Telehealth flashcards
Study the cards, then practice on the patient.
Twenty flashcards on telehealth: starting a visit, privacy, video exam, monitoring, phone triage and telestroke.
Your progress here is temporary and is lost when you close this page. Install Making Synapses free to keep it, with spaced repetition.
20 cards
- First thing to confirm at the start of a video visit?
- Patient identity and current physical location.
- Why confirm the patient's location?
- To send emergency help if needed and to check licensing for that state.
- US licensing rule for telehealth?
- The clinician generally must be licensed in the state where the patient is located.
- Backup plan to set at the start?
- A phone number to call if the video drops.
- US law that protects health information on video platforms?
- HIPAA; use a platform covered by a business associate agreement.
- Privacy step on the patient's side?
- Ask if they are in a private place and who else is present.
- How to check work of breathing by video?
- Watch chest movement, count the respiratory rate and note if they speak in full sentences.
- How to check abdominal tenderness by video?
- Guide the patient to press on their own abdomen while you watch their face.
- What can a patient measure at home for the visit?
- Temperature, blood pressure, pulse, weight, glucose or oxygen saturation, if they have the devices.
- Common use of remote patient monitoring?
- Tracking blood pressure, weight or glucose between visits for chronic disease.
- Home weight gain that suggests worsening heart failure?
- About 2 to 3 lb in a day or 5 lb in a week.
- First goal of phone triage?
- Spot emergencies and send them to 911.
- Four end points of phone triage?
- 911, emergency department, same-day visit or home care.
- What is safety netting?
- Telling the patient which signs mean they should call back or call 911.
- Stroke scale used in telestroke?
- The NIH Stroke Scale (NIHSS).
- Key time to get in a telestroke consult?
- The last known well time.
- Usual window for IV thrombolysis in stroke?
- Within 4.5 hours of last known well.
- Safety step before a mental health video visit?
- Know the patient's address and a local emergency contact.
- Language support in a video visit?
- Use a qualified medical interpreter, not family, and speak to the patient directly.
- What must telehealth notes include?
- The modality (video or audio), patient and clinician locations, and consent.