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r clinical rvr

red clinical secretary reverse definitions

subdural hematoma a blood clot under the dura mater, the fibrous membrane forming the outer envelope of the brain and spinal cord, usually resulting from trauma to the head
electronic health record/ patient intervention screen (PI screen) a computer-based client-care document containing the same information as a Kardex
stethoscope a device that amplifies sound
otoscope a device used to examine the ears
ophthalmoscope a device used to examine the eyes
sphygmomanometer a device used to take blood pressure
provisional (admitting) diagnosis a diagnosis subject to change after an actual diagnosis has been established
prophylactic a measure taken to prevent a problem from happening
loading dose a medication ordered as a single-order stat with a dose that is higher than the usual or routine dose
Pchart paper chart
credentialling a process whereby a peer group judges an individual's qualifications to perform certain services
pre-admission a process wherein clients are booked for surgery receive preoperative and postoperative teaching and fill in documents ahead of time
emesis basin a small basin, usually kidney shaped, used for clients to vomit in or fluids
head injury routine a special assessment for a client who has had head trauma or surgery
dressing tray a specially prepared sterile tray containing the basic equipment to change a dressing on a wound or surgical incision
suture removal tray a specially prepared sterile tray similar to the dressing tray, but containing suture removal scissors or clip removers
ultrasonographer a technician who operates an ultrasound machine
critical values a test result that so deviates from normal that it causes concern for the client's immediate well-being
terminal cleaning a thorough wash with a disinfectant solution of all equipment used by a client upon discharge
laparoscope a type of endoscope that allows surgeons to visualize internal structures. using this tool, surgery can be done through incisions often 5 cm in length or smaller
hospital number a unique number assigned to each client admitted to hospital
AMA against medical advice - this refers to a pt discharging themself from hospital without the physicians approval
clinical secretary/ ward clerk an administrative health professional working in a hospital; an individual who assumes responsibilities for the secretarial, clerical, communication, and other designated needs of a hospital unit
Echart electronic chart
discharge any release from a healthcare facility by doctor's orders
acute care care for a client who is acutely ill
palliative care care for a person with a terminal illness who in the hospital to die - pain control
chronic care care for someone with a chronic illness
rationalization of services centralizing certain services, particularly those that require specialized care, to on hospital region
shift report essential client information passed on to the next shift of nurses
Kradex commonly used proprietary name for a paper-based patient care document or health record
endoscopy examination of a canal, such as the colon, with an endoscope
critically ill experiencing life-threatening problems; in medical crisis
subacute, transitional, step down medical and nursing care less intensive than traditional acute-care
cross-coverage moving from one area to another, or covering two units
elective surgery nonemergency, planned surgery, booked in advance
day surgery surgery conducted with a hospital stay of less than 24 hours
transfer the act of moving a client from one place to another within the same healthcare facility
terminal cleaning the bed and other furniture used by the client are thoroughly cleaned with disinfectant
order entry the process of interpreting, recodring, and generating the administrative steps required for doctor's order's to be implemented
collaborative partnership the relationship among hospitals that have entered into an agreement to form a partnership sharing clinical and administrative responsiblities
bolus the usually rapid infusion of additional IV fluids
flag to draw attention to a clients file
doctor's orders written or oral directions given by a physician to the team regarding the care, medications, treatment, and lab and diagnostic testing
Created by: alissamazereeuw