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Prin Pro
Test 1
227
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10/20/2015

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Term
Bi-stable imaging systems
Definition
-Electrical device or circuit that has 2 stable states at any given time, so it is possible to switch between them
-on/off or black/white
Term
Porta-Arm scanner
Definition
-1962 when the introduction of the first commercially available portable ultrasonic system known as a compound contact scanner (Physionics Engineering Porta-Arm)
Term
-one of the most seminal pioneering contributions in B-mode imaging and contact scanning.
Definition
Porta-Arm scanner
Term
Porta-Arm scanner
Definition
-direct precurcor to the imaging systems in use today
Term
Pythagoras=
Definition
Observed the relationship between sound pitch and frequency
-invented the sonometer to study musical sounds
Term
Spallanzani=
Definition
Observed that bats function effectively in the dark, even when blinded, but not if deafened, and theorized that bats were listening to something he could not hear.
Term
Boethius=
Definition
Compared sound waves to the ripples produced by dropping a pebble into a calm body of water.
Term
Currie brothers=
Definition
First scientists to demonstrate the direct piezoelectric effect using quartz crystals.
-discoveries lead to the development of the modern transducer
Term
Focused high-energy ultrasound waves
Definition
-Focused high-energy ultrasound waves are used for therapeutic ultrasound to remove unwanted tissue.
Term
Harmonic imaging=
Definition
-transmitting at one frequency but receives echo information at a higher frequency
Term
-improves image quality and tissue contrast and overcomes some of the limitations of penetration and resolution found with traditional sonography
Definition
Harmonic imaging=
Term
Quantitative method of characterizing and recognizing various tissue types, beyond what is visually possible from source images.
Definition
Harmonic imaging=
Term
The 3 R’s of memory
Definition
1. Recording= learning the material in the first place
2. Retaining= keeping the material until needed
3. Retrieving= finding the material and getting it back out when needed
Term
Types of objective tests
Definition
Multiple choice= questions are situational, usually only one answer is correct
True/False= statement is evaluated to see if it is right or wrong
Completion= missing words or phrases are included in a sentence, must be completed to make true
Matching= 2 columns of words or phrases provided and student is asked to match each item in the first column with the appropriate item in the second column
Term
Mental functions in effective listening
Definition
1. Recall= The ability to restate what is heard at a later time (involves memory)
2. Comprehensive= thoroughly understood and intelligently applied (involves mastery of what is heard)
Term
Types of subjective tests
Definition
-Most common form is the essay test. Students may be asked to define or explain a term or concept, describe how they would handle a given situation or solve specific problems. Plan answers before writing.
Term
Immediate Memory=
Definition
used to remember things only long enough to respond to them (reading a page)
-Extremely limited
-Requires singular attention to determine which items require prompt response and which items require transfer.
Term
it is the system used to remember information that must be recalled or responded to within second or minutes after receiving it.
-(Short Term Memory)
Definition
Working Memory=
Term
used for information that must be stored for long periods before use
Definition
Long Term Memory=
Term
Long Term Memory=
Definition
-limitless to capacity to store information
-number of items it can retain
-facilitates learning and memorization of new material
-more information stored in LTM, the easier it is to enter new information
-requires attention, organization, and association
Term
attention-
Definition
focusing on desired material and blocking out disturbing stimuli.
(primary purpose is to determine what is important enough to remember)
Term
art of putting memory in order
Definition
organization-
Term
association-
Definition
technique involving forming a meaningful connection with a fact.
(encourages learning and thinking more about the fact)
(more thoughts associated with a memory, more permanently facts will be stored)
Term
Short Term Memory=
Definition
after information has been selected as important enough to remember
Term
-allows people to remember several things at once for periods or time greater than 1 second.
-maximum of remembering 7 items at a time
-subject to rapid information loss
-Can become overloaded causing us to “forget everything”
Definition
Short Term Memory=
Term
Inaccurate Memory=
Definition
Tendency to alter and distort details when some parts of a memory fail to fade in a uniform matter. Held together but has missing or altered details
Term
-elimination of all inaccurate remembering is impossible
-Rest, sufficient sleep, and healthy eating habits improve the brains ability to function
Definition
Inaccurate Memory=
Term
Clustering=
Visualization= envisioning or forming a mental image of something not present to the sight.
