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MOD A WEEK ONE
Chapter 21 Book Terms
87
Medical
Undergraduate 1
04/23/2014

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Term
A ____ specific to your office should be created and followed to ensure that you cover all daily functions of opening, operating, and closing the office.
Definition
Checklist
Term
The National Task Force on Violence Against Health Care Providers conduct ___ ____ inventories.
Definition
Semi-annual
Term
Never enter the officeig you see evidence of forced entry or if it appears that someone might either be inside or has been inside. Leave at once and call ____ security or the police.
Definition
Building
Term
The first step when opening the office is to check the ____.
Definition
Temperature
Term
When checking reading material, always remove the ____ and torn material.
Definition
Outdated
Term
The child's play area should be situated in a corner or within a controlled area to reduce the possibility of adults ____ over the objects on the floor.
Definition
Falling
Term
When preparing the front desk, you should turn on all ____, scanners, printers, and offices with EHR must have all computers and tablets ____ before the first patient can be checked in.
Definition
Computers, operational
Term
Make sure to check the ____ ____ in the autoclave, and turn it on.
Definition
water level
Term
Anything that may be hazardous or could become contaminated should be kept out of sight in a ____ or locked area.
Definition
Secure
Term
Chemicals that could become ____ when kept beyond their expiration date must be monitored carefully.
Definition
Volatile
Term
A ____ is sometimes referred to as a par level. Offices perform this function electronically with the use of scanners and bar codes.
Definition
Threshold
Term
____ for example, Microsoft Excel to track your inventory and purchases.
Definition
Spreadsheets
Term
Entries of vendors or ____ should name the company, the address, and phone number, and a contact person if possible. A list of what products or services they provide should be entered for each company.
Definition
Businesses
Term
At the end of the day, the examination rooms should be restocked and cleaned, and discarded material should be placed for pickup. This saves time the next morning. ____ must be collected, checked for completeness, and filed in a locked cabinet.
Definition
Charts
Term
All ____ appliances and the autoclave must be turned off, including computers.
Definition
Electrical
Term
It is the office manager's responsibility to confirm IT policy concerning computer usage and enforce compliance that is so critical to patient ____ and HIPAA guideline, and it is each staff member's responsibility to follow this policy.
Definition
Privacy
Term
In some cases, the computer may be left on to install ____ and updates to be pushed through.
Definition
Patches
Term
Be aware of your ____ when you leave the office.
Definition
Surroundings
Term
When evaluating your work environment, verify that all ____ prevention devices (safety needles) are used and proper disposal is performed.
Definition
Needlestick
Term
Quality assurance is also known as ____ ____.It is set in place to report any incident that happens in the workplace.
Definition
Risk Management
Term
The United States Department of Labor established through OSHA that require employers to provide employees with safe ____ conditions to protect them from harmful exposure and substances
Definition
Working
Term
The United States Public Health Department operates the ____ in Atlanta, Georgia. It is the CDC's responsibility to collect data on pathogens and diseases and establish guidelines to prevent their spread.
Definition
CDC
Term
Making local government emergency preparedness and response programs accessible to people with disabilities is a critical part of this responsibility. Another requirement is to identify accessible modes of ____ that might be available to help evacuate people with disabilities during an emergency. (ADA)
Definition
Transportation
Term
The Clinical Laboratory Improvement Amendments or ____ of 1988 established federal regulatory standards regulating all laboratory testing (except research) performed on humans in the United States.
Definition
CLIA
Term
The local fire department will conduct routine walk-throughs of the facility to verify compliance with ____ codes. This should be done when first moving into an office, prior to seeing patients.
Definition
Fire
Term
Chemicals and _____ are evaluated for hazard category classification and labeled with the National Fire Protection Association's color and number coding.
Definition
Reagents
Term
Material Safety ____ Sheets provide information about working with or handling a particular chemical substance.
Definition
Data
Term
When the spill involves bodily fluids such as blood or urine, universal precautions must be observed by using gloves and eye protection and placing materials in a ____ waste bag.
Definition
Biohazard
Term
Properly bag ____ clothing and materials in a leak-proof labeled biohazard bag.
