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  These terms are explained below, and some pointers given as to how to study them in To Kill a Mockingbird. Some of the worksheets for this concept are To kill a mockingbird study guide questions, To kill a mockingbird literature guide, A teachers...

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  The To Kill a Mockingbird study guide contains a biography of Harper Lee, literature essays, quiz questions, major themes, characters, and a full summary and analysis. In , however, she withdrew and moved to New York City with the goal of becoming a...

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  The pace of a normal work day can be very fast, the clients may have a lot of serious health issues, and you are expected to be able to handle unexpected crises and emergencies. In addition, there is another level of stress that is always looming in the background: the possibility of making a mistake, of committing a medical error. Of course, we are all human so mistakes are inevitable. And making a mistake on the job is stressful for anyone. However, when you are working as a certified nursing assistant CNA a mistake can have very serious consequences.

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  A mistake could cause irreversible harm to a patient and irreparable damage to your career. Some mistakes are called medical errors, and medical errors can be serious. In the course of your career as a CNA you will make medical errors. It would be impossible not to do so. But there are definitely ways to avoid medical errors, there are ways to make sure that you learn from the ones you do make, and there are ways to prevent medical error from happening in the first place.

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  Identify a definition of a medical error. Identify an incorrect definition of a medical error. Identify the four causes of medical errors. Identify the basic cause of medical errors. Identify the most important rule of good communication. Identify a definition of poor judgment. Identify a definition of the basic level of knowledge you need a CNA. Identify two ways to improve judgment. Identify two ways of dealing with stress. Identify the correct response to a medical error. What is a medical error? Read these five scenarios and decide which ones are medical errors and which are not. The patient has history of hypertension. His blood pressure has been well controlled for many years by his anti-hypertensive medications, but because he has high blood pressure the physician has ordered routine blood pressure measurements: the physician has ordered measurements of the blood pressure every 12 hours, at and Is that a medical error?

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  You deliver the amount that was ordered at the proper rate and after the feeding has been delivered, you stay with the patient for 15 minutes to make sure she has tolerated the procedure. The patient seems to have tolerated the feeding, you make sure she has her call light within reach and leave the room. One hour later the patient vomits. The staff monitors the patient for the rest of the shift and she does not develop signs or symptoms of aspiration or harm from the vomiting. Is this a medical error? Her post-operative condition has been stable and she has had no complaints. The patient lost blood and subsequently developed a wound infection and a fever. You wash you hands, put on latex disposable gloves, perform the procedure using proper technique, and document what you have done. Fifteen minutes later the patient develops hives and difficulty breathing.

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  She requires oral diphenhydramine and intravenous epinephrine to treat the allergic reaction. The patient can ambulate without assistance and she does not require a high level of physical care, but she frequently forgets where she is. She also has poor judgment in terms of her personal safety. Last week she left the hot water running in a sink for over five minutes and then tried to wash her hands and suffered first degree burns. Before the CNA leaves the room, the patient mentions that she needs to use the bathroom and she would like some help ass she is feeling a little weak today.

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  The CNA tells the patient to wait; he will be back in five minutes to assist her. However, as soon as the CNA leaves, the patient wanders off to look for a bathroom she forgets there is one in her room , mistakenly goes into an exit stairwell at the end of the hall, loses her balance on the steep steps and falls. She suffers broken hip. If you read these examples quickly, you might think that all of them are medical errors but some are and some are not. The measurements are considered routine and the patient did not suffer any harm from the delay, and he would not be expected to suffer any harm from a 15 minute delay in a blood pressure measurement that is scheduled once every 12 hours. Assisting the other CNA was a higher priority than rigidly following a schedule for a routine task. The 15 minute delay would not be considered a medical error. Example 2: The CNA performed the tube feeding procedure correctly. No mistakes were made in the preparation, performance, or follow-up.

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  Vomiting after a tube feeding is not unusual, it cannot always be prevented, and the patient did not suffer any harm. This is not a medical error. Separation of a surgical excision is considered to be a very serious problem with potential for harm, and the CNA should have known this. In this case, the error was preventable, the CNA lacked the proper knowledge, the CNA did not communicate important information, and the patient suffered harm. Pain is a common after a surgical procedure, but the CNA did not attempt to find out where the pain was or cnaZone.

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  This is a medical error. Example 4: This is a medical error. The catheter care was performed correctly. Whenever you are caring for a patient for the first time, it is advisable to check and see if the patient has any specific medical conditions or allergies that could impact the care. Also, latex allergies are relatively common and a medical professional should be expected to know this and plan accordingly. Never use a latex-containing product unless you are sure the patient does not have a latex allergy.