-works best for remembering concrete objects and actions such as a shopping list
-works poorly on abstract concepts
Definition
method of memorizing long series of data by arranging them in segments
-usually easier to remember in groups of 3 to 5
Term
techniques or systems for improving memory by the use or certain formulas
Definition
Mnemonic=
Term
Acronyms=
Definition
used to represent associations, organizations, government agencies, military terms
-Great Lakes (HOMES)
-spring ahead, fall back
Term
Acrostics=
Definition
first letter mnemonics that support recall by creating a sentence in which the first letter of each word is a prompt for recalling information

-My Very Egaer Mother Just Served Us Nine Pizzas (The planets)
Term
bridge memory gaps to enhance remembering
-most successful associations are tied to prior knowledge
-keys on piano (52 white/ 36 black) (52 weeks in year/ 36 inches in yard)
Definition
Association=
Term
Visualization=
Definition
envisioning or forming a mental image of something not present to the sight.
-works best for remembering concrete objects and actions such as a shopping list
-works poorly on abstract concepts
Term
Effective Listening=
Definition
listen without prejudice to avoid ignoring or filtering out details or tuning out any speakers who do not match their own ideas or values.
Term
The average speaking rate=
Definition
125 words per minute
Term
Study breaks
Definition
-take a 10-minute break for every 50 min of studying
Term
sonographers must posses many diverse skills to produce diagnostic quality studies.
-THE SCAN= provides valuable chronologic documentation of the accomplishments and proficiencies attained by a student during the course of their studies
-extensive knowledge of the physical principles
-working knowledge of the mechanics and operational features of systems
-in-depth appreciation of pathology
-ability to survey and scan clinically relevant areas
-recognition and recording of representative images and measurements
-recognition of more detailed exam if needed
-evaluation of patients clinical and lab histories
-familiar with different diagnosis
-ability to function as part of diagnostic team
-ability to discuss procedures with sonologist
-to assume role of teacher to students
-willingness to engage in continued education
Definition
Clinical competencies=
Term
-Intentional/conscious memorization=
Definition
when people deliberately and systematically devise ways to recall specific facts
-relies heavily on attention and perception
Term
-Subconcious memorization=
Definition
sensory triggers of sight, sound, touch, and smell are associated frequently with particular patient disease.
Term
Visual learning=
Definition
remember best what they see
Term
Visual learning=
Definition
-Remember things best by seeing them written or in another visual format such as images, texts, handouts, slides, films, tapes, notes, and flashcards.
Term
-Visualize words or concepts in your mind and taking detailed notes during lectures and when reading textbooks
Definition
Visual learning=
Term
hearing and saying things aloud are the most effective learning tools
Definition
Auditory learning=
Term
Auditory learning=
Definition
-learn best from lectures, class discussions, and tapes
Term
-help learn better by reading aloud or writing summaries or outlines of the material
Definition
Auditory learning=
Term
tend to retain and understand information best by writing, manipulating data, or physically practicing movements in hands-on settings
Definition
Active learning=
Term
-like to discuss or apply what you are learning, but most of all you learn better when you have an object in your hands
Definition
Active learning=
Term
-excel in classes with lab
Definition
Active learning=
Term
-improve your learning by studying in a group
Definition
Active learning=
Term
-Listening= listen carefully to the message and the words the patient is speaking
-Observing= most important facet of an nonverbal communication is awareness of the true message patient is sending. (body language)
-Responding appropriately= Providing feedback encourages patients to keep talking about their concerns
-Maintaining silence= give patients the chance decide what to say or not to say.
-Clarifying= check statements or cues they observed to be sure they understand the patients
-Repeating= allows patients to chance their minds
-Gathering information= ask open ended questions
-Summarizing= allows them to take a more objective look at their comments
-Accepting= encouraged to express negative feelings
-Touching= pat on the shoulder or touch of hand are gestures of support
Definition
Effective Communication Skills
Term
Sonographer reports (“diagnosing”)
Definition
-Include measurements, comments on echogenicity, location of normal and abnormal structures, and any unusual patient positions, scanning planes, or instrumentation changes required to complete the examination.
-Report any technical or patient difficulties encountered during the exam.
Term
Maslow’s hierarchy of needs
Definition
Physical needs, safety/security, love/belonging, self-esteem, self-actualization
Term
-Physical needs=
Definition
oxygen, water, food, elimination, rest, shelter (patient could die without)
Term
-Safety and security=
Definition
protection for danger, harm, or fear
Term
-Love and belonging=
Definition
humans thrive when they feel love, closeness, affection, belonging, and meaningful relationships with others. Health care professionals can fulfill this important need.
