Show:
HIPAA
Calls & Schedules
SOAP
Vital Signs
Grab Bag
100
What do you do if you make a mistake in a medical record?
Cross it out & initial it (never white out or erase!)
100
A patient calls into the office while the Dr. is seeing another patient. The patient is requesting a refill on her antibiotics. What should you do?
Take a message
100
Order a chest xray to rule out Pneumonia
P
100
What is the average normal value for oral temperatures in adults?
98.6
100
What are 3 things you should do in greeting patients at the medical office?
Make eye contact, Say hello, how can I help you, listen closely to what patient has to say, smile
200
You are a volunteer in the hospital who sits and reads/talks to elderly patients. When you enter a patient's room you see that the Dr. is asking the patient questions about her medical history. What should you do?
Excuse your self and come back when the Dr. is done.
200
A call comes in while the Dr. is seeing a patient. The caller is an ER Dr. who wants to discuss a patient. What do you do?
Interrupt the Dr.
200
Smokes 2 packs a day
S
200
What is the range of normal adult respirations?
12-20
200
A call comes in while the Dr. is seeing a patient. The caller is a cardiovascular technician with the EKG results for one of the Doctor's patients. What should you do?
Take a message
300
Name 1 reason why HIPAA was made into a law
To make it easier for patients to change health insurance, to protect privacy, to standardize data, to prevent discrimination & fraud
300
A patient calls the office to make an appt for annual wellness exam. When should you schedule the patient relative to other patients?
Later
300
Short of breath when walking up stairs
S
300
What is the normal adult pulse range AND give a value outside this range that would still be considered normal for some health adults
60-100, 50 (40-60 for athletes)
300
You are working in the ER as an xray tech, when your uncle is brought in from a car crash. He is conscious but the doctors are working on him as it appears he is not doing well. Your aunt works in the pediatric wing of the hospital. Should you go get her? Explain your answer
No, you need to let the doctor/nurse on the case notify her with his permission.
400
Give 2 examples of when it is okay to breach patient confidentiality AND explain why it is okay for each!
HIV status - to an at risk 3rd party if patient refuses to share to protect life Suspected Child abuse/domestic violence - to protect life Gunshots - to aid in criminal investigation Communicable dz - to public health department for tracking Immature minor - to parents
400
A patient calls with vomiting and diarrhea that has lasted for 2 days. When should you schedule the patient relative to other patients?
Today
400
Most likely food poisoning from last meal
A
400
What is a normal adult BP systolic/diastolic?
110/70
400
What is the name of the main artery used for pulses and the name of the artery used for blood pressures?
Radial and brachial
500
What 3 things are included when a patient signs a notice of privacy release AND name an instance when you would have to get further patient authorization to release information
Treatment, Payment & Operations. When a spouse wants information about the patient.
500
You are taking a phone message for a patient. State 4 things you should be sure to do as your write the message for the doctor.
Check spelling of name, get phone number, brief but detailed message, time & date of call, sign your name
500
SOAP - what each stands for and your own example of each!
Subjective, Objective, Assessment, Plan
500
A patient has a BP reading of 120/94. Evaluate this reading in terms of the systolic and diastolic pressures (low, normal or high for each) and would you diagnose them with High BP?
Systolic = high Diastolic = high Would not diagnose with high BP but would watch diastolic is too high
500
A patients prescription reads: Doxycycline 10mg Cap., Sig: ii cap po q6h, Disp: #112, no refills. Translate the entire abbreviation into plain language to explain it to a patient. Include what the patient will take, how, how much, how often, and how long the prescription will last.
You will take 10 mg capsules of doxycycline. You will take 2 capsules by mouth every 6 hours. You will do this for 2 weeks (14 days). You will not have any refills.