Clinical Secretary-Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| A device used to check hearing | tuning fork
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| A device used to examine the ears | otoscope
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| A device used to examine the eyes | ophthalmoscope
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| A device used to listen to the heart | stethoscope
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| A device used to take blood pressure | sphygmomanometer
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| A plastic bracelet used on every admission | ID band
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| A specialist dictates his findings | consultation report
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| A unique number assigned to each client | hospital number
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| All equipment and supplies, other than those that must be sterilized, are obtained here | stores/materials management
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| Any medication given to a client must be recorded and signed for | MAR (medication administration records)
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| Billing provincial or territorial plans | business office
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| Care for a client with an illness expected to run a short course | acute care
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| Care for a person with a terminal illness | palliative care
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| Care for someone with a chronic illness | chronic care
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| Chart begins with this | admission (face) sheet
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| Confidential room for doctors to dictate | dictation room
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| Covering two units | cross-coverage
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| Ensures that equipment is safe and operational | maintenance/environmental engineering
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| Essential client information passed on to the next shift of nurses | shift report
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| gathers a basic health history | admission interview/assessment form
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| Interconnecting tunnels that connect all units | pneumatic tube system
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| Internal communication systems | PA system/paging system/intercom system
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| Kept mostly by nurses | nurses' notes
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| Critically ill | medical crisis
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| Mini-elevator for small objects | dumbwaiter
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| Must be dated and signed each time a new order is given | doctors' order sheets
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| Oversees infection control policies and procedures within the facility | risk management/infection control
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| Physician's assessment of the client's response to treatment | physician's progress notes
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| Plastic card imprinted with essential client information | hospital card
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| Printed with essential client information | ID labels
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| Provides a method of tracking initials | signature sheet
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| Provides all client meals | nutrition services
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| Responsible for all charts generated within the hospital | health information services/medical records
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| Responsible for all medication used in the hospital | pharmacy
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| Responsible for all communication systems within the hospital | information services
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| Responsible for community liaison | public relations
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| Responsible for employees' work-related medical needs | employee health services
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| Responsible for recruiting and interviewing new employees | human resources (HR)
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| Responsible for sterilizing and distributing sterile equipment | sterile processing department (SPD)/central supply/materials management
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| Responsible for supplying client-care units with clean laundry | laundry
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| Responsible for taking inventory | purchasing department
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| Responsible for the cleanliness of the facility | housekeeping/environmental services
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| Result that deviates from normal and causes concern | critical value
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| Room for friends and relatives to visit | waiting room/reception
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| Room used for teaching outpatients | client teaching room
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| Stores frequently used supplies | clean utility room
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| Stores medications and IV drug solutions | medication room
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| Stores pails, mops and other cleaning supplies | housekeeping/supply room
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| Stores used equipment and supplies | dirty utility room
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| Stores wheelchairs, IV poles, gurneys etc. | storage room
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| Team conferences, meeting, client interviews | conference room
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| The boundaries of a person's responsibilities | scope of practice
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| The head office | nurses' station
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| "The hub of the wheel" | clinical secretary (CS)/ward clerk (WC)
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| Unpaid workers who visit patients | volunteer services/auxiliary services
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| Used to perform examinations and minor procedures | the treatment room
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| Usually the first point of contact; tracks all admissions and discharges; takes daily census | admitting/client registration department
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| Vital signs | vital sign flow sheet
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| 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
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| ...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
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| ...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
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| 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)
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| ...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
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| ...10 communication responsibilities cont'd | -Book appointments/tests for clients-direct/send reports/faxes/photocopies-Find replacements for staff members who call in sick
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| 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
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| ...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
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| 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
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| 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
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| 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
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| 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
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Created by:
DawnLangridge
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