Term
-Self-esteem/Respect=
Definition
belief in one’s self only when people feel that others value them.
Term
-Self-actualization=
Definition
Experiencing one’s potential. Full development of one’s abilities and ambitions
Term
Body language=
Definition
form of nonverbal communication that involves facial expressions, gestures, and body movements that sends messages
Term
-Social Conversation Communication=
Definition
type of communication consisting of polite or friendly exchanges of factual or social information (chit chat)
-flows easily from one topic to another
-does not provide significant information, identify problems, or result in solutions
-important in establishing a relationship with patients and creating supportive communication
Term
more goal oriented and information bearing
-help relieve patients anxiety, anger, or frustration and to learn about any unmet patient needs.
Definition
-Supportive Communication=
Term
Communication barriers
Definition
-Fast talking, using slang or medical terms, making it difficult for the listener to understand the message. Speaking a language foreign to the listener.
Term
coalition formed by three people in a social situation, for exchanging information.
-may invite family members to participate in the triad
-useful when patients are anxious and need support or when patients don’t understand the sonographers instructions because of language, cognitive, or cultural reasons
-useful way of proving support and reassurance to the patient
Definition
Communication triad=
Term
-effective to review information, ensure understanding, ad explain a decision
-may invite family members to participate in the triad
-useful when patients are anxious and need support or when patients don’t understand the sonographers instructions because of language, cognitive, or cultural reasons
-useful way of proving support and reassurance to the patient
Definition
Communication triad=
Term
hearing=
Definition
face the patient directly and on the same level. The use of facial expression, body gestures, and touch enhance communication. Use a lower toned voice, reduce background noise, never talk from another room.
Term
promote the patients independence whenever possible. Approach by saying hello, handshake or pat on the arm helps to reassure them. Tell patient if you must leave the room, Use touch and tone of voice to communicate
Definition
vision=
Term
speech=
Definition
stand where visible and speak loudly and clearly, use common vocabulary and short simple sentences, give directions in simple manner, repeating and clarification. Provide time for patient to say what they want to say, be patient, and do not treat as children.
Term
use simple or direct language, act one question at a time, allow time for response, speak face to face with patient, keep environment calm, have a caring attitude, provide correct information, correct them with supportive communication.
mental=Communicate in a quiet or private area, Speak to the mental age of the patient and not his or her physical age. Be patient, flexible and supportive. Avoid talking too fast because this will only frustrate the patient. Do not mimic how the patient pronounces words. Speak in a low voice. Look them in the eye to let them know that you care about what you are saying
Definition
confused/disoriented=
Term
Denial/isolation=
Definition
Sonographers must be sure that he or she has assessed fully the patient’s condition and carefully thought out an approach before engaging the patient in conversation.
Term
Encouraging a supportive family member to be present during the patient examinations and transfers is helpful.
Definition
Denial/isolation=
Term
Anger=
Definition
Tendency to displace anger in all directions
-Patients may make unreasonable demands or levy unjust criticism at everyone participating in their care.
-Do not try to divert the patient with humor or cheerfulness.
-Explain the nature of the sonographic procedure to avoid patient fear or suspicion.
-Do not react as if the patient’s feelings are personal attacks.
-Try to understand that through this behavior, patients can unload the intense and often painful feelings they are experiencing.
Term
As patients begin to accept their condition, they may try to bargain with God.
-Some patients try alternative or “quack” treatments.
-Sonographers should allow these patients to talk about their bargains with God and share the patient’s requests and actions with staff members
Definition
Bargaining=
Term
Depression is encountered when patients finally realize the reality of their loss.
-Patients cry, lose interest in their surroundings, and become silent and withdrawn.
-Let patients express sorrow and feel sad.
-Encouragement and reassurance do not help patients at this stage.
-Encourage the patient to talk about his or her feelings.
Definition
Depression=
Term
Acceptance=
Definition
Patients are at peace and thinking more clearly.
-This is not a joyful stage.
-Energy and interest decrease, and the patient needs the support and company of family and friends.
-At this point patients need to be told that it is all right to say nothing, to “just be.”
Term
Negative Communication Traits
Definition
Judgemental responses, arguing, interupting, changing the subject, distractions, false assurances, untruthfulness, evasion, avoidance, false reassurance
Term
do not tell patients everything will be okay to prevent them from talking about their fears. The sonographer really doesn’t know if everything will be fine.
