Transcript Urgent Care/Clinical Settings

Urgent Care/Clinical Settings
Teamwork between physician and technologist
No call
Low Stress
Flextime
More hands on with Patient Care
No Heirarchy
No problems with departmental communication
PATIENT CARE PROCEDURES
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Laboratory
Urine Collection
Blood Draws
Specimen Collection
IV Therapy & Heparin Lock
Medication Administration
Eye Exams
Sterile and Non-Sterile
Physicals
Orthostatic Vitals
Universal Precautions
Infection Control
EVEN MORE COOL PROCEDURES
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Histofreeze
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Spirometry
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Epistasis
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Burn Debridement
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Cerumen Removal
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Splinting/Casting
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Dressing Changes
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Suture Removal
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I & D & Laceration
Trays
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Nebulizer Treatment
O2
Peak Flow
VITALS
Vital signs are measurable, concrete
indicators that pertain to and are essential
for life.
GETTING VITALS
Height/weight
Temperature
Pulse
Respirations
Blood Pressure
Evaluation of pain
Height/weight
Provide information for diagnosing,
treating, preventing, or evaluating a
condition
Growth pattern
Dosage for certain drugs
Weight determined for certain specialty
exams.
OVERWEIGHT PROBLEMS
Hypertension
Heart disease
Diabetes mellitus
Psychologic problems
UNDERWEIGHT PROBLEMS
Malnourishment
Metabolic disorders
Psychologic problems
PROCEDURE
Scales should be
located in private area
Patient stand with
back to numbers
TEMPERATURE
Body temperature is a result of the balance
maintained between heat produced and heat
lost by the body.
Regulated by hypothalamus
85% body heat lost through convection
15% lost through respiratory tract/mouth
and feces/urine.
TEMPERATURE
Oral: 98.6 F (+/- 1F), 37 C
Rectal: 99.6 F, 37.6 C
Axillary: 97.6 F, 36.4 C
Tympanic: read in oral or rectal
PULSE
The wave of blood
that travels along the
arteries with each
contraction of the
heart’s left ventricle.
Best felt when a
superficial artery is
pressed against a firm
structure.
PULSE
Rate
Infant: 100-180 bpm
Rhythm
Child: 70-110 bpm
Volume
Adult: 55-90 bpm
Condition of arterial
wall
PULSE
Apical pulse
Pulse deficit
RESPIRATION
The taking in of O2, its use in the tissues,
and the giving off of CO2.
Controlled by the medulla oblongata.
Ratio of respiration to pulse is typically 1:4
RESPIRATION
Rate
At birth: 30-60 R/min
Rhythm
Infant: 30-38 R/min
Depth
Child: 20-26 R/min
Adult: 12-20 R/min
BLOOD PRESSURE
Pressure of the blood against the walls of
the blood vessels.
Systolic Pressure – ventricles of the heart in
a state of contraction.
Diastolic Pressure – ventricles of the heart
in a state of relaxation.
Pulse Pressure – difference of the two (3050 is normal)
BLOOD PRESSURE
Child: systolic
diastolic
Adult: systolic
diastolic
Elderly: systolic
diastolic
100-120 mm/Hg
60-80
90-140 mm/Hg
60-90
140-170 mm/Hg
92-100
BLOOD PRESSURE
Hypertension – increase in blood pressure
“Silent Killer” never based on one reading
Hypotension – decrease in blood pressure
INSTRUMENTS
Sphygmo (pulse) mano (slight) meter (to
measure)
Mercury – column
Aneroid – a, not neroid, liquid
Manometer parts: Cuff, inflation bulb,
control valve, pressure indicator
Stethoscope
Auscultation Method
Brachial artery @ antecubital space
Korotkoff sounds
Phase I: faint tapping (systolic)
Phase II: swishing;
Phase III: crisp, loud
Phase IV: Sound becomes dull/muffled
(diastolic)
Phase V: All sound disappears; 2nd diast.