Urgent Care/Clinical Settings Teamwork between physician and technologist No call Low Stress Flextime More hands on with Patient Care No Heirarchy No problems.

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

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

Histofreeze

Epistasis

Cerumen Removal

Nebulizer Treatment

O2

Peak Flow

Spirometry

Burn Debridement

Splinting/Casting

Dressing Changes

Suture Removal

I & D & Laceration Trays

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/weightProvide 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

Rhythm

Volume

Condition of arterial wall

Infant: 100-180 bpm

Child: 70-110 bpm

Adult: 55-90 bpm

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

Rhythm

Depth

At birth: 30-60 R/min

Infant: 30-38 R/min

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 (30-50 is normal)

BLOOD PRESSURE

Child: systolic 100-120 mm/Hg

diastolic 60-80

Adult: systolic 90-140 mm/Hg

diastolic 60-90

Elderly: systolic 140-170 mm/Hg

diastolic 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 spaceKorotkoff sounds

Phase I: faint tapping (systolic)Phase II: swishing;Phase III: crisp, loudPhase IV: Sound becomes dull/muffled (diastolic)Phase V: All sound disappears; 2nd diast.