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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.