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  Example 5: This is a medical error. The patient needed to use the bathroom, and the CNA seemed to rely on the fact that the patient would remember that there was a bathroom close by and that the patient would remember that he would be right back to help her use it. Although many people have tried to define exactly what a medical error is, there is still no universal agreement on the term. In this module, a medical error will be defined as follows: A medical error is an adverse effect or harm that could have been prevented This is a simplified definition, but it has all the essential elements of a medical error. This is illustrated below. Preventable obviously means that the error should not have happened. But even more importantly, it indicates that the error should not have happened if someone had been using appropriate levels of: 1 attention; 2 communication; 3 knowledge, and; 4 planning. In the three examples that are medical errors the patient suffered harm, and the harm was cnaZone.

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  Both parts of the definition of a medical error are important. A medical error is not simply any mistake by a healthcare professional; it is an adverse effect or harm that could have been prevented by a reasonable, properly trained professional who was paying attention, planning, etc. As a health care professional, you will need to focus on what is considered appropriate levels of attention, knowledge, and planning because those are the aspects of your performance that are evaluated. Learning Break: An adverse effect or harm is an important part of the definition of a medical error. However, you should not consider errors or mistakes in patient care that do not cause harm to be unimportant.

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  Errors and mistakes have the potential to do damage. And as a healthcare professional you are expected to follow rules, procedures, standards, etc. No one knows how common medical errors are, but there is a lot of evidence that clearly indicates medical errors occur regularly. What is known is that there are certain types of medical errors that happen over and over. Patient falls have been extensively studied, and almost all falls can be prevented. An incorrect dose is given, the doses are given too closely together, the patient receives the wrong medication, the drug is given by an incorrect route, drug allergies or drug interactions are not checked - there are many ways that a medication error can occur. If proper infection control techniques were not followed and an infection results, the infection would be considered a medical error.

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  It is not enough to just say that errors happen because we are all human, and humans make mistakes. That is true and medical errors can never be entirely eliminated. But it has been proven that the number of errors can be greatly reduced. The first step in accomplishing this goal is to identify the four most common reasons why medical errors occur.

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  Communication Errors Poor communication is one of the biggest causes of medical errors. Many studies have documented that poor communication or a lack of communication are significant contributors to medical errors. Written records have always been used to make sure communication is accurate. Computers have also helped to reduce communication errors. However, these written records may not be complete or accurate and if they are not, that is poor communication. The risk of poor communication is compounded by the need for oral communication. This is often in the form of a conversation or a message delivered from one person to another and then to someone else: this type of communication is very common in health care settings and it happens all the time. However, it is very easy especially when the pace of the work day gets hectic for undocumented oral communication to be misinterpreted, forgotten, etc. And if the communication among health care professionals about client care issues is not documented, there are real risks.

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  There is no reliable way to determine what needs to be done, what should be done, or if a procedure has been performed or a treatment delivered, etc. Learning Break: Good communication essentially means good documentation: that is a basic rule you need to remember. All important conversations and information relating to client care need to be documented. Poor Judgment Poor judgment is also a very common cause of medical errors. Poor judgment can mean that you had a range of tasks to accomplish, and you made a poor choice as to which was the most important. Poor judgment can mean that you had some warning signs that a dangerous situation was developing, but cnaZone. Poor judgment could mean that your planning was in error.

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  References Quiz Question Answers and Rationales 1. The pathophysiology student identifies that the retrograde movement of this specific bacteria from the gut into the lower urinary tract is the most common infecting pathogen responsible for a UTI. Escherichia Coli Rationale: The correct answer, C. This type of bacteria typically is found in the intestine. Trace amounts of this bacteria makes its way from perianal area into the urinary tract through the urethra opening and begin to multiply. Some ways this migration can occur include through sexual intercourse, poor wiping after a bowel movement, and holding urine.

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  Staphylococcus Saprophyticus is the second most common bacteria found in a urinary tract infection. Klebsiella and D. Pseudomonas are less common. Your patient was recently diagnosed with a UTI. As the nurse practitioner, you are assessing whether the patient has any improvement with their symptoms of hematuria.

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  What question would you ask the patient? Hematuria is the presence of blood in the urine and is due to the irritation and inflammation from infection in the bladder or upper urinary structures. While the other answers are incorrect, they also are questions related to symptoms that accompany a urinary tract infection. Do you have pain when you urinate? Is a symptom called dysuria. What is your best response as a nurse practitioner? Answer C is incorrect because when there is a second UTI caused by the same pathogen within 2 weeks of the original treatment, it is considered a relapse. Answer D is incorrect because a UTI that occurs more than 2 weeks after completion of treatment for the same or different pathogen is considered a reinfection.

