Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
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.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

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

Remove Ads
Don't know
remaining cards
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

Week 5

Fundamentals Chapter 23

Purpose of Medical History To obtain a basis for all treatment given
SOAP Subjective Objective Assessment Plan
Medical History Patient's personal history
Family History Families medical history
Social History Partner status, habits, use of substances
Subjective what the patient tells us
Objective What is measured
Assessment Diagnosis
Plan Treatment, medication, referral
ROS Review of Symptoms
HIPPA Health Insurance Portability and Accountability Act
If it isn't documented...... .....It didn't happen
What color ink is acceptable for medical charts Blue or Black ink
Mistake in written chart single line, initials, and date
Patients name must be on every sheet in paper chart
Before rooming patient..... Check the chart and Ready the room
First Question you should ask a patient during screening... Do you have any allergies, do you have any medication allergies?
Created by: MissTina