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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 |