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  A patient you are treating in the clinic asks you what actions they can take to help prevent urinary tract infections. Wear tight fitting clothing. Rationale: Tight-fitting clothing can trap heat and moisture which promotes bacterial growth. This type of environment actually increases the risk for an urinary tract infection. It is recommended that individuals wear loose-fitting clothing which promotes air circulation.

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  Answer A, Wiping from front to back after using the restroom prevents the retrograde movement of bacteria into the urinary system. Answer C, Emptying your bladder after sexual intercourse helps flush bacteria out of the urinary system and Answer D, drinking plenty of water also helps with the flushing any bacteria that may have migrated in the urethral opening away and out from the urinary system. Which of the following scenarios of patients is least likely to acquire a UTI? A 24 year old male with poor hygiene.

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  Multiple sclerosis causes inflammation and damage to the myelin sheaths, the protective coatings that cover tissues in the nervous system, in particular the nerve fibers. Multiple sclerosis is considered to be an autoimmune disease, but despite extensive research, the exact causes or causes or MS are not known. There are approximately , Americans who have MS. Although most patients with MS have similar signs and symptoms, the progress and pattern of these differs from patient to patient. The signs and symptoms and the progress of MS can also vary in each individual.

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  There are also four distinct categories of MS that describe the clinical presentation and progression of the disease. Supportive care and medications can make MS easier to tolerate. However, because there is no cure for MS and the signs and symptoms are very debilitating, MS is a very hard to disease to live with and many patients suffer significant disabilities and disruptions in their activities off daily living and their personal and social life. After completing this module the learner will be able to: 1. Identify the basic cause of MS. Identify the pathologic process that causes MS. Identify common signs and symptoms of MS. Identify the most common presentation pattern of MS. Identify medications that are use to treat MS. It controls the involuntary actions of our bodies, the ones like breathing, circulation, and digestion that happen without conscious control The nervous system also controls the things that we can do consciously, such as walk, talk, and think, activities that are considered to be the higher functions.

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  The nervous system functions and it exerts its control, by sending signals from the brain to the organs and tissues and receiving signals back from the body through the nerve fibers. In order for these signals to be transmitted effectively and quickly, the brain, spinal cord, and nerve fibers are covered with a protective sheath called myelin. Using the analogy of the nerve fibers as electrical wires, myelin is the insulation that surrounds the nerve fibers and other parts of the nervous system that are involved in sending and receiving signals.

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  By doing so, the myelin makes sure these electrical signals traveling to and from brain are transmitted rapidly and effectively, but this process is irreversibly damaged by MS. The basic cause of MS is damage to the myelin sheaths that cover the nerve fibers, and the term MS is an accurate description of this pathologic process and cnaZone. Multiple sclerosis causes multiple areas of sclerosis to the myelin sheaths, sclerosis being a medical term that means scarring. Because the myelin sheaths are damaged, the nerve signals moving out from, and back to the brain cannot be effectively transmitted, and this disruption in nerve signal transmission results in the typical signs and symptoms of MS. This damage and scarring that is characteristic of MS are the result of inflammation. Inflammation is uncomfortable and painful but it is essentially a healing process and it is self-limiting; once the damage has been repaired, inflammation is stopped. However, the inflammation that is caused by MS is chronic.

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  The myelin sheaths are damaged the initial cause of this is discussed below and the normal healing process of inflammation is initiated in response to this damage, but in MS the inflammation does not stop; it is not self-limiting and it becomes chronic. Inflammation when it is mild and controlled is beneficial. Because of the damage to the myelin, the impulses and information that travel to and from cnaZone. The nerve transmission is slow, spasmodic, and erratic and this is the basis for the signs and symptoms of MS. Multiple sclerosis is a disease that has been exhaustively studied in the search for a cause. There are strong suspicions that MS is a disease that is caused by several factors working together and like many diseases, MS probably begins when someone who is genetically susceptible to MS encounters a "trigger" that sets the disease in motion. Lack of exposure is also correlated with the MS, and the highest incidence of the disease is found in areas of the world that receive little sunlight for parts of the year.

