CCBMA Kaplan Clinical Study Review
disposable thermometers - check expiration dates
mensuration - measuring infant head width and body length
Venipuncture, tubes, serum separator tubes - can only wait 30 min until centrifuging it
pap smear - set up speculum, gloves, water soluable lube, specimen container,
collecting broom etc.
spinal cord evaluation - done in prone position
obtain Pt history - in quiet, private area
renal threshold - the concentration at which a substance in the blood, not normally
excreted by the kidney, begins to appear in the urine
Lab tests, stool, Coumadin - may cause occult blood in the stool
to check for airway obstruction - ask Pt to speak
Ishihara test - use to check for color blindness
nonsterile item added to sterile field - redo the sterile field and resterilize any
instruments
aseptic techniques =1. sanitation, 2. disinfection, 3. antiseptics, 4. sterilization - 1.
sanitation = process used to wash and remove tissue from medical instruments
2. disinfection = process of killing or inactivating pathogens on objects
3. antiseptics = used to clean the skin and decrease # of organisms at injection sites
(alcohol, betadine)
4. sterilization = process to completely remove all microorganisms from objects
(chemically, autoclave, or gas)
Venipuncture, 60 seconds - maximum amount of time that a tourniquet should remain
on the patient's arm during a routine venipuncture
consideraitions during a jlarge jscale jnational jdisaster j- j1. jsome jPts jwill jcome jto joffice
jb/c jof jovercrowded jER
2. vaccinations jor jimmunizations jmay jneed jto jbe jadministered
3. open jlines jof jcommunication jwith jlocal jpublic jhealth jofficials jand jparticipation jin
ja jcoordinated jplan
Exam, jHx, jsocial jhistory jsection jof jPt jchart j- jmarital jstatus, jemployment, jeducation,
jlifestyle, jtobacco juse, jalcohol juse, jdrug juse, jexercise jhabits, jsleep
,CCBMA Kaplan Clinical Study Review
meds, jsevere jupper jrespiratory jinfection j- jamoxicillin, jalbuterol, jrobitussin, jcipro. j(not
jhydrochlorothiazide=diuretic)
microscope jcondensor j- jis ja jlens jthat jserves jto jcollect jand jconcentrate jlight jfrom jthe
jillumination jsource. jThe jlight jis jin jturn jfocused jthrough jthe jobject jand jmagnified jby jthe
jobjective jlens.
Venipuncture, jorder jof jdraw jp236 jKaplan j- jyellow, jred, jred/gray j(tiget jtop), jblue,
jlavender, jgreen, jpink, jgray. jIf jblue jis jthe j1st j& jonly jtube jdrawn, jdraw ja j5ml jred jtopped
jtube j1st jand jtoss jit jb/c jneedle jmay jpick jup jthromboplastin jduring jstick. jThis jmay jaffect
jtest jresults.
CLIA-waved j(low jcomplexity) jtests j- jpregnancy, jurine jdip, joccult jblood, jglucose, jsed
jrate, jhemoglobin, jhematocrit
respiratory jrate jin jBPM j- jadult=12 j- j20, jchild=16 j- j30, jnewborn=30 j- j50
normal jbody jtemp j- j98.6 jF, j37 jC
Autocave jtemp j- j250F, j121C
1 jKg j- jequals j2.2 jlbs
pulse jpoints j- jtemporal, jcarotid, japical, jbrachial, jradial, jfemoral, jpopliteal, jdorsalis jpedis
vitals, jrespiration j- jcharting/evaluation j- j1. jrate j= j# jof jbreaths jper jmin,
2. rhythm j= jpattern jof jtime jbetween jbreaths j= jirregular jor jregular,
3. depth j= jamount jof jair jin jeach jbreath j= jshallow, jdeep, jirregular
asepsis j- jabsence jof jinfection jor jinfectious jmaterial
jmedical j= jremoval jor jdestruction jafter jthey jleave jthe
jbody
surgical j= jremoval jor jdestruction jof jpathogens jbefore jthey jenter jthe
jbody jcan juse j70% jalcohol, jbetadine j(be jaware jof jiodine jallergy)
alcohol-based jhand jrub j- jcan jreplace jsoap jand jwater
not: j1st jhand jwashing, jafter jusing jrestroom, jor jwhen jthere jis jvisible jmaterial jon jhands
sanitation j- jremoves jall jdebris jfrom jobjects, jinstruments. jwear jthick jgloves, jeye
jprotection. jprotective jgown.
