Busy. Please wait.

Forgot Password?

Don't have an account?  Sign up 

show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.

By signing up, I agree to StudyStack's Terms of Service and Privacy Policy.

Already a StudyStack user? Log In

Reset Password
Enter the email address associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know (0)
Know (0)
remaining cards (0)
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how


Standing Orders A predetermined plan of care which may include a specific series of blood tests, x-rays, and urinalysis. It may also consist of a set of preoperative or pretherapy activities.
Doctor’s Orders. The doctor’s instructions for lab tests, radiology exams, consultations and medications are all contained in a separate data collection.
Plan Treatment or further diagnostic evaluation.
Assessment Physician’s opinion as to the diagnosis or possible diagnoses.
Objective Physician’s observations, including evaluation of diagnostic test results.
Subjective Patient’s report of symptoms or problems.
Vital Signs Includes the patient’s temperature, blood pressure, pulse, and respiration.
Pulse Rate that the blood flows through a person’s artery.
Pulse Rate Consist of the number of heartbeats per minute.
Nursing Assessment It’s not to diagnose the patient’s illness- that is the physician’s responsibility- but to diagnose the patient’s care needs.
Discharge Summary This is done when a patient is an inpatient setting. It includes a brief history, a discharge diagnosis, and additional findings.
Progress Notes While a patient is being treated, the physician makes continuing observations and updates the assessment and plan.
Problem-Oriented Organizing all of the data by the patient’s diagnosis or problem.
Date-Oriented When the first piece of data is recorded with its date, and each subsequent piece of data is organized in date order.
Source-Oriented All of the data from the physician can be grouped together, all of the data from the nurse can be grouped together and all of the info from the lab can be grouped together.
History Taken from the data that the patient reports to the physician regarding the patient’s health.
Respiration Count the Number of times the chest rise & fall.
Authorization Giving permission to release information or permission to perform a certain procedure.
HIPAA Its original goal was to make it easier for people to move from one health insurance plan to another as they change jobs or become unemployed.
HIPAA Health Insurance Portability and Accountability Act of 1996.
Created by: Mackey1