Initial Evaluation
Symbols
Daily Treatment Note
Care Plan
Need to Know Facts
100
Section of the flowsheet which contains FIM scores for all transfers
What is Mobility (Transfers and Walking)?
100
Informs you that the box will offer a pick list to choose from
What is magnifying glass?
100
part of the treatment triad which focuses on the patient information
What is patient response?
100
The section in MiChart which houses all of the OT goals
What is Care Plan?
100
Action button which allows you to add yourself or others to a patient's treatment team
What is assign me?
200
Added to the second portion of the initial evaluation
What are goals (care plan)?
200
Signifies the flowsheet column has a note created from its information
What is yellow note symbol at the top of the flowsheet column?
200
part of the treatment triad which supports skilled OT services
What is therapist intervention?
200
The button you click on the make a change to a previously signed note
What is addendum?
300
The response to indicate you began an initial evaluation.
What is perfomed?
300
Takes me to where I left off in the flowsheet
What is the bookmark?
300
The type of visit for any note besides an initial evaluation
What is return visit?
300
The button you push first after entering the care plan section to create OT goals
What is apply template?
300
Area to communicate non-vital medical information between staff members.
What are sticky notes?
400
Section of the evaluation which contains diagnosis, patient goals, planned OT interventions.
What is OT Assessment and Treatment Plan?
400
Symbol noting aditional information has been typed in the comment box
What are three blue lines?
400
Billing, pain level, treatment details, and pressure relief
What are 3 things that must be documented in a daily treatment note?
400
.ipotgoals
What is the phrase you type to retrieve the long term goals smart phrase?
400
The list which contains all of the admitted patients in the hospital sorting them by department.
What is systems list?
500
The written coverage form
The person who completed the initial evaluation is also responsible for completion of.....?
500
Informs you that you may free text in the flowsheet box.
What is white sheet of paper?
500
Click insert column rather than add column
How do you create a flowsheet column for a treatment session performed earlier in the day?
500
These notes require goals to be attached.
What is Initial Evaluation, Progress Notes, and Discharge Evaluation Notes?
500
Two areas that require adjustment when fixing a billing code error
What is the flowsheet and note?
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