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  Vitamin D deficiency is also a possible cause of MS, and vitamin d deficiency may also worsen the disease process of MS once it has begun. But it is also very likely that there are multiple genetic variations that would need to be combined to cause MS, and genetic transmission of MS is not considered to be a significant cause of the disease. For example, the Epstein-Barr virus is a common virus, and it can cause diseases such as cnaZone. There is some evidence that the Epstein-Barr virus may be a cause of MS, perhaps acting as a trigger that initiates inflammation. However, there is no conclusive proof that viruses are a direct cause of MS, and infection with and Epstein-Barr and other viruses probably contributes to a susceptibility to MS but is not a primary cause of the disease. Multiple sclerosis is not contagious. However, none of them is considered to be, either alone or in combination, a primary cause of MS.

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  Instead these risk factors are considered to be triggers, triggers that initiate a process called the autoimmune response that is considered to be the primary cause of MS. Most sources consider MS to be an autoimmune disease. Many common diseases such as type I diabetes mellitus, rheumatoid arthritis, and MS are considered to be autoimmune diseases, and the immune response that is triggered by MS risk factors is strong and enduring enough to permanently damage the myelin sheaths. As mentioned earlier, the inflammatory response is usually: 1 a normal defense mechanism against harmful microorganisms; 2 a normal healing mechanism when there is injury or trauma, and; 3 it is self- limiting.

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  But in MS as with other autoimmune diseases, the inflammatory cnaZone. The risk of developing MS is approximately three times greater for women, and women typically develop MS at an earlier age then do men. However, the progress Recommended.

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  We've listed some of the most common questions and answers below. How many CEs does Florida require? As many as you would like with the Unlimited Plan What else do I need to know? Click here for the approved Prevention of Medical Errors course. Click here for a list of Domestic Violence courses. Florida Laws and Rules - 3 Hours Every third biennum after initial licensure, a licensee must complete a 3 hour laws and rules course. Click here for the approved Florida Laws and Rules course. Add to Cart 5. What People Say: "I just have to say that your program is one of the best I have ever used.

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  The courses are relevant and easy to follow. The variety and depth of the courses is amazing. The site is user-friendly fairly priced if you take the yearly offer, and the courses are relevant and on track with what we need to stay abreast of new research and meet the requirements for licensing. I especially appreciated the inclusion of suggestions for preventing and addressing burnout by supervisors and clinicians. I will also share information on reflective supervision with my clinical directors. It is easy to read and the information is presented with enough research to be helpful but not overwhelming. This course does a great job of presenting the data and then providing helpful, real strategies for addressing burnout.

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  I will utilize the self-assessment resources and also distribute them to some of my fellow therapists. There are some other mindfulness strategies that are helpful I will incorporate into my life personally and professionally. Thank You! I get it now, thanks! Thank you for your professionalism and generosity. Understanding the Impact of Trauma "Another excellent course.

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  Thank you for taking our practice exam! Click below to see your answers and scores. Here's a broad look at the policies, principles, and people used to protect data. Do this self-assessment quiz as a guide for yourself as to what your working personality might be, and what types of careers and programmes of study might suit you. Be Creative When It Comes to HIPAA Training You and your office staff may think that breaking the rules that regulate patient privacy is hard to do, or that only those people with a poor sense of ethics would reveal protected health information about patients. Create, edit, and collaborate on a form in Microsoft Teams.

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  Beyond slogans: How to build a culture of safety. Find more ways to say compliance, along with related words, antonyms and example phrases at Thesaurus. The HIPAA education program kept the hippie theme going with e-mail quizzes and contests that awarded lava lamps and tie-dyed T-shirts as prizes, he adds. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The questions and answers on stress management have been designed in such a way that you will learn the subject in the process of answering the questions.

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  There is no extra work available to increase your grade. Download our free Injury Prevention and Safety activity book PDF to help educate your children through fun, interactive coloring, puzzles and games. Perhaps the most comprehensive such analysis is one that was conducted against the Oxford English Corpus OEC , a very large collection of texts from around the world that are written in the English language. You are on this page because you are looking for the correct answers of Crossword Quiz. Most wearables manufacturers are not at all capable of being able to analyze, share, and secure health data in compliance with HIPAA regulations.

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  The platinum feature has many advanced features including advanced survey logic, HIPAA-compliant features, etc. Interactive training modules, post-assessment quizzes, and trivia games make learning fun. To highlight problematic areas in health care and describe evidence- and expert-based consensus solutions to these problems. Get playful with fun certificate ideas like Night Owl Awards, Papa Bear Awards, and other out of this world certificate templates. Jul 10, - Coggno has thousands of online training courses available. Praise your co-workers. Best source for all your hearing healthcare needs in Bonita Springs, FL. Epidemiology is the study of the patterns and causes of disease in people.

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