Definition
Contaminated
Term
____ could be carefully wrapped in layers of newspaper or placed inside empty cardboard or plastic containers before being deposited in the receptacles.
Definition
Fragments
Term
Always use appropriate PPE or ____ ____ ____. The type will vary on the procedure being performed.
Definition
Personal Protective Equipment
Term
MSDS sheets should be kept easily ____.
Definition
Accessible
Term
All health care workers must practice standard precautions to protect themselves against acquiring HIV, hepatitis B, or other ____ diseases.
Definition
Infectious
Term
Only three elements need to be present for a fire to start: heat, fuel and ____.
Definition
Oxygen
Term
The office should have an established policy regarding the ____ to follow in case of fire.
Definition
Procedure
Term
You must know the location and proper use of the fire ____ to aid in preventing a fire from spreading.
Definition
extinguishers
Term
The acronym PASS stands for: ____ the pin at the top, ____ at the base of the fire, ____ the handle slowly, ____ from side to side until the fire is completely out.
Definition
Pull, Aim, Squeeze, Sweep
Term
____ is a state of being free from all pathogenic microorganisms.
Definition
Asepsis
Term
____ time refers to the time between the initial exposure to the disease causing microbes and the appearance of the first symptoms or signs of the disease.
Definition
Incubation
Term
Microorganisms that are the cause of disease are called ____.
Definition
Pathogens
Term
A microorganism's power to produce a disease is known as ____.
Definition
Virulence
Term
Organisms need what six things to survive?
Definition
Oxygen, PH (6.0-7.35), temperature, nutrients, water, and a host to inhabit.
Term
AIDS - acquired immunodeficiency syndrome
Definition
Direct contact: sexual, anal, or vaginal intercourse; sharing IV drug needles, infected mother to child (childbirth), blood to blood (from cuts, scrapes, punctures of the skin), indirect contact: blood transfusions.
Term
Chickenpox - varicella zoster
Definition
Direct or indirect contact, droplet, or airborne secretion of infected person. (anti-pruritics)
Term
Conjunctivitis - pink eye
Definition
Direct or indirect contact with discharge from eyes or upper respiratory tract of infected person.
Term
Haemophilus Influenza type B
Definition
Antibiotics, increased fluid intake, antipyretics, rest, analgesics.
Term
Hepatitis A
Definition
Direct contact or by fecal contaminated food or water
Term
Herpes Simplex Virus
Definition
Painful blisters on lips, which turn pustular and then form crusted scabs; oral lesions are small ulcerated areas.
Term
Impetigo
Definition
Direct contact with draining sores
Term
Influenza
Definition
Bed rest, increased fluid intake, antipyretics
Term
MRSA - Methicillin-resistant Staphylococcus Aureus
Definition
Direct contact or indirect contact. Skin-to-skin contact, or shared items such as towels, razors, and bandages. Skin infections that may look like pimples or boils and can be red, swollen, painful, and full of pus.
Term
Pertussis
Definition
whooping cough
Term
Pinworms
Definition
Direct transfer of eggs from anus to mouth; indirect contact with eggs in clothing, bedding. (Anthelmintics)
Term
Scabies
Definition
Direct contact or indirect contact with infested clothing/bedding.
Term
Scarlet fever
Definition
Strawberry tongue, rash on skin and inside mouth, high fever, nausea and vomiting, fever, red and sore throat, pus spots on back of throat.
Term
Common infectious agents are microorganisms that are classified as:
Definition
Bacteria, viruses, fungi, parasites, and rickettsiae.
Term
Fungi are simple ____ plants that depend on other life forms for a nutritional source.
Definition
Parasitic
Term
The chain of infection:
Definition
1. infectious agent - Microorganisms, bacteria, viruses, parasites, rickettsiae
2. Reservoir or Source - people, equipment, food, water, animals, insects
3. Portal of Exit from Reservoir Source - secredionts, excretions, respiratory droplets, blood/bodily fluids.
4. Means of Transmission - indirect contact, direct contact, bloodborne, airborne, ingestion
5. Portal of Entry to Host - Non-intact skin, mucous membranes, systems: reproductive, digestive, respiratory
6. Susceptible Host - elderly, frail immunosuppressed, chronic disease, trauma.
Term
Protozoa are single-celled internal ____ that have a true nucleus and survive on living matter.
