Telephone Communication
Records Management
Communication
Legal & Ethics
Extra
100

Who was the telephone invented by?

Alexander Graham Bell

100

What is a SOAP note?


A structured note that corresponds to each problem in a pt chart


100

What are three ways or style of communication?


Passive, Aggressive, Assertive

100

What are the two main types of law that affect health care workers?

Criminal Law & Civil Law

100

When taking a message from a pt to his/her provider, what materials should you have with you?

A pen and a message pad

200

How far away should the phone be from your mouth?

1-2 inches

200

A _____ system is used to keep track of a pt's medical care by his/her provider.

chronological 

200

What are the 3 essential parts of communication?

Sender, Message, Receiver


200

True or False: A tort is a wrongful act that does NOT involve a contract.

True

200

What is an example of a person with a legal disability?



Minors 

Mentally incompetent

Individuals under the influence of drugs

Semi or unconscious people

300

Answer the phone within the ____ ring.

3rd

300

What is the purpose of the Medical Record?

-Serves as a communication link between the staff and the provider.

-Insures competent & necessary medical care

-Provides evidence of the care given to the pt

300

What are the barriers of communication?

Physical, Psychological, and Cultural

300

True of False: Privileged communication CANNOT be told to anyone without written consent, to ensure privacy.

True

300

A libel is ___ while a slander is ___.



written, spoken

400

Telephone etiquette involves using good _____ and basic telephone ________.

manners, courtesies 

400

True or False: A pt's consent is NOT required if any info is to be released from the medical record.

False

400

What are the two essential ways to communicate?



Verbal & Non-verbal

400

What are the 3 parts of a contract?

Offer, Acceptance, and Consideration

400

Culture consists of...


-Values

-Beliefs

-Attitudes

-Customs

500

_____ can be used to determine whether communication was successful.



Feedback

500

Explain the parts of a SOAP note. 

A structured note that corresponds to each problem in a pt chart.

S- Subjective Info from the pt or family usually given in direct response to questions from the health care provider 

O- Objective- Data from tests and nurse's observations

A- Assessment- Analysis of subjective & objective 

P-Plan- Treatment or further sessions and management of the notes issues. 

500

What are the five "C's" of communication?

Complete, Clear, Concise, Courteous, Cohesive

500

What did the privacy act HIPPA do in 1996?

Establish standards to protect health information

500

Define Communication...

Exchange of information, thoughts, ideas, and feelings