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100

This area review all kinds of flags, fraud flags that is! 

What is CCR SIU

100
An evaluation or appraisal of the patients condition
What is assessment?
100
Nausea
What is a symptom?
100
Conducted in a relaxied unhurried manner
What is an interview?
100
There are________ basic purposes for accurate and complete patient records.
What is 5?
200
These factors influence temperature, especially women
What is hormones
200
A pathologic condition of the body, is any disturbance of a structure or function of the body
What disease?
200
Initial in the assessment process
What is the health history?
200
It's divided into sections or blocks
What is traditional charting?
300
The rhytmic beating or vibrating movements
What is your pulse
300
There are many causes of disease, name one
What is hereditary?
300
Subjective
What is a symptom?
300
It generally includes DOB, M/F, parents and siblings
What is the biographical data?
300
PMOR
What is problem oriented medical record?
400
Heart rate 136
What is tachycardia
400
A systematic method for collecting data on all body systems
What is review of systems?
400
Drainage
What is a sign?
400
It includes allergies, any surgical procedures, etc.
What is the health history
400
It's an acronym for several aspects of charting
What is SOAPE charting
500
The pressure exerted by the circulating volume of blood on the arterial walls
What blood pressure?
500
Listen for one minute, the results should be 4 to 32
What bowel sounds?
500
Numbness
What is a symptom?
500
Tell me about your relatives
What is the family history?
500
Never mention this in the nursing notes
What is an incident report?