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CLINICAL SECRETARY
RED MOD
| Term | Definition |
|---|---|
| tuning fork | a device used to check hearing |
| otoscope | a device used to examine the ears |
| opthalmoscope | a device used to examine the eyes |
| stethoscope | a device used to listen to the heart |
| sphygmomanometer | a device used to take blood pressure |
| I.D. band | a plastic bracelet used on every admission |
| consultation report | a specialist dictates his findings |
| hospital number | a unique number assigned to each client |
| materials management | all equipment and supplies, other than those that must be sterilized, are obtained here |
| MARS (medical administration records) | any medication given to a client must be recorded |
| business office | billing provincial or territorial plans |
| acute care | care for a client with an illness expected to run a short course |
| pallative care | care for a person with a terminal illness |
| choronic care | care from someone with a chronic illness |
| admission sheet/ facesheet | chart begins with this |
| dictation room | confidential room for doctors to dictate |
| cross-coverage | covering two units |
| maintenance/ enviromental engineering | ensures tgat equiptment is safe and operational |
| shift report | essential client information passed on to the next shift of nurses |
| admission interview/ assessment form | gathers a basic health history |
| pneumatic tube system | interconnecting tunnles that connet all units |
| P.A. system/ intercom/ paging | interal communicaition systems |
| nurses notes | kept mostly by nurses |
| critically ill | medical crisis |
| dumbwaiter | mini-elevator for small objects |
| doctor's orders sheets | must be dated and signed each time a new order is given |
| risk management/ infection control | oversees infecion control policies and procedures within the facility |
| progress note | physician assessment of the clients response to treatment |
| hospital card | plastic card imprinted with essential client info |
| I.D. labels/ stickers | preprinted with essential client info |
| signature sheet | provides a method of tracking initials |
| nutritional services | provides all client meals |
| health information services/ medical records | responsible for all charts generated within ths hospital |
| pharmacy | responsible for all medication used in the hospital |
| information services | responsible for communication systems within the hospital |
| public relations | responsible for community liaison |
| employee health services | responsible for employees' work-related medical needs |
| human resources | responsible for recruiting and interview new employees |
| SPD/ central supply meterials department | responsible for sterilizing and distributing sterile equipment |
| laundry | responsible for supplying client-care units with clean laundry |
| purchasing department | responsible for taking inventory |
| housekeeping/ environmental services aid | responsible for the cleanliness of the facility |
| critical value | result that deviates from normal causes concern |
| waiting room/ reception | room for friends and relatives to sit |
| client teaching room | room used for teaching outpatients |
| clean utility room | stores frequently used supplies |
| medication room | stores medication and IV drug solutions |
| housekeeping supply room | stores pails, mops, other cleaning supplies |
| clean utility room | stores used equipment and supplies |
| storage room | stores wheelchairs, IV poles, gurneys etc. |
| conference room | team conferences, meetings, client interviews |
| scope of practice | the boundaries of a person's responsibilities |
| nurses' station | the head office |
| clinical secertary/ ward clerk | "the hub of the wheel" |
| volunteers/ auxillary services | unpaid workers who visit patients |
| treatment room | used to preform examinations and minor procedures |
| admitting/ client registration department | usuallt the first point of contact; tracks all admissions and discharges; takes a daily census |
| vital signs flow sheet | vitial signs |