Patient care notes

Sliding board - smooth mover or smoothie ; 5"10 x 2"6

Half knot - use in immobilizing

Decubitua ulcer - skin damage from lying to long

Patient must change position every 2 hours (30 mins if the surface is hard)

Assessment of a newly casted patient must be done every 15 minutes

Pathology

Gram positive bacteria - takes in stain

Gram negative bacteria - does not take stain

Acid fast - resistant to colorization of acid alcohol

Spores - encloses a bacteria when the environment is infavorable

Mold - also known as MYCELIA

Lysis - rapid release of new virus from the host cell, killing it

Prions - transmissible spongiform encepgalopathies (TSE)

Pathogenicity refers to the causative organism’s

ability to cause disease.

Virulence refers to the causative organism’s ability to grow and multiply with speed.

Invasiveness is the term used to describe the

organism’s ability to enter tissues.

Specificity characterizes the organism’s attraction to a particular host.1

Indirect contact is defined as the transfer of pathogenic microbes by touching objects (called fomites)
that have been contaminated by an infected person. These objects include dressings, instruments,
clothing, dishes, or anything containing live infectious microorganisms.

Droplet contact involves contact with infectious secretions that come from the conjunctiva, nose, or
mouth of a host or disease carrier as the person coughs, sneezes, or talks. Droplets can travel from
approximately 3 to 5 feet and should not be equate with the airborne route of transmission, which is
described later.

Vehicles may also transport infection. Vehicle route of transmission includes food, water, drugs, or blood
contaminated with infectious microorganisms.

The airborne route of transmission indicates that residue from evaporated droplets of diseased
microorganisms are suspended in air for long periods of time. This residue is infectious if inhaled by a
susceptible host.

Vectors are insect or animal carriers of disease.They deposit the diseased microbes by stinging or biting
the human host.2

Methicilin / Vancomycin resistant S. aureus - MRSA and VRSA

If hands are not contaminated , wash up to 1inch above the wrist

15 second hand wahing every patient

Urticaria - hives

Spaulding Classification System

Boiling - 30 mins

Boiling + sodium carbonate - 15 mins

The only parts of the sterile gown considered sterile are the areasfrom the waist to the shoulders in front
and thesleeves from 2 inches above the elbow to the cuffs.3

Fenestrated drape

Autoclave - sterilize by gravity displacement and air removal method

VITAL SIGNS

Tympanic membrane thermometer - aural thermometer

AP - apical pulse