HIPAA
Health Insurance Portability and Accountability Act of 1996
PHI
Protected Heath Information
PHI includes data such as
name, DOB, SSN, ph
... [Show More] one number, marital status, place of employment, and address
An EKG technician releases information about a patient's diagnosis to the patient's employer. Which of the following patient rights was violated?
A) Assignment of benefits
B) Patient confidentiality
C) Access to treatment
D) Power of attorney
B) Patient confidentiality
*A patients diagnosis is confidential and may not be shared with an employer*
Electrocardiograph
instrument used to record the electrical activity of the heart
Electrocardiogram
A recording of the electrical activity of the heart
What is needed by the patient before performing an EKG?
Consent
What type of consent is needed for more extensive cardiac testing?
Written consent
What type of consent is more common for EKGs?
Implied consent
supine position
lying on back, facing upward
*ideal position for most EKG exams*
When can a chaperone be warranted for an EKG?
for teenage patients or on a patient with cognitive deficits or dementia
AD
What should the EKG technician say if a patient asks about their results right after the exam?
They may only disclose a confirmation that the EKG was successfully completed and will be interpreted by the provider
A patient follows an EKG technician to the examination room, voluntarily undresses from the waist up, and lies on the examination table.
Which of the following types of consent is the patient giving?
A) Expressed written consent
B) Informed consent
C) Implied consent
D) None
C) Implied consent
*the actions exhibited by the patient in this situation are a form of implied consent*
Medical asepsis
Practice designed to reduce the number and transfer of pathogens (clean technique)
Surgical asepsis
Technique used to destroy all pathogenic organisms (sterile technique)
OSHA
Occupational Safety and Health Administration
CDC
Centers for Disease Control (and Prevention)
Standard precautions
Recommendations that must be followed to prevent transmission of pathogenic organisms by way of blood and body fluids
HAIs
Healthcare associated infections
What is the order of medical asepsis?
> Infectious agent
> Reservoir
> Portal of exit
> Mode of transmission
> Portion of entry
> Susceptible host
PPE
Personal protective equipment
Why are excess jewelry and long or artificial nails discouraged?
They can harbor pathogens and cause scratches or injuries to the patients
Where do you dispose items that have body fluids? (such as blood)
Biohazardous container
Where do you dispose needles or any other sharp supplies?
Sharps container
Why is it important to avoid using family members as interpreters?
They may not communicate the information of the patient accurately
What is the order of therapeutic communication?
> Sender develops message
> Message encoded into transmutable format
> Message transmitted (oral, written, symbolic, or nonverbal)
> Receiver decodes the message
> Receiver converts message into understanding
> Feedback
Things the technician should communicate with their patient:
> How long it takes to run the test
> How many leads will be attached
> How the information transfers through the leads
> The procedure is completely harmless
> Ask if they need to use the bathroom prior to starting the test
> Remind them that they should not move or talk once the leads are connected
What is an appropriate introduction to the patient?
"Good morning. My name is Y/N, and I am the EKG technician that will be performing your electrocardiogram-or EKG- today"
An EKG tech greets a patient, takes the patient to the examination room, and asks, "Could you please state your name?" Which of the following techniques is the technician using?
A) Reflection
B) Empathy
C) Active listening skills
D) Skilled interviewing
D) Skilled interviewing
Communication with members of the health care team can be accomplished through which of the following methods? (Select all that apply)
A) Electronic health record
B) Verbal exchange
C) Text messages between coworkers
A) Electronic health record
B) Verbal exchange
What factors can affect vital signs?
> Stress
> Food or liquid intake
> Medical conditions
> Age
> Physical activity
AD
What are the vital signs?
> Blood pressure
> Heart rate
> Respiration
> Temperature
> Pulse oximetry
Blood pressure
Identifies the force of blood circulating through the arteries
What equipment is used to manually determine blood pressure?
> Sphygmomanometer
> Blood pressure cuff
> Stethoscope
How is blood pressure measured?
Millimeters of mercury (mm Hg)
Systolic pressure
The blood pressure generated by the heart during contraction
Diastolic pressure
Occurs when the ventricles are relaxed; the lowest pressure against the walls of an artery
Korotkoff sounds
Distinct sounds that are heard throughout the cardiac cycle
Korotkoff sound phases
Phase 1: when the blood begins to surge into the artery that has been occluded by the inflation of the blood pressure cuff
Phase 2: there's a swishing sound as more blood flows through the artery
Phase 3: sharp tapping sounds are noted as even more blood is surging
Phase 4: sound changes to a soft tapping sound, which begins to muffle
Phase 5: the last sound disappears completely and the blood is flowing freely
Expected BP range
Less than 120 (systolic) and less than 80 (diastolic)
Elevated BP range
120-129 (systolic) and less than 80 (diastolic)
High BP (stage 1)
130-139 (systolic) and 80-89 (diastolic)
High BP (stage 2)
140 or greater (systolic) and 90 or greater (diastolic)
Hypertensive crisis
180 or greater (systolic) and 120 or greater (diastolic)
Another name for heart rate
Pulse
What is the most common site for measuring an adult pulse?
Radial pulse
Where is the radial pulse located?
The thumb side of the wrist
What is the most common site for measuring a pulse in children?
Brachial pulse
Where is the brachial pulse located?
Inside the upper arm
What is the most common site for measuring a pulse in emergency procedures?
Carotid pulse [Show Less]