Definition
-False reassurance=
Term
-Avoidance=
Definition
do not direct all question to someone else. It signals they will not or cannot answer.
Term
do not focus attention on their signs or symptoms to reassure them or avoid being asked if they will die
Definition
-Evasion=
Term
-Untruthfulness=
Definition
never construct excuses to avoid confronting patients with unpleasant news
Term
deprives patient of working through a problem and possibly finding solutions/decisions
Definition
-False assurances=
Term
-Distractions=
Definition
guard against showing they are not interested by body language or behavior
Term
-Judgmental responses=
Definition
do not tell patents they should not feel angry or afraid or some people have it worse
Term
-Changing the subject
Definition
= patients feel sonographer does not want to listen
Term
-Interrupting=
Definition
put at risk of receiving only part of the message, giving inappropriate response, and alienating patients.
Term
debating instead of learning is counterproductive
Definition
-Arguing=
Term
Nonverbal communication=
Definition
consists of eye contact, facial expressions, body language, gestures, posture, tone of voice, and touch.
Term
-Sometimes a message patients wishes to impart is contradicted by the accompanying nonverbal expressions
Definition
Nonverbal communication=
Term
Collaborative learning=
Definition
Refers to an instruction method in which students at various performance levels work together in small groups toward a common goal.
Term
-Students are responsible for one anothers learning
-Gives students the opportunity to engage in discussion, take responsibility for their own learning, and become critical thinkers
Definition
Collaborative learning=
Term
Helping patients deal with bad news
Definition
-Sonographers deal with dying patients or those in danger of losing a pregnancy, so it is important to explore personal feelings about death to better understand patient’s feelings.
-Patients have different views about death based on their backgrounds, past experiences, and religious beliefs
Term
Critical thinking=
Definition
art of taking charge of your mind and ensuring that you use the best thinking you are capable of to solve problems in any circumstance.
Term
-For sonographers, the purpose of critical thinking is to solve complex problems using
Definition
scientific methodology.
Term
-Comparison, classification, sequence, cause/effect, patterning, deductive reasoning, planning, and critiquing are
Definition
critical thinking skills.
Term
—Characteristics of Critical Thinking
Definition
•Requires goal-directed thinking
•Makes judgments based on fact not guesswork
•Is open minded, not prejudiced
Term
-Eustress=
Definition
positive stress.
Term
too much stress.
Definition
-Hyperstress=
Term
too little stress.
Definition
-Hypostress=
Term
-Distress=
Definition
negative type of stress that is a manifestation of anxiety, mental pain, or mental suffering.
Term
Upper extremity injury
Definition
-Shoulder, Rotater cuff, biceps, Elbow, Wrist, Fingers
Term
-Upper extremity injury associated with the use of poorly designed transducers or
Definition
improperly holding or excessively gripping the transducer
Term
-Tendonitis, tenosynovitis, or tunnel syndromes, damage to the elbow, epicondylitis (tennis elbow), and posterior impingement syndrome of the elbow
Definition
Upper extremity injury
Term
De Quervain Disease=
Definition
Painful inflammation of the tendons (tenosynovitis) on the thumb side of the wrist
Term
-Thought to be related to repetitive hand or wrist motions
Definition
De Quervain Disease=
Term
-Symptoms of De Quervain Disease:
Definition
discomfort when turning the wrist, grasping anything or making a fist, and wrist pain radiating into the forearm and distally, into the thumb; decreased range of motion of the lower joint of the thumb; swelling at the base of the thumb
Term
splinting of the injured part; heat or cold application; NSAIDs. Injection of corticosteroids within the tendon sheath may be helpful.
Definition
-Treatment of De Quervain Disease:
Term
Bursitis=
Definition
Occurs with inflammation of the small sac of fluid that cushions and lubricates an area between tendon and bone or around the joint.
Term
-Causes of Bursitis:
Definition
chronic overuse, repetitive motions, trauma, gradual degeneration, aging, rheumatoid arthritis, gout, or infection.
Term
joint pain, tenderness, swelling, warmth over the joint, and stiffness near the affected bursa.
Definition
-Symptoms of Bursitis:
Term
Treatment of Bursitis:
Definition
temporary rest or immobilization of the affected joint, applying ice, taking NSAIDs
Term
Thoracic Outlet Syndrome
Definition
-TOS–group of disorders brought on by compression of blood vessels or nerves in the space between the clavicle and first rib
Term
-Symptoms of TOS=
Definition
Pain in the neck and shoulder area, Numbness and weakness in the arm/hand
Term
-Causes of TOS=
Definition
prolonged positions with arms held out or overhead; lack of rest periods at work to minimize fatigue; and repetitive lifting of heavy objects
Term
Vascular TOS=
Definition
Occurs when one or more subclavian vessels are compressed.
