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CH.5 CONT

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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Question
Answer
Standing Order   Physician orders preapproved by the medical staff that direct the continual administration of specific activites for a specific period of time as a part of diagnosis or therapeutic care  
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Routine Order   Physician orders preapproved by the medical staff, which are preprinted & placed on a patients record  
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Discharge Order   The final physician order documented to release a patient form a facility  
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Permanency   Documentation entries in the patient record are considered permanent & policies & procedures should be established to prevent falsifiation of & tampering with the record  
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Do Not Resucitate(DNR) Order   Tells the medical professionals not to perform cardiopulmoary resuscitation(CPR)  
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Continuous Documentation   Providers should not skip lines or leave blanks when documenting in the patient record. Do not generate a new form.If a new form is started,the provider should cross out any remaining space on the previous form.  
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Objective Documentation   State facts patient care & treatment, & avoid documentating opinons. INCORRECT: Patinet is peculiar. CORRECT:Patient exbhits odd behavior  
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Created by: Courtneey
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