True or False
Abbreviations are commonly used in the health field.
True
What is a medical record?
A chart or document with details of a patient’s stay in the hospital or details from all health care treatments and conditions.
What is a type of setting which gives people a way to communicate with healthcare professionals?
Hospitals
Nursing homes
Clinics
Doctors office
Home health care
Hospice
Rehabilitation centers
The right pronunciation of a word is very important in this field.
True
What makes up a chart?
History and Physical
Nurse Notes
Consultation reports
Operative reports
Discharge reports
Physician orders
If you and another doctor are using abbreviations but you both believe they mean the complete opposite than what your trying to communicate. Will this lead to a problem? Why
Yes, you could treat the person wrong or administer a wrong medication if you think their abbreviations are meaning something different
Is patient confidentiality a big deal? Why?
True, HIPPA has set federal standards protecting patients medical information from being disclosed.
Are all notes to be written in a persons health chart?
Yes
Does every health care facility have the same abbreviations?
No, every facility is different.