Term
Cyanotic (bluish) appearance of the hand, Subclavian vein thrombosis, Arm pain/swelling (possible blood clots), Throbbing lump near clavicle, Pallor (lack of color) in one or more fingers or the entire hand, Tiny, black spots (infarcts) on the fingers
Definition
Symptoms of Vascular TOS:
Term
-Characterized by compression of the brachial plexus nerves coming from the spinal cord
Definition
Neurologic TOS=
Term
-Symptoms of Neurologic TOS:
Definition
Numbness or tingling in the fingers, Pain in the shoulder and neck, Ache in the arm or hand, Weakening grip
Term
Ion concentration of indoor environments
Definition
-The use of negative air ionizers in modern buildings can counteract poor air quality and benefit human health.
Term
___________ negative ions per cubic centimeter is the ideal concentration of indoor environments
Definition
-2000 to 4000
Term
Trigger finger=
Definition
finger may suddenly lock or trigger, extending with a snap.
Term
-Flexor digital tenosynovitis coexists with carpal tunnel syndrome
-Aches or pain in wrist or thumb, aggravated by motion
Definition
Trigger finger=
Term
Carpal Tunnel Syndrome (CTS)
Definition
-Caused by compression of the median nerve at the wrist, causing numbness.
Term
-Gripping, flexing, and extending of the hand and wrist tendons can increase pressure within the carpal tunnel.
Definition
Carpal Tunnel Syndrome (CTS)
Term
-Common with Carpal Tunnel Syndrome (CTS):
Definition
numbness and burning especially in the thumb, index, middle or ring fingers, but not the little finger.
Term
splints, NSAIDs, injections of steroids, or surgery (in severe cases).
Definition
-Treatmen for Carpal Tunnel Syndrome (CTS):
Term
-Prevention of Carpal Tunnel Syndrome (CTS):
Definition
proper body mechanics during scanning, especially relaxing the grip on transducers and reducing the use of any force; and taking frequent breaks between patients. Wearing a textured scan glove may reduce the need for excessive gripping and sliding.
Term
Vision stress
Definition
-Wear single-vision lenses designed for middle distance only (computer glasses); these will allow a more natural head and neck position during scanning activities.
Term
-Position the top of the monitor at eye level so your eyes are looking downward to see the screen.
Definition
Vision stress
Term
Most common sites of pain and injury for sonographers
Definition
-Neck, back, hips, shoulder, wrist, hands, fingers, and feet most common sites of injury and pain
Term
-Primary causes of pain and injury for sonographers:
Definition
repetition, force, awkward posture
Term
-Risk of injury increases with the number of times and the greater length of time that a joint deviates from its natural position.
Definition
pain and injury for sonographers
Term
OSHA recommended breaks
Definition
-OSHA recommends 10-minute rest breaks for every 2 hours of scanning.
-20-20-20 Rule
Term
-20-20-20 Rule
Definition
look 20 feet away for 20 seconds for every 20 minutes scanning
Term
Plantar Fasciitis=
Definition
overuse and repeated stress on the foot.
Term
-Plantar fasciitis typically produces
Definition
heel pain with the first few steps in the morning.
Term
-The condition can last a few months, be intermittent, or become permanent.
Definition
Plantar fasciitis
Term
-Treatment includes rest, ice, taping, strengthening and flexibility exercises, and orthotic devices.
Definition
Plantar Fasciitis
Term
Plantar Fasciitis
Definition
-Wear shoes with good arch support, adequate cushioning and enough flexibility to easily bend under the ball of the foot.
Term
Internally generated stress (burnout and compassion fatigue)=
Definition
stress that we cause ourselves; is a major factor in the development of sonographer burnout and compassion fatigue
Term
state of chronic work-related stress especially prevalent in the health care and helping professions.
Definition
-Burnout=
Term
-Sufferers of burnout become
Definition
poorly motivated, let their job performance slide, and call in “sick” because of dissatisfaction with their job.
Term
-Compassion Fatigue=
Definition
mental distancing some health care professionals develop as a way to protect themselves.
