22INFORMED CONSENTInformed consent is the process by which a fully informed patient can participate in choices about her health care. It originates from the legal and ethical right the patient has to direct what happens to her body and from the ethical duty of the physician to involve the patient in her health care
23IMPLIED CONSENTThe explanation of implied consent says that consent assessed when the surrounding circumstances lead a reasonable person to believe that consent has been granted even though word of agreement were not direct, express or explicit.EMRGENCY SITUATIONS
55You will have diet restrictions prior to the procedure, usually no solid foods 6 hours before the appointment and clear liquids ( water, black tea/coffee, apple, cranberry,grapefruit, grape juice, jello or broth) only two hours before the appointment.
56If you take blood thinners such as coumadin you doctors needs to tell you its OK to stop this for 1 week before this procedure.
58PT-PROTHROMBIN TIME Normal Values DefinitionThis is a test that measures the clotting time of plasma (the liquid portion of the blood).Why is the Test Performed?The PT is a broad screening test for many types of bleeding disorders. It evaluates blood clotting disorders, usually bleeding.Normal ValuesThe normal range is 11 to 13.5 seconds ("normal" varies somewhat in different labs). For a person on full anticoagulant therapy, the PT should be 2 to 3 times the laboratory "control" value.
59PTT-PARTIAL THROMPOPLASTIN TIME DefinitionThis is a test that measures clotting time in plasma (the liquid portion of blood). It focuses on a specific pathway in the blood clotting process.Why is the Test Performed?This test is used to evaluate a wide variety of disorders of blood coagulation. It is useful in the evaluation of disorders of both excessive clotting and excessive bleeding.Normal ValuesAPTT: 25 to 35 seconds
60150,000-400,000/mm3 (millimeters cubed) Platelet CountDefinitionThis is a test to measure the number of platelets in blood. Platelets are necessary for normal blood clotting (hemostasis). Most important, they aggregate (clump together) to plug small holes in damaged blood vessels.Why is the Test Performed?The platelet count can be affected by many disease states. It may also be measured to assess the cause of excess bleeding.Normal Values150, ,000/mm3 (millimeters cubed)
61PHARMACOLOGYTHE STUDY OF DRUG ACTIONS ON AND INTERACTIONS WITH LIVING ORGANISMS.
62EXCRETION MOST DRUGS ARE EXCRETED BY KIDNEYS. OTHER EXCRETION ROUTES: PERSPIRATION, TEARS, FECES,BREAST MILK, SALIVA
63FACTORS THAT INFLUENCE DRUG ADMINISTRATION AGEGENDERHORMONAL DIFFERENCESEMOTIONAL OR PSYCHOLOGICAL STATETIME OF DAYTHE CHANNEL OR ROUTE OF ADMINISTRATION
68DRUG NAMES TRADE NAME -ASSIGNED BY THE MANUFACTURER CHEMICAL NAME - EXACT CHEMICAL FORMULAGENERIC NAME - GIVEN BEFORE THE OFFICIAL APPROVAL FOR USEOFFICIAL NAME - GENERIC AND OFFICIAL NAMES ARE USUALLY THE SAME
69ACTING ON THE NERVOUS SYSTEM CHLORAL HYDRATE – SEDATIVE- ORAL, RECTALMORPHINE SULFATE – CONTROL OF SEVERE PAIN- ORAL, PARENTERALLIDOCAINE – ANESTHETIC- PAIN BLOCKER – TOPICAL, PARENTERAL
85THE SECURITY OF HEALTH INFORMATION IS THREATENED BY EMPLOYEESSOFTWARE FAILUREHARDWARE FAILUREHACKERS
86As health care providers, we all have a responsibility to uphold confidentiality for patients. In a busy hospital setting it can be difficult. Increasing workloads lead to elevator or cafeteria discussions of Mrs. Smith's metastases or Mr. Jones' pancreatitis. This is not acceptable. The person next to you in line could be a patient's friend, relative, or media member that is not entitled to this privileged information.
87Healthcare agencies and providers must provide confidentiality and privacy of the healthcare information that they collect, maintain, use, and/or transmit. Confidentiality means that only certain individuals will have the right to access the information and that it is secure from others. Confidentiality is at risk when the potential for improper access to information exists. It is our responsibility to protect patient information.
89RESPONDEAT SUPERIORA legal term referring to the fact that, under specific circumstances, an employer (or principal) is legally liable for the actions of his or her employees while in the course of their employment