Understanding Medical Records
This is a legal document that records a patient’s medical history, care, and treatment.
What is the medical record?
A microorganism that thrives without oxygen is called this.
What is an anaerobe?
This simple action is the first step in preventing the spread of infection
What is hand hygiene?
This occurs when a pathogen invades the body and causes harm.
What is an infection?
This term refers to the cleaning process used to remove dirt and some microorganisms, but not necessarily pathogens, from surfaces.
What is Sanitization?
The act that governs patient privacy and protects their health information is known as this.
What is HIPAA?
The harmless microorganisms that live on the skin are known as this.
What is resident flora?
This organization sets workplace safety standards, including guidelines for infection prevention.
What is OSHA?
These pathogens can be removed easily through handwashing and are often acquired from surfaces.
What is transient flora?
This federal agency helps implement standards to ensure the safety of healthcare workers.
What is OSHA?
This document summarizes a patient’s hospital stay, including treatment and outcomes.
What is a discharge summary report?
The process of reducing and controlling the spread of pathogens is called this.
What is medical asepsis?
Skin with abrasions, cuts, or burns is referred to as this.
What is nonintact skin?
The process of using chemicals or heat to make surfaces safe from pathogens is called this.
What is decontamination?
These are gloves, masks, or other items designed to protect workers from exposure to infectious materials.
What is personal protective equipment (PPE)?
New patients often complete this type of form that includes demographic and billing information.
What is a patient registration record?
This is the optimal temperature range where microorganisms grow best.
What is the optimum growth temperature?
This step in handwashing is crucial for removing dirt and transient flora from under the nails.
What is cleaning underneath fingernails?
The stages of this cycle include the reservoir host, means of exit, transmission, entry, and a susceptible host.
What is the infection cycle?
This type of document outlines the provider's findings from assessing a patient's body system by system.
What is a physical examination report?
This detailed report provides a specialist’s opinion on a patient’s condition.
What is a consultation report?
Microorganisms that require oxygen to grow are known as this.
What is an aerobe?
A chemical agent used to kill or inhibit microorganisms on the skin is called this.
What is an antiseptic?
List three physical barriers the body uses to prevent pathogen entry.
What are skin, mucous membranes, and cilia?
Medical and nonmedical care in a patient’s home, such as therapy and pain management.
What is home health care?