MackeyHIT2Clinical
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 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.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
Mackey1
Popular Medical sets