ultrsonic jsterilization jcan jbe jused jhere.
disinfection j- jkilling jor jinactivating jpathogens jon jobjects. j1:10 jbleach jand jwater.
universal jprecautions j- jmandated jby jCDC.
standard jprecautions j= jbarrier j= jpersonal jprotective jequipment j(PPE). jgloves, jgown,
jeye jprotection, jmasks,
,CCBMA Kaplan Clinical Study Review
potentially jinfectious jbody jfluids j- jcerebrospinal, jsynovial, jpleural, jpericardial,
jperitoneal, jamniotic, jliquid jor jsemi-liquid jblood, jmucous, jvaginal jor jseminal
jsecretions, jsaliva, jany jbody jfluid jthat jis jcontaminated jwith jblood jwhether jvisible jor
jnot, jhuman jtissue, jpus
infections, jtypes j- j1. jacute j= jrapid jonset jand jlasts ja jshort jtime j(a jcold)
2. chronic j= jlasts jan jextended jtime/lifelong j(Hep jB)
3. latent j= jhas jperiods jof jactivity jand jlatency j(herpes)
4. slow j= jprogress jslowly jover ja jlong jperiod, juntreated j(Lyme jdisease, jsyphilis)
infection, jchain jof jKaplan jp200 j- j1. jinfective jagent
2. susceptible jhost
3. portal jof jentry
4. mode jof jtransmission
5. portal jof jexit
6. reservoir jhost
vitals, jpulse, jcharting/evaluation j- j1. jrate j= jbeats jper jminute
2. rhythm j= jtime jbetween jeach jbeat. jregular j= jsame jtime jbetween jbeats, jirregular
j= jdifferent jtime jbetween jbeats.
3. volume j= jforce jof jthe jbeat. jweak jand jthready, jbounding j= jstrong jbeat, jregular
jis jnormal
vitals, jBP, jcharting/evaluation jKaplan jp.209 j- jarm jat jheart jlevel, jPt jcomfortable. jIf
jreading junusual jask jPt jabout jmeds, jcaffeine, jstress. jHave jsomeone jelse jcheck jif
jthere jis jany jdoubt jabout jthe jreading jPhase jII
vitals, jBP, jKorotoff jsounds, jcharting/evaluation, jphases, jKaplan jp.210 j- jPhase jI j- j1st
jsound j= jsharp jtapping jsound
Phase jII j- jswishing jsound
Phase jIIl j- jdistinct jtapping jsounds
Phase jIV j- jpoint jwhere jdistinct jtapping jdisappears
jPhase jV j-sound jcompletely jdisappears
personal jdata j(demographics) j- jaddress, jphone, jinsurance, jbirth jdate, jmay jinclude:
jinitial jphysical, jlab, jmedication jlist.
Hx, jMedical jhistory, jcomponents jKaplan jp211 j- jpersonal jdata j(demographics)
jchief jcomplaint j- jreason jto jcome jinto joffice
past jmedical jhistory j- jchildhood jillnesses, jaccidents, jsurgeries, jpast jmedical jillnesses
jfamily jhistory j- jgenetic/family jdiseases
social jhistory j- jemployment, jeducation, jsmoking, jalcohol, jdrugs, jlifestyle, jsleep jhabits
jsystems jreview j- jpresent jillness jimpact jon jorgan jsystems, jdone jby jphysician
, CCBMA Kaplan Clinical Study Review
Exam, jexamination jmethods j- j1. jinspection: jusing jvisual jobservation jof jposture,
jmannerisms, jgrooming, jgait, jinjuries, jrashes, jcolor, jdeformities jasymmetries
2. palpation: jexam jby jtouch, jpress jto jfeel jinternal
jorgans
3. percussion: jtapping jto jhear jsounds jor jfeel
jvibrations j(abdomen jand jlungs)
4. asucultation: jlistening jto jthe jbody jsounds
5. mensuration: jmeasuring j= jHt, jWt, jsize jof ja
jwound
vision jtest j- jSnellen jchart j- jmeasures jdistance jvision
Pt jstands j20 jft jfrom jchart, jcovers jright jeye, jthen jleft jand jreads jthe jlowest jline
jpossible jwithout jsquinting. jRecord jas: jnumbers jnext jto jthe jline jand ja jminus jsign jnext
jto jit jup jto j2 jletters jmissed. jIf jmore jthan j2 jare jmissed, jrecord jthe jline jabove jit..
jWatch jfor jSx: jsquinting, jwatery jeyes, jheadache, jtilting jhead.
