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Clinical Secretary-Review

A device used to check hearing tuning fork
A device used to examine the ears otoscope
A device used to examine the eyes ophthalmoscope
A device used to listen to the heart stethoscope
A device used to take blood pressure sphygmomanometer
A plastic bracelet used on every admission ID band
A specialist dictates his findings consultation report
A unique number assigned to each client hospital number
All equipment and supplies, other than those that must be sterilized, are obtained here stores/materials management
Any medication given to a client must be recorded and signed for MAR (medication administration records)
Billing provincial or territorial plans business office
Care for a client with an illness expected to run a short course acute care
Care for a person with a terminal illness palliative care
Care for someone with a chronic illness chronic care
Chart begins with this admission (face) sheet
Confidential room for doctors to dictate dictation room
Covering two units cross-coverage
Ensures that equipment is safe and operational maintenance/environmental engineering
Essential client information passed on to the next shift of nurses shift report
gathers a basic health history admission interview/assessment form
Interconnecting tunnels that connect all units pneumatic tube system
Internal communication systems PA system/paging system/intercom system
Kept mostly by nurses nurses' notes
Critically ill medical crisis
Mini-elevator for small objects dumbwaiter
Must be dated and signed each time a new order is given doctors' order sheets
Oversees infection control policies and procedures within the facility risk management/infection control
Physician's assessment of the client's response to treatment physician's progress notes
Plastic card imprinted with essential client information hospital card
Printed with essential client information ID labels
Provides a method of tracking initials signature sheet
Provides all client meals nutrition services
Responsible for all charts generated within the hospital health information services/medical records
Responsible for all medication used in the hospital pharmacy
Responsible for all communication systems within the hospital information services
Responsible for community liaison public relations
Responsible for employees' work-related medical needs employee health services
Responsible for recruiting and interviewing new employees human resources (HR)
Responsible for sterilizing and distributing sterile equipment sterile processing department (SPD)/central supply/materials management
Responsible for supplying client-care units with clean laundry laundry
Responsible for taking inventory purchasing department
Responsible for the cleanliness of the facility housekeeping/environmental services
Result that deviates from normal and causes concern critical value
Room for friends and relatives to visit waiting room/reception
Room used for teaching outpatients client teaching room
Stores frequently used supplies clean utility room
Stores medications and IV drug solutions medication room
Stores pails, mops and other cleaning supplies housekeeping/supply room
Stores used equipment and supplies dirty utility room
Stores wheelchairs, IV poles, gurneys etc. storage room
Team conferences, meeting, client interviews conference room
The boundaries of a person's responsibilities scope of practice
The head office nurses' station
"The hub of the wheel" clinical secretary (CS)/ward clerk (WC)
Unpaid workers who visit patients volunteer services/auxiliary services
Used to perform examinations and minor procedures the treatment room
Usually the first point of contact; tracks all admissions and discharges; takes daily census admitting/client registration department
Vital signs vital sign flow sheet
Name 10 clinical secretary responsibilities (answers over 3 cards) -Manage the admin components of admission, discharge and transfer-Prepare and update ID bracelets, bed labels and so on-Orient new admissions to unit-Distribute client mail-Transcribe orders accurately/promptly-Notify nurses stat orders/change client care
...10 clinical secretary responsibilities cont'd -Keep charts up to date/prepare forms-Lable charts with client info/doctor's name-Ensure requisitions for blood work/specimens/x-rays are complete/recorded-Ensure that lab results are recorded/directed appropriately
...10 clinical secretary responsibilities cont'd -Update unit forms/policy and procedure manuals-Maintain staffing schedules-Enter data for client-care hours/workload analysis-Schedule replacement staff-Keep notices and posted schedules current
Name 10 communication responsibilities of a clinical secretary (answer over 3 cards) -Answer phone/direct calls/take messages-Page/locate physicians and other members of the health-care team-Notify staff and physicians of admissions/transfers/discharges/deaths-Keep co-workers informed (perhaps by writing in a communications book)
...10 communication responsibilities cont'd -Respond to and direct intercom call from clients(call bells)-Screen/direct visitors/health professionals-Act as an informant and education resource for clients-Make calls to physicians/other hospital departments/community agencie
...10 communication responsibilities cont'd -Book appointments/tests for clients-direct/send reports/faxes/photocopies-Find replacements for staff members who call in sick
Name the 10 universal codes and what they mean (answer over 2 cards Red-fire White-violent client/physical danger Green-evacuation Orange-external disaster/lockdown/limited access Brown-hazardous chemical spill
...10 universal codes and what they mean cont'd Blue-cardiac arrest/adult medical emergency Pink-pediatric cardiac arrest/medical emergency Yellow-missing client Black-bomb threat Grey-critical infrastructure/combative client
Name the different medical client care units (10) Nephrology Cardiac & telemetry Neurology Palliative care Psychiatry/mental health Oncology/systemic therapy Rehabilitation Pediatrics Gynecology Maternal child
Name the different types of healthcare facilities (8) General hospitals Convalescent hospitals Chronic care facilities Nursing homes Rehabilitation hospitals Psychiatric hospitals Drug addiction/alcohol treatment centers Federal hospitals
Name the forms you would find in a medical chart (9) Admission sheet Signature sheet Doctor's orders Vital signs sheet Fluid balance sheet Multidisciplinary notes Lab and diagnostic test results Consultation reports Progress notes
Name the forms you would find in a surgical chart Consent form Pre-anesthetic questionnaire History and physical assessment Pre-op checklist\Anesthetic record\Fluid balance sheet
Created by: DawnLangridge