Self-Pay Patients
Forms
You Better Recognize
Patient Safety
100

This must be done before performing an EKG

What is notify the patient that they need to pay for the EKG

100

First and next step after patient brings a form

What is scan the incomplete form into the patient's chart

100

Patient identifiers that MUST be used at all times

What is their name and date of birth

100

Just before lab draw, after greeting a patient, before performing an EKG, before medication administration

What is confirming the patient's full name and date of birth

200

This patient needs a vaccine, what should I do first?

What is notify the patient that he/she needs to pay for the administration of the vaccine.

200

The MA is the first person to see the form

What is ensure that the medical receptionist scans the form

200

Medtrainer courses - when do I complete them

What is before they are due or past due.

200

Coughing, fever, runny nose, rash

What is isolate and ensure the patient is wearing a mask

300

The cost of vaccine administration

What is $25

300

The length of time to complete a form

What is 7-10 business days (excludes holidays and weekends)

300

Labor Day - September 1st

What is the health center is closed

300

Improper vaccine storage

What is decreased efficacy and potential patient harm

400

PPD or Quantiferon Gold (QFT) blood test

What is PPD implant for self-paying patients

400

Incomplete forms are placed here

What is the nurses' folders on the wall in the front desk area. 

400

Ring Central

What is I must be logged into Ring Central during work hours

400

I do not speak the patient's first/native language

What is using the authorized translator service - Propio. Document the name and interpreter's ID number. Document if the patient declines

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