Vitals
What is the average oral temperature?
98.6
What type of questions should you use while interviewing a PT?
Open ended questions
When possible how should you record the CC?
Using the PTs own words in quotations
If the Pt indicates they do not have allergies what should you do?
Put NKDA in chart to indicate question was not over looked
What sure a patient not do before taking oral temperature
Drink or eat any hot or cold drinks/ foods
Other than HT and WT what are the 5 vital signs taken when rooming a patient?
Temperature, Pulse, Respiration, Blood Pressure, and O2 Saturation
What is the main purpose of PT screening?
To Help the patient focus on the main concern
What are the symptoms given to you by the pt called?
Subjective symptoms
when measuring respirations what are you looking for?
The rate and the quality of breathing
What color probe is typically used when taking Rectal temperature?
Red colored
What is blood pressure measured in?
Millimeters of Mercury
Other than Vitals and the CC what information should be updated at every visit?
Any new allergies and any medications being taken
In the method "SOAP" what letters is the MA responsible for recording during the evaluation?
Subjective symptoms, and Objective symptoms
If needed, what other site can you take a blood pressure from?
Wrist or calf
Where is the popliteal artery located?
Behind the knee
what is the second most common artery used for manually taking pulse?
Carotid artery
When is the health history generally acquired?
When the patient is new to the facility
What is the acronym OPQRST assessing?
Patient pain or other symptoms
A patient is in for a breast examination; what position should they be put in and how should they be draped?
Supine position with a small pillow or towel under the shoulder of the breast being examined; using an open front gown.
the accurate measurement of height and weight is best done with what type of scale?
Balance Beam scale
When a PT has long nails, what is another way you can take their O2? (Per mrs. wheeler)
On the Patients Nose or earlobe
What section identifies all surgeries, health problems, illnesses or disorders ever diagnosed?
Past Medical History or Past History
What are the 6 Cs if charting?
Clients words, Clarity, Completeness, Conciseness, Chronological order, and Confidentiality
You are measuring a patients height and it comes to 66.19 inches; how would you document it?
Round to the nearest 1/4 inch (66.25)
When you are manually taking BP, what is the first thump you hear?
The Systolic Pressure