THIS FORM PROVIDES LEGAL PERMISSION TO THE HOSPITAL/DOCTOR TO TREAT THE PATIENT AND MAY SERVE AS A FINANCIAL AGREEMENT
WHAT IS AN ADMISSION SERVICE AGREEMENT OR CONDITIONS OF ADMISSION
100
THESE FORMS ARE USUALLY ASSEMBLED INTO A PRE-SURGERY PACKET?
WHAT ARE OPERATION ROOM RECORDS?
100
12:30 AM IS WHAT TIME IN MILITARY TIME
WHAT IS 2430 OR 0030?
100
A METHOD OF ALERTING STAFF WHEN TWO OR MORE PATIENTS WITH THE SAME NAME OR SIMILARLY SPELLED LAST NAMES ARE LOCATED ON A NURSING UNIT
WHAT IS A NAME ALERT?
100
ANY INFORMATION PROVIDED BY THE PATIENT TO THE HEALTH CARE FACILITY AND MEDICAL STAFF IS_______________, AND MUST BE PROTECTED.
WHAT IS CONFIDENTIAL?
200
THIS FORM CONTAINS THE FOLLOWING INFORMATION:
MEDICAL HISTORY,
PRESENT ILLNESS,
FAMILY HISTORY, &
INCLUDES A REVIEW OF THE BODY SYSTEM AND A PHYSICAL ASSESSMENT/EXAMINATION
WHAT IS A HISTORY AND PHYSICAL FORM?
200
THESE FORMS ARE USED TO RECORD PHYSIOTHERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY?
WHAT ARE THERAPY RECORDS?
200
WHAT TIME IS 7:45 PM IN MILITARY TIME?
WHAT IS 1945?
200
LABELS THAT CONTAIN INDIVIDUAL PATIENT INFORMATION FOR INDENTIFYING PATIENT RECORDS OR OTHER PERSONAL ITEMS.
WHAT IS AN IDENTIFICATION LABEL (ID LABEL)?
200
YOU ALWAYS USE PENCIL WHEN WRITING IN A MEDICAL CHART SO YOU CAN ERASE YOUR MISTAKES?
TRUE OR FALSE
WHAT IS FALSE
ALWAYS USE INK - BLACK OR BLUE PREFERRED
300
THIS FORM RECORDS THE TREATMENT, PROGRESS AND ACTIVITIES OF A PATIENT AND IS SIGNED BY A NURSE
WHAT IS A NURSING PROGRESS NOTE OR FLOW SHEET?
300
WHAT PAPER CHART IS USED TO RECORD BLOOD SUGAR AT REGULAR INTERVALS?
WHAT IS A DIABETIC RECORD?
300
WHAT TIME IS 0820 IN STANDARD TIME
WHAT IS 8:20 AM?
300
A PATIENT'S PAPER RECORD FROM PREVIOUS ADMISSIONS, STORED IN THE HEALTH INFORMATION DEPARTMENT, MAY BE RETRIEVED FOR REVIEW WHEN A PATIENT IS ADMITTED TO THE EMERGENCY ROOM, NURSING UNIT OR OUTPATIENT DEPARTMENT; OLDER MICROFILMED RECORODS ALSO MAY BE REQUESTED.
WHAT IS AN OLD RECORD?
300
A HISTORY AND PHYSICAL IS ALWAYS INITIATED BY THE NURSE.
TRUE OR FALSE
WHAT IS FALSE?
IT IS ALWAYS INITATED BY THE PHYSICIAN
400
THIS ORDER FORM RECORDS THE CARE AND TREATMENT PROCEDURES REQUESTED AND MUST BE SIGNED BY A PHYSICIAN.
WHAT IS A PHYSICIAN ORDER FORM
400
VITAL SIGNS (TEMPERATURE, PULSE, AND RESPIRATION RATES) ARE RECORDED ON WHAT FORM?
WHAT IS A GRAPHIC RECORD?
400
WHAT TIME IS 6:00 AM IN MILITARY TIME?
WHAT IS 0600 HOURS?
400
PLACING EXTRA CHART FORMS IN PATIENTS' PAPER CHARTS SO THEY WILL BE AVAILABLE WHEN NEEDED.
WHAT IS STUFFING CHARTS?
400
IF YOU ARE SPLITTING OR THINING A CHART YOU CAN SHRED THE INFORMATION YOU REMOVE.
TRUE OR FALSE
What is FALSE?
ALL INFORMATION IS KEPT AND SENT TO HEALTH INFORMATION (HEALTH RECORDS) AND MUST BE PROVIDED ALONG WITH A REQUEST FOR PATIENT INFORMATION.
500
THIS FORM DOCUMENTS ALL MEDICATION PRESCRIBED BY A PHYSICIAN AND DOCUMENTS NAME, DOSAGE, ADMINISTRATION USE.
WHAT IS A MEDICATION ADMINISTRATION RECORD (MAR)
500
THIS FORM IS USED WHEN THE ATTENDING PHYSICIAN REQUESTS THE OPINION OF ANOTHER DOCTOR.
WHAT IS A CONSULTATION FORM?
500
WHAT TIME IS 12:00 PM IN MILITARY HOURS?
WHAT IS 1200 HOURS OR 12 NOON?
500
PATIENT CHART FORMS USED ONLY WHEN SPECIFIC CONDITIONS OR EVENTS DICTATE THEIR USE.
WHAT IS A SUPPLEMENTAL CHART FORM?
500
ONE OF THE MAIN PURPOSES OF THE ELECTRONIC OR MEDICAL CHART IS?
What is MEANS OF COMMUNICATION?
DOCUMENTATION OF PLANNING OF PATIENT CARE,
RESEARCH,
EDUCATION,
LEGAL RECORD,
HISTORY OF PATIENT ILLNESSES, CARE, TREATMENT & OUTCOMES