EXAMINATION ROOM
Dispose of patients gown by doing this
Rolling into a ball
_________________ of the patients information is mandatory in every aspect of care
confidentiality
Primary reason for office visit
Chief complaint
used to examine the ears
otoscope
use of special tools
mesuration
examination rooms must form to the standards established by this
Americans with Disabilities Act
______________ own words must be used and placed within quotation marks
Clients
observable signs that can be measured, such as a rash or hematoma
Objective sign
Used to examine the eyes
Ophthalmoscope
process of passively assessing the range of motion of a joint
manipulation
One of the most common complaints in the clinic is this
the temperature
__________ order of information is imperative to ensure a proper patient account.
Chronological
something the patient experiences such as pain, fatigue, anxiety
subjective sign
metal instrument that, when struck makes a humming vibration that can be heard and felt
tuning fork
process of listening to sounds
auscultation
most medical offices keep the temperature in the office around
71-73 degrees F
__________of the entry helps ensure that only relevant information is included and helps in efficiency for those who are reading the medical chart
Conciseness
provides a more complete, expansive description of the chief complaint
Present Illness
this instrument is used to measure blood pressure
sphygmomanometer
process of using the hands to manipulate to feel the organs or other body parts
palpatation
Who is responsible for the patients safety
I am.
_________ must be achieved when recording information, using proper spelling, medical terminology, and abbreviations.
clarity
What is your occupation? do you smoke? Do you use recrerational drugs? Are what type of questions.
Social History Questions
used to amplify sounds in the body
stethoscope
visual examination of the body
inspection