CRAT pt care

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Patients should avoid when using ambulatory monitor

Electric blankets and getting x-rays done

HIPPA

Health Insurance Portability and Accountability Act

Consequences of breaking HIPPA

Penalty, fine, disciplinary action/ termination of employment, possible jail time

term ambulating mean

Walking

airbone precautions

air handling vents, respiratory protection

Authorization

allows for PHI to be disclosed outside of treatment, payments or business operations

consent

allows the PHI to be used for treatment, payments or business operations.

Pts permission to patient health information

always make sure you have permission to disclose information to family members

most appropriate place to patch cardiac monitor

center of chest mid sternum

The single most important thing you can do to prevent spread infection while performing ecg

proper hand hygiene

obtaining consent when patient cannot write

pt has to mark an X on the signature line. There must be a witness

Give the pt time for

questions on the procedure or questions

implied consent

says yes verbally to doctor

prepare pt for electrode placement

shave hair from electrode site, rub alcohol swab, dry , snap side up

Slander

spoken defamation

CDC 2 levels of precaution

standard precautions and isolation precautions

Occupational safety violation example

technician offers to deliver new electrode patches to a pt's home after work

Vital signs include

temperature, pulse, respiration, blood pressure pain assessment

what time of monitor is used/required for 30 days?

transtelephonic monitoring

Signs and symptoms a pt will have when experiencing ventricular fibrillation

unsconsciousness apnea and no pulse

contact precations

wear gloves and gowns

Libel

written defamation

introduce

your name, title, ordering physician, test that will performed and duration

how long should a stress be performed for

7 to 10 to receive 85% of maximum HR

how long must the ecg be part of medical record

7 years

Nails must be

1/4" or shorter; avoid artificial nails

HIPPA regulations

2 forms of identification for pts, report HIPPA violations. Under HIPPA the pt has the right to receive notice of privacy practices, copies .

exercise stress test

40w women - 15 w increase, 50w men -15-30 w

What information should be included in the ecg requisition

Location, date, time of recording

ICD-10 code

diagnostic code used by the billing department

When using an ambulatory post event make sure to

ensure all 4 electrodes pressed firmly center of the sternum

If pt is sedated

explain procedure to family members with out disclosing any medical information about the pt

medical professional liability

healthcare professionals are legally responsible for their performance

When applying chest electrodes on pt with large breast you must :

lift the breast and place the electrodes in the closest position possible

Doplet

mucous membrane protection (goggles and mask)

verify that you have the correct pt

name, dob, id/mrn or ssn


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