseling are taken? |
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Definition
no special precautions
avoid donating blood, serum, semen, tissue
may work w/o concern |
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Term
| What is the rate of latex allergy? |
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Definition
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Term
| What is the most common presentation of latex allergy? |
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Definition
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Term
| What are taper needles used for? |
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Definition
| tissue that is easy to penetrate, such as bowel or BVs |
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Term
| What are cutting needles used for? |
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Definition
penetration of tough tissue
DO NOT use to suture skin |
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Term
Suture sizes:
2 (<,>) 2-0
9-0 (<,>) 4-0 |
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Definition
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Term
9-0 suture is used for?
5-0 sutures is used for?
3-0 suture size is used for?
1 to 2 suture size is used for? |
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Definition
opthalmic and micro-surgeries
face, trunk, smaller excisions, vein/artery repair
thik skin areas, high tension, large excisions
abdominal repairs |
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Term
| What are the steps to creating a streile field? |
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Definition
hand washing/surgical scrub
patient wound preparation
barriers
maintainentance of sterile field |
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Term
| distance between teh skin edge and the emerging suture should be (<,>,=) on both sides of the wound. |
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Definition
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Term
| the tip of the needle holder should grasp the needle aobut ____ of the way back from the point. |
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Definition
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Term
| T/F it is desirable to evert the edges of a wound. |
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Definition
True
averted wounds have the best cosmetic outcomes
to obtain an inverted sutured wound:
90 degrees in and 90 degrees out
prevent space under the area of the wound
go all the way to the bottom of the wound |
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Term
Injection need length depends on:
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Definition
route of administration
pt size
pt wt
type of tissue injected |
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Term
| Injection needle guage depends on: |
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Definition
viscosity of fluid
pt comfort |
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Term
| larger the guage of a needle the (bigger, smaller) the needle |
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Definition
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Term
| Angle of insertion when doing an injection depends on: |
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Definition
body wt
body fat content
type of injection |
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Term
| Amount of injectable fluid to be injected depends on: |
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Definition
site
route of injection
age of pt |
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Term
| Site of injection depends on: |
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Definition
drug being given
amount being given
age of pt |
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Term
| Typical sites of injection: |
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Definition
forearm
upper arm
ABD
buttock/gluteus
anterior thigh |
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Term
Intradermal Injections:
Needle length
Needle guage
Angle of insertion
amount
site
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Definition
1/4-1/2 inch
25-27 guage
5-15 degrees
0.1-0.10 cc
inner forearm - 3-4 inches below antecubital space |
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Term
| Types of injections for intradermal injections: |
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Definition
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Term
Subcutaneous Injections
Needle length
needle guage (child/adult)
angle of insertion (child/adult)
amount
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Definition
3/8 - 5/8
(child 26-31) (adult 25-31)
(child 45 degrees) (adult 45-90 degrees)
0.1-1.0 cc |
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Term
| Subcutaneous injectable sites: |
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Definition
outer aspect of upper arm
ABD
anterior thigh
scapular area(unusual)
upper ventral dorsal glueal area (love handle area)
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Term
| What does it mean to 'aspirate'? |
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Definition
| once you have punctured the skin with the needl pull back on the plunger to make sure you haven't hit a blood vessel before injecting the fluid into the body. |
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Term
| Types of injections using SubQ: |
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Definition
anticoagulants
insulin
allergy desensitization
migraine injection
interferons
most injectable narcotis (though most often given IM)
some vaccines
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Term
IM injections:
Needle length (child/adult)
Needle guage(child/adult)
angle of insertion
amount injected (infant/small child, children/elderly/thin pts, adults
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Definition
(child 1/2 - 1")(adult 1-1.5" - obese 3")
(child 23 ga)(adult 21-23 ga)
90 degrees
(infant/small child <1cc)(children/elderly/thin pts <2cc)(adults 2-3 cc up to 4cc) |
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Term
| Sites of injections for IM: |
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Definition
deltoid (except in small children)
vastus lateralis (preferred in infants <7mo)
ventrofluteal (lateral side of butt)
dorsogluteal (not in child <3yo) avoid sciatic |
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Term
| to ensure injectible fluid stays in injection site during IM injections, what technique is used? |
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Definition
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Term
| Types of injections for IM: |
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Definition
Abs
vaccinations
narcotics
hormones
steroids
Ig
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Term
| What are the advantages to IM injections? |
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Definition
lasts longer
although there are more side effects |
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Term
| before injection takes place check for: |
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Definition
proper patient
proper med
proper dose
proper route
**always ask about allergies** |
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Term
| What are the standard (universal) precaution methods? |
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Definition
hand washing
gloves
lab coat
sharps container usage
safety devices |
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Term
| What tube is used for a CBC? |
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Definition
Lavender
contains anticoagulant |
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Term
| What tests are ran on a blue top tube? |
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Definition
coagulation
must be drawn fully! will be rejected |
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Term
| If a chemistry needs to be ran STAT which tube is preferred? |
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Definition
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Term
| What items are absolutely required on a blood tube? |
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Definition
patient first and last name
patient middle initial
medical record (or hostpital) number
date of birth
date drawn
time drawn
phleb initial
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Term
| Where is the most common place for a draw? |
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Definition
anticubital fossa
the median cubital vein |
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Term
| A lavender top tube contains? |
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Definition
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Term
| A light blue tube contains? |
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Definition
sodium citrate
coag!
9:1 ratio (blood:citrate) |
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Term
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Definition
Heparin
inhibits thrombin
Chemistry!
for stats |
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Term
| red-gray tiger top tube contains? |
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Definition
clot activator and a separation gel
aka SST (serum separator tubeS)
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Term
| routine blood collection order of tubes: |
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Definition
blood culture
coag
serum tubes (SST)
heparin tubes (green tube)
EDTA (lavender)
glucose tubes (gray tube - lactic) |
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Term
| Specimens can be rejected due to: |
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Definition
inadequately labeled
QNS (quanitity not sufficient)
clotted sample (coag)
hemolyzed specimen
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Term
| What is the best way to avoid a hematoma? |
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Definition
remove tourniquet prior to needle removal
apply adequate pressure on site after needle removal
avoid going through the vein entirely
bend arm after needle removal while applying pressure
avoid probing for the vein |
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Term
| What causes a hemolyzed sample? |
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Definition
too small a guage of neelde
too large vacuum
mixing tubes too vigorously
**bad interferes with some tests and sample may be rejected |
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Term
| Labs affected by hemolysis: |
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Definition
potassium
lactic dehydrogenase
aspartate aminotransferase
CBC
Fe
ALT (alanine amnotransferase)
thyroxine (T4)
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Term
| How to deal with IV fluids when doing phlebotomy? |
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Definition
use other arm
if not possible -
draw below IV and turn off for 2 minutes
discard first 5 mL
note on requisition that draw was done on IV arm |
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