Side A
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Verbal communication | communication in spoken word
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| Content, Concise, Clarity, Coherence, Check | 5 Cs of communication
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| do not chew gum or eat food while speaking; be sure to speak loud enough to be heard by the listener; pronounce all words correctly | Guidelines for effective verbal communication
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| active listening | listening as well as observing behaviors during a conversation
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| written out | one to ten should be
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| written in numerical form | numbers larger than ten
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| Ms | marital status unknown or if the woman prefers. Use when in doubt
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| Mrs | married woman
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| Miss | unmarried woman who prefers that title, or for young girls.
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| Proofreading | the process of checking for spelling or content errors within a letter
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| postage meters | used to weigh the mail piece, determine the correct amount of postage required, and print the postage
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| body language | nonverbal communication, such as nodding the head, crossing the arms, & frowning
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| therapeutic touch | use of touch to convey concern & compassion for another
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| therapeutic communication | seeks to elicit some form of response from the patient, typically a calming or soothing approach
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| direct reports | employee who reports directly to a particular manager
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| eye contact & hand shaking | 2 inappropriate gestures while communicating with other cultures
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| medical record | a record of the patient's healthcare
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| personal information | information pertaining to the patient, such as address & telephone number
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| financial information | items in the medical record pertaining to the patient's insurance coverage or account status
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| medical information | information in the patient's medical record pertaining to his medical history or condition
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| social information | information in a patient's chart relating to his social status, such as smoking or participating in high-risk behaviors
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| chief complaint | the main reason the patient sought care today
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| Concise, Complete, Clear, Correct, Chronologic | 5 Cs of medical records
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| Concise | containing only the necessary information
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| Complete | all necessary information
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| Clear | to the point & easily understood
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| Correct | accurate
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| Chronologic | the order in which events occur in time, from oldest to newest
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| Subpoena | a court order received by the medical office for all or a portion of a patient's medical record
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| standard of care | the care that is expected from a clinician with a certain level of training & resources available
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| electronic signature | an electronic version of a person's signature
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| narrative chart note | written descriptions of patient's visits; the oldest form of medical note taking
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| SOAP note charting | subjective, objective, assessment, & plan; a common form of charting in the medical record where clinicians chart information in an easy-to-find format
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| problem-oriented medical record (POMR) charting | a charting process that allows providers to assign a number to each medical problem & chart each item each time the patient is seen for care
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| flowchart | chart used in the medical record to chart the progress of growth, such as child height, weight, & head circumference
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| progress notes | the daily chart notes taken all the time of a patient's visit to a clinic
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| shingling | the process of taping small pieces of paper to a full size sheet of paper so that small items are not lost in the chart
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| cross-referencing | a process for locating files when a patient may go by one or more last names
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| statute of limitations | the period of time provided by law for a patient to file a malpractice lawsuit from the date of the injury
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| discovery rule | relates to when an injury was discovered, rather than when the injury occurred
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| active patient file | medical record for a patient who is actively treated in the medical office
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| inactive patient file | patient file or a patient who has not been seen in a certain period of time, but who will likely return one day
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| closed patient file | medical record for a patient who has moved out of the area, is deceased, or has indicated that he will not be returning for care
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| purge | to go through files & remove the items or charts that are old or no longer needed
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| obliterated | completely marked out so that the original is unrecognizable
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| the physician or facilities where they are created | medical records belong to
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| the patient | the information inside a medical record belongs to
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| access their medical records & to correct those records when they feel errors have been made | patients have the right to
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| indecipherable | unreadable
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| advance directive | a legal document that outlines a patient's desire regarding life-sustaining treatments or names a guardian to speak for the patient
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| medical research program | medical program geared toward researching a particular condition or treatment
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| nontherapeutic research | medical research that does not have therapeutic value to the patient
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| hardware | the equipment itself; including the hard drive, monitor and keyboard
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| software | programs in the system
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| peripherals | extras that can attach to ro be installed in the hardware, such as scanner or printer
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| central processing unit (CPU) | the microchip inside the computer that processes the software programs commands
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| ergonomic | designed to promote good posture & limit physical injuries
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| medical management software | computer software used in the medical office to assist in task such as billing, coding, & payroll
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| hackers | person who illegally obtain access to a computer network
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| computer viruses | program designed to perform mischievous functions
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| malware | software designed to destroy portions of a computer; more malicious that a computer virus
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| Internet search engines | sites on the Internet used for locating needed information
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| health-related calculators | Internet sites that provide calculators for determining pregnancy due dates, body mass index, & other numbers
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| scanners | similar to photocopies; copy documents & place in file
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| bar code reader | identifies patient file or patient data;maintain inventory or supplies
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| prescription management software | cannot prescribe controlled substances
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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.
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Created by:
Stacey_Gantt5
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