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Red Module
Clinical Secretary-Review
| Question | Answer |
|---|---|
| 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
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