Chapter 39- preparing for examinations

Chapter 39- preparing for examinations Check that all supplies and equipment are - Answer- present position the table - Answer- appropiately If there is a pillow on the table - Answer- cover it with a disposable towel The room should be - Answer- well organized, clean, comfortable, and at good temp. All surfaces should be cleaned - Answer- with disinfectant Make sure the patient - Answer- feels comfortable instruct patient to - Answer- put on gown and have them empty there bladder Have the patient empty their bladder - Answer- after vitals are taken When using a gait belt - Answer- grasp the FRONT to assist patient If patient needs to remove clothing when already on exam table - Answer- ask another assistant to help you use proper techniques to transfer patients from - Answer- wheelchair to exam table Anatomical position - Answer- Standing erect, arms at sides, palms forward Horizontal recumbent - Answer- flat on back face up Horizontal recumbent is also called - Answer- Supine Dorsal Recumbent - Answer- flat on back with knees bent Prone position - Answer- On stomach Sim's position - Answer- laying face down (slightly on side) with one knee bent Knee chest position - Answer- That Fowler's position - Answer- Sitting at a 90 degree angle Semi- fowler's position - Answer- Sitting at a 45 degree angle Lithotomy position - Answer- Flat on back with feet in stirrups Trendelenburg position - Answer- lying on back with body tilted so that the head is lower than the feet Jackknife position - Answer- patient on stomach with face on table with knees bent as if they are sitting in a chair The exam room should never have - Answer- scalpes or harmful instruments Before removing gloves during cleaning - Answer- make sure everything was cleaned and there are no more messes Remember that you are - Answer- the main person the patient sees an exam room should have - Answer- standard supplies (know what they do) (Clinical pearl) Clearly explain a procedure to help a patient - Answer- relax (Clinical pearl) Give a patient - Answer- empathy and support while placing them in positions (Patient education) To prevent face and head injuries (in work/ recreation) - Answer- wear face masks, helmets, and ear buds (Patient education) To protect skin - Answer- Keep clean/soft, discourage sun exposure, advise sunblock (Patient education) To prevent respiratory diseases - Answer- discourage sharing of utensils,wash hands, encourage exercise, safe sex, and immunizations. Important to help patients understand - Answer- the need for certain positions to prevent injury to self and patient during wheelchair transfers - Answer- ask a coworker for assistance before you attempt to move a patient to a wheelchair - Answer- always position it and lock the wheels use for anatomical position - Answer- visual inspection of posture and movement use for supine position ( horizontal recumbent) - Answer- examines/treats anterior portion of body Ex: breasts and abdominal organs use for dorsal recumbent position - Answer- examines the abdominal, vaginal, and rectal area use for prone position - Answer- examines spine and back structure use for sim's position - Answer- examines and treats the rectal area (rectal temp, enemas etc.) use for knee-chest position - Answer- used for rectal or proctological exams used for fowler's position - Answer- examination for patients with respiratory/cardiac problems