1. Unit 2: Hospital Units
1.1. Medical
1.1.1. Hearing Loss
1.1.2. Voice Disorder
1.1.3. Vertigo & Dizziness
1.2. Surgical
1.2.1. Sinus Surgery
1.2.1.1. LOS: day surgery or 1 day
1.2.2. Thyroidectomy
1.2.2.1. LOS: day surgery or 1 day
1.2.3. Tonsilectomy
1.2.3.1. LOS: 1-2 days
2. Unit 4: Risk Management/Hazards
2.1. Surgical Risk
2.1.1. Bleeding, Airway obstruction, Wound infection
2.2. Infection Control
2.3. Code Brown: Internal chemical spill
2.4. Code white: post-op confusion
2.5. Code Blue: Cardiac arrest
3. Unit 5: Common Medication Categories
3.1. Antiboitics
3.1.1. Augmentin
3.1.2. Amoxil
3.2. Non-steroidal Anti-inflammatory
3.2.1. Advil
3.2.2. Motrin
3.3. Antihistamine
3.3.1. Claritin
3.3.2. Dimetane
4. Unit 6: Transcription Reports
4.1. Operative Report
4.2. Report of Otoscopy
4.3. Tympanometry Test Report
4.4. Progress Note
5. Unit 7: Admission, Transfer and Discharge
5.1. Admission Types
5.1.1. Surgical- Elective & Direct Admission
5.1.2. Medical - Outpatient Department
5.2. Average LOS
5.2.1. Day surgery or 1-2 days
5.3. Supports on D/C
5.3.1. NSAIDS and Antibiotics may be prescribed for pain and infection
5.3.2. Follow-up: Otolaryngologist or Otorhinolaryngologist
5.3.3. Home Care
6. References
7. Unit 1: Health Care Providers
7.1. Physicians
7.1.1. Otorhinolaryngologist
7.1.2. Otolaryngologist
7.2. Allied Health Care Workers
7.2.1. Audiologist
7.2.2. Speech-Language Therapist
7.3. Nursing Staff
7.3.1. ENT Nurse
7.3.2. ENT Nurse Practitioner
7.3.3. RPN
8. Unit 3: Communication
8.1. Communication Centre
8.1.1. Communication Devices
8.1.2. Communication Board
8.2. Patient Information Tracking System
8.3. Paging
8.4. Challenges-population may be pain
9. Unit 2: Investigations
9.1. Common Lab Tests
9.1.1. CBC
9.1.1.1. To detect any infection, blood disorders and to check the overall health, and to find out the cause of tonsilitis
9.1.2. Throat culture test
9.1.2.1. To check the presence of specific bacteria in the throat
9.1.3. PT (Prothrombin time test)
9.1.3.1. To detect and diagnose a bleeding disorder
9.1.4. BS ( Blood sugar test)
9.1.4.1. To check the glucose level in the body before surgery ( If patient is diabetic)
9.2. Common Diagnostic Tests
9.2.1. CT or MRI
9.2.1.1. To see the details of the sinuses and nasal area by the images
9.2.2. ECoG ( Electrocochleography)
9.2.2.1. To measures early electrical responses of the inner ear & hearing nerve
9.2.3. Audiometry
9.2.3.1. To measures ability to hear different sound
9.2.4. TMD ( Tympanic membrane displacement)
9.2.4.1. It gives information about inner ear fluid & spinal fluid pressure and also measures eardrum movement in response to sound
9.2.5. Nasal Endoscopy
9.2.5.1. To look at the nasal and sinus passages
9.2.6. Biopsy
9.2.6.1. To detect throat cancer
10. Unit 3: Direction of Care
10.1. Diet Restriction
10.1.1. Avoid eating hard or scratchy food like chips or raw vegetables and try to eat soft food like yogurt, mashes potatoes
10.2. Activity
10.2.1. BR c BRPs: bed rest with bathroom privileges
10.2.2. Normal walking and avoid running, swimming like activities
10.3. Nursing Interventions
10.3.1. Dressing
10.3.1.1. Thyroidectomy: Change your wound dressing
10.3.2. Wound care
10.3.2.1. Rhinoplasty: Don't change internal dressing and tapes a splint to protect and cover your nose
10.4. IV Interventions
10.4.1. To give IV dose of cephalexin 250 mg q4h
10.4.1.1. To treat bacterial infection
10.4.2. Supplemental IV fluid:
10.4.2.1. IV 0.45% N/S @ 125 ml/hr, d/c wdw
10.5. Oxygen Interventions
10.5.1. Monitoring using oximetry q4h (oxygen saturation)
10.6. GI Interventions
10.6.1. Feeding tube: NG tube
10.6.1.1. To carry food and medicines to the stomach through the nose
10.6.2. Laxative or stool softener prescribed if patient feels constipated
10.6.3. Medication prescribed includes antibiotics and anti-emesis
10.6.3.1. e.g. Gravol, Amoxicillin
10.7. Consult order
10.7.1. Consult with anesthetist and surgeon before go to home after surgery
10.7.2. Speech therapist
10.7.2.1. To help you regain the muscle strength & co-ordination needed for swallowing