Term
Workplace stressors
Definition
Monotony, Conflict, Role ambiguity, Role overload, Nonparticipation, Underutilization, Resource inadequacy
Term
-Monotony:
Definition
develops in a monotonous work environment that is devoid of stress
Term
develops when a sonographer’s fundamental values conflict with those of the employer
Definition
-Conflict:
Term
-Role ambiguity:
Definition
triggered when sonographers are uncertain of the employer’s expectations
Term
results from too much to do in too little time
Definition
Role overload:
Term
develops when sonographers have no say in important decisions
Definition
-Nonparticipation:
Term
-Underutilization:
Definition
occurs when sonographers’ jobs do not tap their potential.
Term
exists in cases of a lack of sufficient resources to perform a task to the level of expectation
Definition
-Resource inadequacy:
Term
Tarsal tunnel syndrome=
Definition
results from compression of the posterior tibial nerve.
Term
-Causes of Tarsal tunnel syndrome:
Definition
flat feet, injury, bone spur, systemic disease such as diabetes
Term
-Symptoms of Tarsal tunnel syndrome:
Definition
numbness or burning sensation in and around the ankles
Term
-Treatment:
Definition
rest, ice, cast, NSAIDs, PT, cortisone injections
Term
Proper shoulder abduction of the arm
Definition
-less than 30 degrees
Term
-Poorly designed ultrasound equipment
-Crowded scanning areas
-Poorly designed stretchers
-Use of awkward postures while scanning
-Awkward static and dynamic arm positions
-Use of excessive force when grasping a transducer
-Day-long repetition of the same types of scans
-Reaching injuries
-Prolonged standing
-Frequency and duration of procedures
-Insufficient rest/breaks during workday
Definition
Injury Risk Checklist
Term
-Be aware of what causes injury.
-Modify your behavior accordingly.
-Take frequent breaks during the workday.
-Modify your scan techniques (changing hands, posture, sitting/standing).
-See a physical therapist.
Definition
Elimination of workplace injuries
Term
Infection controls


·
Definition
A cycle of infection is created when a pathogen finds an environment in which it can grow.
·Pathogens are transmitted via portals of entry and exit:
·Respiratory, gastrointestinal, urinary, or reproductive tracts
·Breaks in the skin
·Blood
·CDC and the OSHA have established minimum standards for infection control called Standard Precautions.
Term
·Nosocomial infections are
Definition
infections acquired during a stay in the hospital.
Term
·Sonographers who work in a facility with risk of nosocomial transmission of TB should be given a
Definition
baseline PPD skin test.
Term
Hospital-acquired infections (HAI)
·Methicillin-resistant Staphylococcus aureus (MRSA)
·Vancomycin-resistant Staphylococcus (VRSA)
·Vancomycin-resistant Enterococcus (VRE)
Definition
infections
Term
The Heimlich maneuver
Definition
-Use only on conscious adults who cannot speak, cough, or breathe.
-Contraindicated on pregnant women, the markedly obese, or recent abdominal surgery patients.
-These patients require chest thrusts.
Term
******DO NOT perform CPR unless:
Definition
·The patient has stopped breathing
·The patient does not show signs of circulation (e.g., normal breathing, coughing, or movement in response to rescue breathing).
·No one with more training in CPR is present.
Term
-·Make a fist with one hand.
-Place the thumb side of the fist above the navel and below the lower end of the sternum.
-Grasp the fist with the other hand.
·Press inward and upward, quickly.
·If the thrust does not work, press upper abdomen against a hard surface (a chair back, table, or railing) and use as many thrusts as needed.
Definition
The Heimlich maneuver
Term
For infants younger than 1 year old, the procedure is limited to
Definition
rescue back blows and chest thrusts.
Term
The universal sign of a choking person
Definition
-Sudden, agitated placement of a hand to the neck.
-Inability to talk, cry, or breathe following patient becoming cyanotic.
Term
Indwelling catheters
Definition
-system used to provide temporary or permanent drainage of urine
-Foley catheter is commonly used
Term
-Maintain good posture
-Always evaluate a situation before acting or deciding what needs to be done
-Always explain to patients what you plan to do
-Remove any objects or hazards before moving backward or during transfer
-Feet shoulder width apart to provide strong base; distribute weight evenly; one foot slightly forward for balance and have the toes o the leading foot pointed in direction of the activity
-Prepare for activity by keeping back straight and being ready to bend at the hips or knees. Use large muscles of the thigh instead of smaller muscles of the back for lifting. Tighten abdominal and pelvic muscles, tuck butt in, and keep head and chest up.
