Larry is a CST working in the general surgery unit of an urban hospital. He and Dr. Hobart are finishing a case where a known IV drug user suffered a gunshot wound to the abdomen. While Larry was counting instruments with the circulator, Dr. Hobart tossed a loaded needle holder back onto the Mayo stand without informing Larry. As he turned around, the bloody needle penetrated Larry’s single glove and punctured his skin. Larry immediately reported the needle-stick injury to the circulator, who removed his glove and helped him assess the wound while paging for a replacement CST. After being relieved at the field, Larry washed the wound with soap and water. Because occupational health was closed at this hour, Larry reported to the emergency department for treatment, and then filed all appropriate reports. 1. What should Larry do with the needle and needle holder after they became contaminated with his blood?

Cardiogenic means:    a. to originate in the heart   b. graphic record of the heart   c. disease of the heart   d. condition of the heart

REWRITE the dialogue to make it therapeutic A patient pulls his intravenous catheter out of his arm and is found with blood all over his arm and bed. The nurse comes into the room and says, “Look at this mess – why did you pull out your IV??”

Mr. Garcia is a -68-year-old patient who was diagnosed with COPD 5 years ago and has been successfully treated by Dr. Green ever since. This morning, Mr. Garcia is scheduled for a spirometry test followed by an evaluation by the Dr. Oliver, a certified medical assistant, who will be in charge of Mr. Garcia. Due to the office being busy, Mr. Garcia is left waiting 30 more minutes than expected. Oliver finally calls him over and directs him to the examination room. As Mr. Garcia sits down, he lets out a heavy sigh. As Oliver enters the patient information in the computer, he stated, “Alright Mr. G., let’s do the spirometry test first. I see you are familiar with how it goes.” To which Mr. Garcia aggressively responded, “Why must I keep taking this test? This is the 5th time Dr. Green has ordered the test, I even quit smoking 4 years ago, why do I have to keep coming back and sitting through long waits just to have the same exact test performed?” Questions : Explain what a spirometry is…

Why would it be advisable for a patient with Graves’ disease to wear a medic alert tag or bracelet?

An ambulance emergency response team notifies an emergency room (ER) that they are 4 minutes away, with two females, ages 31 and 32, and a 32-year-old male, who have just been in an accident and have life-threatening injuries. They request a flight team to pick the patients up from the ER and take them to the nearest level 1 trauma center immediately. They also ask that a code response team be ready with as many units of blood as possible. The physician on staff orders all O negative units to be taken to the ER STAT. The hospital has only 3 0 negative units on hand, but they have 15 0 positive units, all of which are taken to the ER. The type and screens that were drawn in the ambulance are given to the phlebotomists as soon as the ambulance arrives at the hospital. The physician orders that the female who has the most life-threatening injuries should be given all of the O negative units, and the other female, who seems stable at the moment, is to be given 2 units of O positive RBCs.…

George Tomlin, RMA, has been working for several years in a specialty practice. He applies for a position closer to his home with better hours and more pay. This office, however, sees patients with a variety of illnesses. For the first time since he graduated from college, he is encountering words and procedures with which he is not familiar. What is the best way for George to review his basic medical terminology? What should George do when he encounters a new word? What are some good ways for him to learn the new vocabulary for his new position?"

You are assigned to six patients on the medical surgical unit working with a LPN/LVN and share a CNA with another RN Client number 1: 50-year old male who had a heart attack and stent placed with normal vital signs Client number 2: 46-year-old female with full-thickness burns to the leg who needs to have dressings changed Client number 3: 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg Client number 4: 18-year-old male with wheezing and labored respirations unrelieved by an inhaler Client number 5: 74-year-old female with new onset dementia awaiting lab results Client number 6: 52-year-old female who has been recently diagnoses with diabetes type 2 and is getting discharged   Describe the patients you will be assigning to the LPN

An aneurysm which appears as a balloon-like swelling on the side of an artery is a ____.   (It looks like a bubble gum bubble)     fusiform     infectious     saccular     sclerotic

Endoscopic procedures generally provide shorter and less painful recovery time for the patient. However, there will always be a need for traditional “open” surgical procedures. What types of procedures are not likely to ever be replaced by endoscopy? Are there patients for whom endoscopy might not be a viable option even if the surgery is possible?