Nurs 480: summary of Quiz 1(with answers)

HIPAA – Health Insurance Portability and Accountability Act EHR and client confidentiality • Office of Civil Rights has authority to investigate complaints by patients and other individuals related to the privacy rule • Examples: o Log off computers so others can’t access o Information can be given if the patient authorizes it o Only speaking with healthcare professionals involved with the patient ABCDE ▪ A – Airway/Cervical Spine o Most important step – no patent airway ⟶ hypoxia ⟶ brain injury/death within 3-5 min o Head-tilt/chin-lift maneuver to open airway if pt is unresponsive – DO NOT perform if pt has a protentional cervical spine injury o Inspect for broken teeth, blood and secretions – do finger sweep o Open airway can be maintained with adjuncts (oropharyngeal or nasopharyngeal) ▪ Bag valve mask with 100% O2 until advanced airway established ▪ Nonrebreather with 100% O2 for pts spontaneously breathing ▪ B – Breathing o Assess for presence and effectiveness of breathing ▪ Auscultate breath sounds, chest expansion, rate and depth of respirations, any chest trauma? tracheal position, JVD ▪ C – Circulation o Assess BP, HR, peripheral pulses and cap refill o CPR o Assess for external bleeding ⟶ control bleeding o Obtain IV access using large bore catheters into antecubital fossa of both arms ( unless obvious injury) o Infuse isotonic fluids (LR, NS and/or blood products) o Shock can develop if circulation is compromised ▪ Shock is the bodies response to inadequate tissue perfusion and oxygenation. •