EKG jspeed j- j25mm/sec
OSHA j- jagency jthat jsets jstandards jfor jdisposal jof jinfectious jwaste
EKG j- jvisual jpicture jof jthe jelectrical jactivity jof jthe jheart. jCan jbe jinterfered jwith jby
jhair, jPt jmovement, jtremor, jtalking jand jelectrical jinterference.
Exam, jvitals, jAnthropometric jmeasurements j- jHt, jWt, jcalculate jBMI.
Rinne jTest j- jhearing jtest jusing ja jtuning jfork jthat jis jmade jto jvibrate jand jthen jplaced
jon jthe jmastoid jprocess. jWhen jthe jsound jdisappears, jit jis jplaced jin jfront jof jthe jear
jcanal jand jwill jnormally jstill jbe jheard.
vitals, jcarotid jpulse j- jused jto jcheck ja jpatient jthat jhas jfainted
vitals, josteoporosis jscreening jincludes j- jchecking jthe jheight jof jan jolder jPt
vitals, jof jan jinfant j- jhave jthe jparent jhold jthe jchild jwhile jlistening jwith ja jstethoscope jto
jthe jheart jand jlungs.
Lab jtests, jCLIA j- jClinical jLaboratory jImprovement jAmendments j1988 jto jimprove jquality
jof jlab jtesting. jNeed jfor jMedicare/Medicaid jreimbursement.
FDA j- jregulates jlabs junder jCLIA
Lab jtests, jCLIA jwaived jtests j- jlow jrisk jof jerror jor jPt jharm: jdipstick jor jtablet jreagent
jurinalysis, jfecal joccult jblood, jovulation, jurine jpregnancy, jblood jglucose, jerythrocity
jsedimentation jrate j(ESR), jhemoglobin j(HGB), jhematocrit(Hct), jCLIA japproved jStrep jA
disposable thermometers - check expiration dates
mensuration - measuring infant head width and body length
Venipuncture, tubes, serum separator tubes - can only wait 30 min until centrifuging it
pap smear - set up speculum, gloves, water soluable lube, specimen container,
collecting broom etc.
spinal cord evaluation - done in prone position
obtain Pt history - in quiet, private area
renal threshold - the concentration at which a substance in the blood, not normally
excreted by the kidney, begins to appear in the urine
Lab tests, stool, Coumadin - may cause occult blood in the stool
to check for airway obstruction - ask Pt to speak
Ishihara test - use to check for color blindness
nonsterile item added to sterile field - redo the sterile field and resterilize any
instruments
aseptic techniques =1. sanitation, 2. disinfection, 3. antiseptics, 4. sterilization - 1.
sanitation = process used to wash and remove tissue from medical instruments
2. disinfection = process of killing or inactivating pathogens on objects
3. antiseptics = used to clean the skin and decrease # of organisms at injection sites
(alcohol, betadine)
4. sterilization = process to completely remove all microorganisms from objects
(chemically, autoclave, or gas)
Venipuncture, 60 seconds - maximum amount of time that a tourniquet should remain
on the patient's arm during a routine venipuncture
consideraitions during a jlarge jscale jnational jdisaster j- j1. jsome jPts jwill jcome jto joffice
jb/c jof jovercrowded jER
2. vaccinations jor jimmunizations jmay jneed jto jbe jadministered
3. open jlines jof jcommunication jwith jlocal jpublic jhealth jofficials jand jparticipation jin
ja jcoordinated jplan
Exam, jHx, jsocial jhistory jsection jof jPt jchart j- jmarital jstatus, jemployment, jeducation,
jlifestyle, jtobacco juse, jalcohol juse, jdrug juse, jexercise jhabits, jsleep
,CCBMA Kaplan Clinical Study Review
meds, jsevere jupper jrespiratory jinfection j- jamoxicillin, jalbuterol, jrobitussin, jcipro. j(not
jhydrochlorothiazide=diuretic)
microscope jcondensor j- jis ja jlens jthat jserves jto jcollect jand jconcentrate jlight jfrom jthe
jillumination jsource. jThe jlight jis jin jturn jfocused jthrough jthe jobject jand jmagnified jby jthe
jobjective jlens.
