ccms
clean catch midstream
QMA scope of practice
may perform hemoccult testing on stool specimens as ordered by a
... [Show More] physician
hemoccult testing
A screen for fecal occult blood
Hemoccult test slide (quaiac paper)
assess for expiration date
hypovalemia
state of decreased blood volume. May cause a high false oximetry reading.
QMA's may not apply oxygen to a resident in an emergency without a physicians order.
However there is often a PRN order for oxygen when the resident falls short of breath/oxygen saturation levels are low.
QMA's may initiate a nasal cannula only in an emergency situation.
QMA's may initiate non-sealing mask per emergency or PRN situation.
oxygen dries out the mucous membranes of the mouth and respiratory system.
The physician may order humidity to be placed on the oxygen source.
Physician ordered humidity along w/ oxygen. (distilled water)
This means gas passes through the water and water vapor is picked up before going to the resident.
When applying sterile/distilled water to residents oxygen remember to.
discard the sterile/distilled water after 2 weeks.
Portable oxygen tanks
have a few lbs of oxygen, they can last up to 8 hrs.
Oxygen concentrator weighs approximately 35 lbs. It must be plugged in to an electrical outlet.
Concentrator's extract oxygen from the room air and circulates it back to the resident.
Do not use petroleum (vasoline) to resident's nares during administration of oxygen.
Example: dry lips, chap-stick should not be applied if it has vasoline in it.
Signs/symptoms of respiratory distress
rapid pulse, rapid,shallow, flaring nostrils, restlessness respirations, cyanosis.
Position the resident in a Semi-Fowler's or Fowler's to maintain an open airway.
Apply ordered oxygen administration device.
Nasal cannula 1/2 inch prongs should be placed?
in a downward direction.
A reading on the oximetry of 90% may indicate?
Resident need to be given oxygen'
Instilling a Commercially Prepared Disposable Enema.
Solution into the rectum and sigmoid colon. Removes feces/flatus.
QMA's may only instill a commercially prepared enema which contains approximately
120ml (4oz.) of fluid.
Commercially Prepared Disposable Enema's increases water absorption in the small intestine by osmotic action.
A laxative effect that occurs due to increased peristalsis and water retention.
Sodium bi-phosphate (fleet enema)
is a saline laxative commonly ordered to be administered.
Record color, consistency and amount after resident has had a
bowl movement from a prepared disposable enema
A localized collection of puss in any part of the body which is the result of disintegration or displacement of tissue.
Abscess [Show Less]