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1. Trans telephonic Monitoring - ANSWER Transmitted over phone to a
LICENSED practitioner to read (magnetic tape), Patients use up to 30 days
2. Digital Monitoring - ANSWER Transmitted over a computer where report
is verified by a licensed practitioner
3. Telemedicine monitoring is usually used to evaluate_____________ -
ANSWER Artificial Pacemaker Functioning
4. EGC PAPER provides measurement for both______ - ANSWER time and
voltage.
smallest box =.04 second in time and 1mm or .1mV in voltage
2 large boxes =10mm, which equals 1cm for vertical measurement.
5. ECG machines must be calibrated - ANSWER so that 1cm=1mV
6. Center for disease control & Prevention has 2 levels of precautions which
are_________ - ANSWER 1. Standard-Hand Hygiene/gloves for
blood/body fluids, non-intact skin, and mucous membranes. For standard
wash hands and use gloves
2.Isolation precautions-airborne, droplet, contact For Isolation wash hands, use
gloves, and use personal protective equipment
,7. Ethics - ANSWER standards of behavior/right vs wrong
8. Laws - ANSWER established by government
Illegal acts are always unethical but unethical acts are not always illegal
Chapter 1
9. HIPPA - ANSWER Health Insurance Portability and Accountability Act
10.established in response to information being transmitted electronically
Established 1996 past into law 2003. Patient info can only be shared for
patient’s care. This includes patient address and phone number. Fines if
violate law.
11.For HIPPA questions keep in mind: - ANSWER HIPPA was enacted to
protect the patient, you need two forms of identification to be sure you have
right patient, you need an order to do test, connect supervisor or follow
organization's procedure are usually correct answers.
12.Age to have a routine ECG - ANSWER 40
13.Troubleshooting consent when patient cannot read and/or write - ANSWER
Explain procedure to family member and have them and patient sign or
explain the procedure with a witness present and have witness sign and have
patient place an X on form
14.Steps to do an ECG - ANSWER Clearly explain procedure, answer all
questions, confident friendly manner, Patient will be cooperative if they trust
you.
, 15.Cardiac Anatomy - ANSWER Heart is in center of chest under sternum and
in between lungs. 2/3 is left of sternum. Heart is divided into 4 chambers, 2
atria, 2 ventricles. Think of heart as a double pump.
16.Right heart - ANSWER job is to pump deoxygenated blood to lungs where
it exchanges carbon dioxide for oxygen
17.Left heart - ANSWER After blood picks up oxygen in lungs it is passed into
left heart and pumped to body via aorta
18.Heart receives blood from body via which 2 veins? - ANSWER Superior
Vena Cava and Inferior Vena Cava, both into right atrium
19.Blood going into right heart - ANSWER just delivered oxygen and nutrients
to the body
20.Ambulatory Monitor - ANSWER Most common type is holter monitor
(continuous or intermittent-only records when patient has symptoms. Used
for dysrhythmias, evaluation cardiac meds, and checking pacemakers-24-48
hrs-up to 30 days
21.Procedure for applying ambulatory monitor (holter) - ANSWER Educate
patient, equipment gathered and prepared, electrodes placed on chest,
equipment hooked up
22.Procedure for removing - ANSWER before removing, diary must be
complete by patient, then turn off recording, remove electrodes, clean skin,
report results
*process is based on type of equipment uses