Venipuncture, jorder jof jdraw jp236 jKaplan j- jyellow, jred, jred/gray j(tiget jtop), jblue,
jlavender, jgreen, jpink, jgray. jIf jblue jis jthe j1st j& jonly jtube jdrawn, jdraw ja j5ml jred jtopped
jtube j1st jand jtoss jit jb/c jneedle jmay jpick jup jthromboplastin jduring jstick. jThis jmay jaffect
jtest jresults.
CLIA-waved j(low jcomplexity) jtests j- jpregnancy, jurine jdip, joccult jblood, jglucose, jsed
jrate, jhemoglobin, jhematocrit
respiratory jrate jin jBPM j- jadult=12 j- j20, jchild=16 j- j30, jnewborn=30 j- j50
normal jbody jtemp j- j98.6 jF, j37 jC
Autocave jtemp j- j250F, j121C
1 jKg j- jequals j2.2 jlbs
pulse jpoints j- jtemporal, jcarotid, japical, jbrachial, jradial, jfemoral, jpopliteal, jdorsalis jpedis
vitals, jrespiration j- jcharting/evaluation j- j1. jrate j= j# jof jbreaths jper jmin,
2. rhythm j= jpattern jof jtime jbetween jbreaths j= jirregular jor jregular,
3. depth j= jamount jof jair jin jeach jbreath j= jshallow, jdeep, jirregular
asepsis j- jabsence jof jinfection jor jinfectious jmaterial
jmedical j= jremoval jor jdestruction jafter jthey jleave jthe
jbody
surgical j= jremoval jor jdestruction jof jpathogens jbefore jthey jenter jthe
jbody jcan juse j70% jalcohol, jbetadine j(be jaware jof jiodine jallergy)
alcohol-based jhand jrub j- jcan jreplace jsoap jand jwater
not: j1st jhand jwashing, jafter jusing jrestroom, jor jwhen jthere jis jvisible jmaterial jon jhands
sanitation j- jremoves jall jdebris jfrom jobjects, jinstruments. jwear jthick jgloves, jeye
jprotection. jprotective jgown.
ultrsonic jsterilization jcan jbe jused jhere.
disinfection j- jkilling jor jinactivating jpathogens jon jobjects. j1:10 jbleach jand jwater.
universal jprecautions j- jmandated jby jCDC.
standard jprecautions j= jbarrier j= jpersonal jprotective jequipment j(PPE). jgloves, jgown,
jeye jprotection, jmasks,
,CCBMA Kaplan Clinical Study Review
potentially jinfectious jbody jfluids j- jcerebrospinal, jsynovial, jpleural, jpericardial,
jperitoneal, jamniotic, jliquid jor jsemi-liquid jblood, jmucous, jvaginal jor jseminal
jsecretions, jsaliva, jany jbody jfluid jthat jis jcontaminated jwith jblood jwhether jvisible jor
jnot, jhuman jtissue, jpus
infections, jtypes j- j1. jacute j= jrapid jonset jand jlasts ja jshort jtime j(a jcold)
2. chronic j= jlasts jan jextended jtime/lifelong j(Hep jB)
3. latent j= jhas jperiods jof jactivity jand jlatency j(herpes)
4. slow j= jprogress jslowly jover ja jlong jperiod, juntreated j(Lyme jdisease, jsyphilis)
infection, jchain jof jKaplan jp200 j- j1. jinfective jagent
2. susceptible jhost
3. portal jof jentry
4. mode jof jtransmission
5. portal jof jexit
6. reservoir jhost
vitals, jpulse, jcharting/evaluation j- j1. jrate j= jbeats jper jminute
2. rhythm j= jtime jbetween jeach jbeat. jregular j= jsame jtime jbetween jbeats, jirregular
j= jdifferent jtime jbetween jbeats.
