Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
know all about informed consent. Who can sign for it, who cannot? and exceptions
Informed Consent
a legal document that gives permission to perform surgery, treatment, procedure,
or to give information to a third party
must be an adult over the age of 18
client may withdraw consent at any time
Who can sign a consent: legal/appointed guardian, durable power of attorney,
emancipated minor (a minor who has established independence through marriage,
pregnancy, served in the armed forces, or by a court order)
In general, there are two situations in which informed consents of an adult is not
needed: when an emergency is present and delaying treatment for the purpose of
obtaining informed consent would result in injury or death to the client. the
second is when the client waives the right to give informed consent
Remember: The HCP obtains the informed consent
The client gives permission of the informed consent
The nurse witnesses the informed consent
Client has the right to refuse treatment at any time w/o permission
know the mnemonics for Infection Control and what kind of precaution you have to take
for each one
Standard Precautions
must be practiced will ALL clients in any setting
includes hand washing, gloves, gown, mask and eye protection when appropriate
for client contact
Wash hands before and after client care
Wear gloves when touching blood, body fluids, secretions, non-intact skin,
mucous membrane, and contaminated items
Use alcohol based hand rubs when hands are not visibly soil
Wear masks, eye protection, or face shield for activities that may cause splashing
Wear gowns if soiling of clothing is likely
a client on standard precautions does not require a private room
Clean spills of blood or body fluid with diluted bleach and water or disinfectant
Droplet Precautions
used for diseases or germs that are spread in tiny droplets caused by coughing and
sneezing (examples: pneumonia, influenza, whooping cough, bacterial
meningitis). think of Spiderman!
precautions: private room or room with client that share the same infection
wear a surgical mask when within 3 feet of a client.
Place mask on client when the client needs to leave the room
Contact Precaution
used for infections, diseases, or germs that are spread by touching the patient or
items in the room
Precautions: require glove and gown, use precaution when within 3 feet of the
client
examples: C.difficile, RSV, wound infections, skin infections, eye infections, Flu
virus, multi-drug resistant infections
Know everything about Tuberculosis (TB)
Tuberculosis
contagiously airborne communicable and severe bacterial infection that usually
involves the lungs, but may spread to other parts of the body such as the brain,
kidneys, or the spine.
TB is spread through the airborne route
A client w/ TB needs to provide sputum sample every 2-4 weeks to monitor the
effectiveness of TB medication
Manifestations of TB include: persistent cough, fatigue, night sweats and purulent
sputum
Medications prescribed for TB: rifampin (causes yellowing of the skin, dark
orange urine, pain in the joints and loss of appetite) , ethambutol (causes vision
changes) and isoniazid (clients should take Vit B daily and observe signs for
hepatotoxicity)
TB regimen for 6-12 months
Intradermal injection, PPD 5 units, results 48-72 hours
Induration of >5 indicates positive for TB
know all about HIV and AIDS, precautions, meds and treatment for it
HIV is a chronic illness that destroys T-cells
transmitted through blood and body fluids (semen and vaginal secretions)
use standard precautions when caring for a client with HIV
Disease prevention: condoms, abstinence and avoid sharing needles
encourage client to maintain up to date influenza and PPSV vaccine
S/S: chills, weight loss, night sweats, malaise, fever, diarrhea
Positive results of a Western Blot test and Indirect Immunofluorescence Assay
ELISA, confirms the presence of HIV infection
Positive CD4+ assists with the clarifying stage of HIV infection
Viral loading test determines how much of the HIV is in the blood
risk factors associated w/the virus: perinatal exposure, older adult women,
occupational exposure
avoid changing pet litter box to prevent getting toxoplasmosis
avoid raw fruits and veggies
Meds: antiretroviral therapy, NRTI such as Abacavir and Zidovudine
Know briefly about Lyme Disease
Lyme Disease
caused from a "tick bite"
ring-shaped rash
remove tick w/ tweezers, wash w/antiseptic, dispose by flushing or placing in a sealed jar
instruct client to avoid wooded grassy areas
Be able to differentiate between STI's. Mainly signs and symptoms of Syphilis, Gonorrhea,
Herpes, and Chlamydia
Chlamydia- causes a sharp pain at the base of the ribs that is sometimes referred to the
right shoulder and arm
a frequent cause of pelvic inflammatory disease and infertility
Gonorrhea- men have s/s of urethritis and yellow urethral discharge; women have
utheritis, sore throat or abnormal period
newborns born to mothers who have gonorrhea can develop opthalmia neoatorum
Toddlers (1 to 3 years)
Autonomy vs Shame and Doubt
punishment and obedience stage; parallel play
age appropriate activities include riding a tricycle, using blunt scissors, throw and
kick a ball
prevent self bodily harm, drowning, burns and falls
Preschoolers (3 to 6 years)
Initiative vs Guilt
pretend play stage; associative play
age appropriate play include riding a tricycle, hop on one foot, jump rope and
throw ball
over head, reading books, wading pools, skating and electronic games
Injury prevention include crossing the street