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Cardio Assess Unit 7
SPC Cardiopulmonary Assessment Unit 7 Exam 3
Question | Answer |
---|---|
Key elements of a sound "Problem-Oriented Medical Record" (POMR)? | 1. Subjective Info 2. Objective Info 3. Patient Assessment 4. Treatment plan w/ Measurable Outcomes 5. Post Treatment Evaluation 6. Revision of Treatment plan if/when warrented |
Define S.O.A.P.? | S-Subjective: Patient states chief complaint O-Objective: Therapist finds vitals, ABGs etc. A-Assessment: Therapist conclusion regarding S & O data P-Plan: Treatment plan |
Key elements of a sound "Clinical Practice Guideline" (CPG)? | 1. Description/Definition 2. Setting 3. Hospital/Home 4. Indications/Contradictions 5. Hazards/Complications 6. Limitations 7. Assess of need & outcome 8. Resources 9. Monitoring 10. Frequency 11. Infection Control |
Define "Therapist Driven Protocol" (TDP)? | Patient care plans are initiated and implemented by therapists and are designed and developed with physician input. They are approved by the medical staff and the hospital governing board. |
Key components of (TDP)? | 1. Patient Assess form 2. Triage Scale 3. Protocol/Algorithm |
Respiratory Care Protocol? | To test the severity of respiratory treatment needs |
O2 Protocol? | The treat hypoxemia, decrease work of breathing, and decrease myocardial work |
Hyperinflation Therapy Protocol? | The prevent or treat consolidation & atelectasis |
Bronchial Hygiene Therapy Protocol? | To enhance mobilization of bronchial secretions |
Aerosolized medication Protocol? | Bronchodilator, Anti-inflammatory, Mucolytic, & Antibiotic |
Mechanical Vent Protocol? | To provide and support alveolar gas exchange and eventually return the patient to spontaneous breathing. |
Treatment-Based Protocol? | 1. Designed for a specific type of therapy: CPT, Aerosol, etc. 2. Closely tied to CPG's |
Diseased-Based Protocols? | 1. Designed for specific diseases: Asthma, CHF, etc. 2. Pathology & Compliance drive the protocol |
Signs/Symptoms-Based Protocol? | Signs and symptoms drive a list of treatment modalities |
Treatment-Based advantages? | 1. Very Specific 2. Diagnosis Unnecessary |
Treatment-Based Disadvantages? | 1. Require excellent assessment skills 2. Sometimes lengthy and cumbersome |
Disease-Based Advantages? | 1. Easy to write 2. Easy to follow |
Disease-Based Disadvantages? | 1. Multiple disease states may cause confusion 2. Symptoms exist prior to diagnosis |
Sign/Symptom-Based Advantages? | 1. Patient treated for immediate symptoms 2. Treatment easily modified |
Sign/Symptom-Based Disadvantages? | 1. Require excellent assessment skills 2. Difficult to write |