Definition
Parasites
Term
____, also multicellular parasites, live on the surface of a host and include scabies and lice.
Definition
Ectoparasites
Term
Rickettsiae are known as ____ parasites because they depend completely on their host for survival.
Definition
Obligate
Term
The ____ is the place where conditions are ripe for replication.
Definition
Resovoir
Term
Sometimes, a human reservoir is called a ____ because the pathogens can survive, grow, and multiply here.
Definition
Carrier
Term
Including blood-borne ____, which is acquired when the infected blood enters the susceptible host through blood or body fluids.
Definition
Transmission
Term
When a person with a cold coughs or sneezes, the ____ containing the microorganisms that is causing the illness can travel up to 3 feet.
Definition
Vapor
Term
____ transmission is a disease carrying insect, usually a mosquito or a tick are additional examples of indirect contacts.
Definition
Vector
Term
The ____ host is one who is capable of being infected by the pathogen. The resistance or ability to fight off disease of the host is low, which could be because of poor health, poor nutritional habits, or poor hygiene.
Definition
Susceptible
Term
Universal ____ as defined by the CDC, are a set of precautions designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B, and other blood-borne pathogens when providing first aid or health care.
Definition
Precautions
Term
Refrain from direct patient care if you have an ____ skin condition or laceration until the condition clears.
Definition
Exudative
Term
When you are working, never eat, drink, chew gum, smoke, place hands or fingers to the ____, or place any item in the mouth.
Definition
Mouth
Term
____ controls are devices that isolate or remove the blood-borne pathogen hazard from the workplace.
Definition
Engineering
Term
CDC requires three steps when exposed to blood:
Definition
Wash needlesticks and cuts with soap and water, flush splashes to the nose, mouth, or skin with water, irrigate eyes with clean water, saline, or sterile irrigation.
Term
To prevent possible self injury, it is recommended that needles should never be _____, broken off, or removed from disposable syringes by hand after use. They should be placed carefully in puncture proof containers after engaging the safety guard over the needle.
Definition
recapped
Term
_____ is a method to completely destroy disposable items by flame.
Definition
Incineration
Term
Medical _____ is a type of infection control that decreases the risk of spreading infection by decreasing the number or pathogenic microorganisms and their spread after they leave the body.
Definition
Asepsis
Term
The very best way to prevent the transfer of microorganisms is by regularly washing your ____.
Definition
Hands
Term
Regular scrub is ____ seconds. However, a surgical scrub should last from ____ to ____ minutes.
Definition
15,
5-6 minutes.
Term
Wearing gloves is not a substitute for ____ ____. Because they can have imperfections or small tears, you must wash your hands before and after wearing them.
Definition
Hand-washing
Term
Personal Protective Equipment, or ____ is protective wear required by OSHA and protects health care employees from coming in contact with blood, body fluids, and other potentially infected material.
Definition
PPE
Term
____ is the process of washing and scrubbing to remove materials such as body tissue, blood, or other body fluids.
Definition
Sanitization
Term
____ is a process in which disease producing microorganisms or pathogens are killed, however, does not always kill spores.
Definition
Disinfection
Term
Low-level disinfectants such as ____ bleach and ____ alcohol are used only on intact skin, such as stethoscopes or exam tables.
Definition
Household, isoprophyl
Term
____ is the process that destroys all forms of living organisms. Following the sterilization procedure, which is generally performed by ____, the item remains sterile for 30 days if its packaging is kept dry and intact.
Definition
Sterilization, Autoclaving
Term
The 30 day period of sterilization is also known as ____ life.
Definition
Shelf
Term
Do not use any sterile package if it is beyond the ____ date.
Definition
Expiration
Term
In the process of sterilization, the autoclave exerts approximately ____ to ____ pounds of pressure per square inch at a temperature between ____ and ____ degrees.
Definition
15-30 pounds
250-270
Term
The process of ___ ___ sterilization takes on to two hours at a temp. of 350, depending on the article.
Definition
Dry heat
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