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Chapter 2 Terms
Introduction to Health Records - Medical Terminology
Term | Definition |
---|---|
SUBJECTIVE | what a patient states |
OBJECTIVE | what testing reveals |
ASSESSMENT | preformed by provider - analysis of both subjective and objective information |
PLAN | a patient's course of action |
SURGEON | to surgically treat patients -- through operation or invasive procedure |
ANESTHESIOLOGIST | pain sedation and management physician |
LICENSED PRACTICAL NURSE (LPN) | basic patient care - trained and certified |
REGISTERED NURSE | patient planning and educated assistance - bachelor's degree required |
NKDA | no known drug allergies |
A & O | alert and oriented |