-Never bend sideways from waist or hip for any activity. Always pivot feet and never twist body.
Definition
Good body mechanics
Term
IV equipment (report to the charge nurse if something is wrong)
Definition
-Nausea, vomiting, rapid breathing, or an increase in pulse rate.
-No solution passing from the bottle into the tubing.
-The plastic drip chamber is completely filled with solution.
-Blood appears in the tubing at the needle end.
-Most or all of the solution is gone.
-The needle has come out.
-Pain, tenderness, inflammation at the needle insertion site.
-The tubing becomes disconnected, and the patient is bleeding freely from the connection site.
Term
The average heart rate for children
Definition
-100-120 BPM
Term
NG tubes: rules for working with patients connected to mechanical suction machines
Definition
-Report any leakage in tube or suction system
-Never raise or open the drainage bag
-Never disconnect the tubing
-Immediately report any rapid increase in the amount of material being suctioned
Term
Oxygen therapy *****Do not:
Definition
Transport a high-pressure cylinder unless secured in a cylinder cart
Allow a cylinder to stand free
Transport patients on a stretcher with a cylinder lying next to them
Place a cylinder near a source of heat
Contact with any combustible material causes oxygen to ignite, burn or explode!
Term
Large oxygen cylinders:
Definition
Used for patients requiring high flow rates or oxygen use over extended periods
Term
Have a metal cap screwed onto the top of the cylinder to protect the valve from damage
Definition
Large oxygen cylinders:
Term
Small oxygen cylinders:
Definition
Used during patient transport or other short duration needs
Term
Have a rectangular valve (without a handle), which has three holes on one side
Definition
Small oxygen cylinders:
Term
Transferring or positioning a patient with an IV
Definition
-Never lower the bottle or bag below the level of the needle insertion when transferring or positioning the patient
Term
-Radial artery, located at the thumb side of the wrist
Definition
Taking pulse (the most convenient site)
Term
Normal respiration
Definition
·16 to 20 breaths per minute is normal.
Term
Venturi oxygen mask
Definition
·A high-flow mask that provides the most reliable and consistent oxygen enrichment
Term
Venturi oxygen mask
Definition
·Only oxygen mask that doesn’t require humidification
Term
·Has a hard plastic adapter with large “windows” on either side
Definition
Venturi oxygen mask
Term
continuous chest compression CPR
Definition
·Chest compressions; no mouth-to-mouth breathing.
·CAB: Compressions, Airway, and Breathing
·CCC-CPR technique
·Call 911 or a code 3
·Position the patient on the floor
·Place one hand on top of the other
·Place the heel of the bottom hand in the center of the patient’s chest.
·With elbows locked, deliver forceful chest compressions at a rate of 100/min.
Term
Scanning patients with colostomies or ileostomies
Definition
·Use clean technique. Wear gloves at all times.
·Gently remove the old appliance and clean the area around the stoma.
·Tape a folded gauze pad around the stoma to absorb any discharge and to protect the scanning surface during the examination.
·Flush contents of the old appliance into a toilet. Dispose of the old appliance in a plastic bag.
·Cleanse and dry the skin around the stoma before applying a new bag.
·Use sterile technique if scanning near open wounds.
·If scanning over the open wound, apply sterile gel to the area and cover it with a protective thin plastic film.
·Apply another layer of sterile gel to the top of the film to ensure an airless contact with the transducer and the scanning surface.
Term
Using a barrier device to perform CPR
Definition
·Barrier devices are types of disposable airway equipment that prevent direct contact with a patient’s mouth and blood, secretions/excretions, and bodily fluids.
Term
Isolation precautions
Definition
·Wash and disinfect hands before entering the room.
·Wear sterile gloves, gowns, and masks and discard them properly after attending to a patient.
·Cleanse ultrasound equipment and use sterile transducer covers and scanning media.
Term
What is the optimal adult blood pressure?
Definition
-less than 120/80 (120 indicating systolic pressure; 80 indicating diastolic pressure)
Term
What is “NPSGs”?
Definition
-The National Patient Safety Goals to promote specific improvements in patient safety.
