Vitals
The normal range of oral temperature is?
97.6°F-99.6°F
What is the chief complaint?
The primary reason for a patient's visit or the main symptom they are experiencing.
What is Demographic Data?
Patient's Name, Age, Address.
This type of documentation includes only facts that can be seen, heard, measured, or verified is called ?
Objective Documentation
You should always wear what when having skin to skin contact with a patient?
Gloves
What is the radial artery?
The pulse site found on the thumb side of the wrist.
What is a SOAP note?
Subjective, objective, assessment, and plan are the four parts of this type of note.
The "A" in SAMPLE stands for....
Allergies.
When recording what a patient says word-for-word, you should use ?
Quotation marks
A diabetic patient is confused and confused and sweating. Before giving insulin, you should do what?
check blood glucose
What is apnea?
The absence of breathing.
When recording a chief complaint the MA should use the patient's own....?
Words
What does SAMPLE stand for?
Signs and Symptoms, Allergies, Medications, Past Medical History, Last Oral Intake, Events Leading to Current Situations.
This should always be included when documenting medications given to a patient
Dose, route, time, and medication name
A patient's respirations are 8 per minute and shallow. This is considered what condition.
Bradypnea
What is orthostatic hypotension?
The sudden drop in blood pressure when a person stands up to quickly.
This is asked to determine the severity of a pain-related chief complaint.
What is your pain from a scale of 1-10
What is Social History?
Tobacco, Alcohol, Drug use and Sexual Activities.
What does SOAP stand for?
Subjective, Objective, Assessment, and Plan
What vital sign measures oxygen levels in the blood?
Oxygen saturation
How long you must wait to take an oral temperature after a patient smoked?
15 Minutes
A patient reports nausea, vomiting, and right lower quadrant pain. This condition is suspected as?
Appendicitis
A PT reports a penicillin allergy that causes a rash. which part of SAMPLE is being assisted.
Allergies
Signing someone else's documentation is considered what?
Fraud
A patient has chest pain, shortness of breath, and sweating. You suspect what?
Heart Attack