Vital Signs
What is the instrument used to measure forehead temperature called?
Temporal Artery Thermometer
What does SOAP mean?
Subjective, objective, assessment, and plan.
Why is medical history important?
Helps better understand patient conditions to better diagnose and treat.
What is documentation in healthcare?
Recording crucial information for patient records.
What position is used for cervical exams?
Lithotomy
Normal pulse range for adults is…
60-100 BPM
Patient complain of something lies under which part of SOAP?
Subjective
What is family history?
Helps identify patient family health to find medical hereditary risks.
Documenting procedures, treatments, and interactions help both patients and providers…
Legally
When taking an infant temperature, which method is preferred?
Rectal
12-20 breaths per minute is normal for…
Average adult resting rate
A doctors diagnosis is part of what in SOAP?
Assessment
This type of patient history focuses on patient past sickness, medications, surgeries, and allergies.
Medical History
What is the role of someone who writes everything a provider does in the moment?
A medical scribe.
Fowlers position is used for…
Pregnant or hard of breathing patients.
What do diastolic and systolic numbers mean in BP
diastolic is resting, systolic is contraction
What does medication and therapies relate to in SOAP?
P-Plan
Social history is...
Asking about patient lifestyle choices like smoking, drinking, diet, and exercise habits.
Why is accuracy and legibility important in documenting?
The information must be clear and readable and must reflect on exactly what happened.
What type of test can MA’s perform?
Vision screenings.
What factors impact pulse ox reading?
Poor circulation, movement, and nail polish.
Once a chief complaint is completed, what must the MA do with the Assesment portion?
Make sure the codes are documented on patient medical records.
What is reflective listening?
Repeating what the patient said to confirm understanding.
Abuse can occur if…
Documentation is not completely accurate.
Reflexes are usually tested with which type of instrument?
Percussion Hammer.