3. volume j= jforce jof jthe jbeat. jweak jand jthready, jbounding j= jstrong jbeat, jregular
jis jnormal
vitals, jBP, jcharting/evaluation jKaplan jp.209 j- jarm jat jheart jlevel, jPt jcomfortable. jIf
jreading junusual jask jPt jabout jmeds, jcaffeine, jstress. jHave jsomeone jelse jcheck jif
jthere jis jany jdoubt jabout jthe jreading jPhase jII
vitals, jBP, jKorotoff jsounds, jcharting/evaluation, jphases, jKaplan jp.210 j- jPhase jI j- j1st
jsound j= jsharp jtapping jsound
Phase jII j- jswishing jsound
Phase jIIl j- jdistinct jtapping jsounds
Phase jIV j- jpoint jwhere jdistinct jtapping jdisappears
jPhase jV j-sound jcompletely jdisappears
personal jdata j(demographics) j- jaddress, jphone, jinsurance, jbirth jdate, jmay jinclude:
jinitial jphysical, jlab, jmedication jlist.
Hx, jMedical jhistory, jcomponents jKaplan jp211 j- jpersonal jdata j(demographics)
jchief jcomplaint j- jreason jto jcome jinto joffice
past jmedical jhistory j- jchildhood jillnesses, jaccidents, jsurgeries, jpast jmedical jillnesses
jfamily jhistory j- jgenetic/family jdiseases
social jhistory j- jemployment, jeducation, jsmoking, jalcohol, jdrugs, jlifestyle, jsleep jhabits
jsystems jreview j- jpresent jillness jimpact jon jorgan jsystems, jdone jby jphysician
, CCBMA Kaplan Clinical Study Review
Exam, jexamination jmethods j- j1. jinspection: jusing jvisual jobservation jof jposture,
jmannerisms, jgrooming, jgait, jinjuries, jrashes, jcolor, jdeformities jasymmetries
2. palpation: jexam jby jtouch, jpress jto jfeel jinternal
jorgans
3. percussion: jtapping jto jhear jsounds jor jfeel
jvibrations j(abdomen jand jlungs)
4. asucultation: jlistening jto jthe jbody jsounds
5. mensuration: jmeasuring j= jHt, jWt, jsize jof ja
jwound
vision jtest j- jSnellen jchart j- jmeasures jdistance jvision
Pt jstands j20 jft jfrom jchart, jcovers jright jeye, jthen jleft jand jreads jthe jlowest jline
jpossible jwithout jsquinting. jRecord jas: jnumbers jnext jto jthe jline jand ja jminus jsign jnext
jto jit jup jto j2 jletters jmissed. jIf jmore jthan j2 jare jmissed, jrecord jthe jline jabove jit..
jWatch jfor jSx: jsquinting, jwatery jeyes, jheadache, jtilting jhead.
EKG jspeed j- j25mm/sec
OSHA j- jagency jthat jsets jstandards jfor jdisposal jof jinfectious jwaste
EKG j- jvisual jpicture jof jthe jelectrical jactivity jof jthe jheart. jCan jbe jinterfered jwith jby
jhair, jPt jmovement, jtremor, jtalking jand jelectrical jinterference.
Exam, jvitals, jAnthropometric jmeasurements j- jHt, jWt, jcalculate jBMI.
Rinne jTest j- jhearing jtest jusing ja jtuning jfork jthat jis jmade jto jvibrate jand jthen jplaced
jon jthe jmastoid jprocess. jWhen jthe jsound jdisappears, jit jis jplaced jin jfront jof jthe jear
jcanal jand jwill jnormally jstill jbe jheard.
vitals, jcarotid jpulse j- jused jto jcheck ja jpatient jthat jhas jfainted
vitals, josteoporosis jscreening jincludes j- jchecking jthe jheight jof jan jolder jPt
vitals, jof jan jinfant j- jhave jthe jparent jhold jthe jchild jwhile jlistening jwith ja jstethoscope jto
jthe jheart jand jlungs.
Lab jtests, jCLIA j- jClinical jLaboratory jImprovement jAmendments j1988 jto jimprove jquality
jof jlab jtesting. jNeed jfor jMedicare/Medicaid jreimbursement.
FDA j- jregulates jlabs junder jCLIA
Lab jtests, jCLIA jwaived jtests j- jlow jrisk jof jerror jor jPt jharm: jdipstick jor jtablet jreagent
jurinalysis, jfecal joccult jblood, jovulation, jurine jpregnancy, jblood jglucose, jerythrocity
jsedimentation jrate j(ESR), jhemoglobin j(HGB), jhematocrit(Hct), jCLIA japproved jStrep jA
