Clinical Skills Exam|Complete and A+ Graded
Nails should be trimmed to no longer than
1/4 in
Handwashing should be performed:
· Before and after every patient encounter.
· After contact with bodily fluid (i.e. blood, excretions, secretions).
· After contact with equipment contaminated ...
Clinical Skills Exam|Complete and A+ Graded
Nails should be trimmed to no longer than
1/4 in
Handwashing should be performed:
· Before and after every patient encounter.
· After contact with bodily fluid (i.e. blood, excretions, secretions).
· After contact with equipment contaminated with bodily fluid.
After removing gloves
Traditional handwashing must be used when:
· Hands are visibly soiled.
· Infections with spore-forming organisms are present (Clostridium difficile, noroviruses).
Temp range
96.8 - 100.4 (average 98 - 98.6)
Afebrile
without fever
Hyperthermia
Fever caused by pyrogens secreted by toxic bacteria during infections or from tissue breakdown
Hypothermia
abnormally low body temperature
Oral- Average oral/tympanic temp
37C (98.6F)
Axillary- add 1*F to reading / Average
36.5C (97.7F)
Rectal temp- reflective of core temp / Average
37.5C (99.5F)
When not to use electronic temp.
no rectal temps on newborns.
no rectal temps on cardiac patients in ICU
Adult normal___________ beats/min, strong and regular
60-100 beats/min
Bradycardia
slow heart rate (less than 60 bpm)
, Tachycardia
> 100 beats/min
Tachycardia occurs with
infection, sepsis, pneumonia, MI, anxiety, increased exercise
Force (strength of pulse) grading
4+ - bounding
3+ - full and strong
2+ - normal and expected
1+ - diminished or barely palpable
0 - absent
Normal respiration rate
12-20 breaths per minute
Eupnea
Respiration rate (normal) = 12-20/min
Bradypnea
Respiration rate <12/min - regular rate but abnormally slow.
Tachypnea
Respiration rate >20/min - regular rate but abnormally rapid.
without breathing
Apnea
SpO2 Normal range
> 95%
hypoxic drive problem would expect values to be between
88 to 94 percent
Pulse procedure
· Position patient forearm across chest, elbow flexed 90 degree.
· Obliterate pulse, then relax pressure until palpable.
· Assess rate, rhythm & force (strength) (State as RRR 70 2+).
· Count for 30 sec if regular and 60 sec if irregular.
BP normal range
120/80
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.39. You're not tied to anything after your purchase.