Term
-Accredited health organizations are evaluated for continuous compliance with the requirements of NPSGs
Definition
NPSG
Term
-Infection control:
Definition
use hand cleansing guidelines form CDC; use gloves and safe practices
Term
-Identify patients correctly:
Definition
(by name and date of birth)
Term
-Emergency management:
Definition
know location of emergency medicine cart and fire extinguishers
Term
-Improve staff communication:
Definition
quickly get important test results to the right staff person
Term
-Medication:
Definition
take extra care of patients taking blood thinners
Term
HIPAA =
Definition
2001: Health Insurance Portability and Accountability Act (HIPAA)
Term
***If you are uncomfortable with observers:
Definition
-Tell the patient if there is not enough space for extra people in the room.
-Let observers know their presence hinders your concentration.
-Offer to call the observers into the examination room for their own “viewing” after the examination.
Term
(HIPAA)
Definition
-Put patient information away after hours.
-Keep files out of sight of unauthorized personnel.
-File patient charts with names facing the wall.
-Set screensavers for the shortest time possible.
-Be sure conversations are not overheard by other patients.
-Remove patient identification from scans used for publication or presentation.
-Patients may request that students, medical personnel, or family members leave the room during the sonography examination.
Term
Symptoms and causes of sudden cardiac arrest
Definition
·Strikes with little or no warning
·Commonly caused by ventricular fibrillation (VF)
·VF is dangerous because it cuts off blood supply to the brain and other vital organs.
·Can be treated successfully by applying electric shock (defibrillation) to the chest
Term
Ventricular fibrillation
Definition
-Disturbance in heart rhythm.
-Can be treated by applying electric shock to the chest
Term
-Most common cause of sudden cardiac arrest
Definition
Ventricular fibrillation
Term
Ventricular fibrillation
Definition
-Considered dangerous because it cuts off crucial blood supply to the brain and other vital organs.
Term
Vital signs
Definition
pulse, temperature, Respiration, Blood pressure
Term
Blood pressure=
Definition
·Produced by the pumping action of the heart
·Highest when the heart contracts (systolic pressure)
·Lowest between beats, when the heart rests, (diastolic pressure)
Term
-Pulse rate—
Definition
the number of beats per minute (bpm)
Term
·Arrhythmia—
Definition
any variation of the normal rhythm of the heart
Term
abnormally rapid pulse rates (>100 bpm)
Definition
·Tachycardia—
Term
·Bradycardia—
Definition
abnormally slow pulse rates (<60 bpm)
Term
Rhythm—
Definition
the interval between beats
Term
The goal(s) of the Affordable Care Act
Definition
·Helps patients with pre-existing conditions gain and keep coverage
·Protects patients’ choice of doctors
·Ends lifetime limits on the care
Term
average heart rate for kids
Definition
100-120
Term
20-20-20 rules is for every 20 minutes of scanning, look 20 feet away, for 20 minutes
Definition
false
Term
which of the following is an effective communication skill?
Definition
all of the above

listening
observing
responding appropriately
calarifying
Term
all of the following are the 3 R's of memory except
Definition
Remembering
Term
form of thinking that involves drawing conclusions from facts and being able to recover and logically manipulate them to correlate with the clinical question at hand
Definition
deductive reasoning
Term
which of the following is not a stage of the grieving process?
Definition
anxiety
Term
__________ is a type of communication that usually consists of polite or friendly exchanges of factual of social information (chit chat)
Definition
Social Conversation
Term
What is the average value of arterial pressure for an adult?
Definition
110/65
Term
Which instrument is good for measuring blood pressure?
Definition
mercury manometer
Term
which is the best way to reduce eye strain
Definition
10 minute break every 2 hours
Term
what is not a function of the musculoskeletal ultrasound?
Definition
find out the source and severity of varicose veins
Term
In which case is it appropriate to perform CPR?
Definition
the patient has stopped breathing
Term
All of the following are ways to enhance your learning except
Definition
Rely on short term memory
Term
A technique that can be effective in solving communication problems by reviewing the information, ensuring understanding and explaining the decisison
Definition
Communication triad
Term
Repetitive motion injury that is the most commonly reported nerve entrapment syndrome
Definition
Carpal Tunnel syndrome
Term
To remain compliant with HIPAA, sonographers should do all of the following except
Definition
Set screen savers on computers for the longest time possible
Term
In maslows basic needs pyramid, the highest level that is rarely achieved is
Definition
self- actulization
Term
Normal breathing is quiet, effortless, and regular in rhythm, it occurs at a rate of ______ breaths per minute in a normal adult
Definition
16-20
Term
_______________ is the final step of the grieving process
Definition
acceptance
Term
_______________ occurs with inflammation of the small sac of fluid that cushions and lubricates an area between tendon and bone around a joint
Definition
bursitis
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