CTA Day 1 Review.docx

when to chart? - correct answer Always chart in real time! Never document in advance. This may be considered falsifying documents/records and medical fraud what is the most important barrier against infection? - correct answer Handwashing Hourly Visits - correct answer ● Determine if there have been any changes in the patient ● Provide them with an update ● Refresh any care items including drinks, ice packs or blankets ● Help them with any restroom needs ● Ensure they are as comfortable as possible The best way to interact with your patients is always with a sincere smile. Introducing yourself and calling the patient by name can improve patient satisfaction! "P"s of Hourly Visits - correct answer 1. Pain - "Are you having any pain?" Take immediate action if uncontrolled and contact the nurse in front of the patient. 2. Potty - "May I help you to the bathroom while I'm here?" Address diapers, urinals, bedpans, or bedside commodes. 3. Position - "Are you positioned comfortably?" Address or re-address position after bathroom help. 4. Periphery - "Is everything that you need within reach?" Bedside table is placed at patient's preference and free of clutter. 5. Parting - "I'll be back in an hour at [TIME]. What can I do before I go?" Before parting, ensure that the call bell is in reach. At the request of the nurse, the CTA is permitted to administer minor medications to the patient. - correct answer False Handwashing is the most important barrier to infection. - correct answer True Your actions play a crucial role in infection control. Before entering a patient's room, you should: A. Wash the bottom of your shoes B. Check for any posted personal protective equipment (PPE) requirements C. Wash your hands D. Both B and C - correct answer D. Hourly visits are an important aspect of a CTA's job. Prior to leaving the patient's room, you should do what? (Hint: This is the "Parting" aspect of the Hourly Visit.) A. Inform them of when you'll be back in their room to check on them. B. Ensure that the call light is within reach. C. Provide them a summary of their lab results. D. Both A and B - correct answer D All CTA's must complete their online HIPAA & Harassment training within 30 days of starting floor training. - correct answer False, need to complete BEFORE floor training, during classroom training High-acuity patients are found in the intensive care unit (ICU). Low-acuity patients are found in observation (OBS) floors. - correct answer True What are the 6 Vital Signs, their normal ranges, and abnormal ranges? - correct answer ● Pain ● Temperature ● Respiratory Rate ● Oxygen Saturation ● Heart Rate & Pulse ● Blood Pressure when are vitals taken? - correct answer on every assessment, and upon return to the floor after leaving the unit. Vital signs are obtained every 4 hours, or more frequently depending on the severity of the patient's condition. This allows the nurse to continuously monitor the patient and detect changes in condition. Pain Assessment - correct answer 1. Pain on scale of 0-10 2. Location of pain 3. Duration of pain (worsening, improving or come and go, or constant) 4. Quality of pain (sharp or stagnant) 5. Alleviating or worsening factors (mild pain meds or worse with movement) 6. If they require any treatment or interventions for pain Temperature ranges - correct answer 95= Hypothermia 97-99= normal 100.4= fever respiratory rate (RR) - correct answer 12-20 breaths/ min also describe depth of breath sites for temperature - correct answer 1. Sublingual (Under the tongue) 2. Axillary (Armpit) 3. Temporal (Side of the forehead) 4. Rectal (Anal) what is oxygen saturation? - correct answer the percentage of blood saturated by oxygen O2 Sat (SpO2) ranges - correct answer 94%= Normal 94%= Hypoxic what factors effect O2 Sat? - correct answer ● Poor circulation ● Cold hands ● Nail polish/acrylic nails ● Heart Arrhythmias ● Tremors ● Being a smoker ● COPD/Emphysema/Raynaud's ● Poor placement of probe Where else can you take O2 Sat, besides finger? - correct answer ear lobe or big toe Oxygen Routes? - correct answer 1. Room Air (RA) 2. Nasal Cannula (NC) 3. Facial Mask (FM) 4. Non-Rebreather Mask (NRB) 5. Continuous Positive Airway Pressure (CPAP) 6. Biphasic Positive Airway Pressure (BiPAP) 7. Bag-Valve-Mask (BVM) 8. Endotracheal Tube (ETT)