PATIENT INTERVIEW
Health Insurance Portability and Accountability Act
WHAT IS.. HIPAA
Doctor's impression and diagnosis of the patient
NAS/O + -AL
Position of the body lying face up
WHAT IS... Supine Position
What degree is the needle held at
WHAT IS.. 90 degree angle
Subjective, Objective, Assessment and Plan
Often include vital signs and anything that is seen with the visible eye?
WHAT IS.. The Objective
PERTAINING TO THE MOUTH
WHAT IS.. Oral
Position of the body lying face down
WHAT IS.. Prone Position
What site can you go into
WHAT IS.. Deltoid or Gluteal
Requires more than a yes-or-no answer; results in more relevant data
WHAT IS.. Open ended question
Reason patient made the appointment Short and specific
WHAT IS.. Chief Complaint
APPENDIX INFLAMMATION
WHAT IS.. APENDICITIS
The patient lies on the back with the legs well separated, thighs acutely flexed on the abdomen, and legs on thighs; stirrups may be used to support the feet and legs
WHAT IS... Lithotomy Position
What size needle do you use
Patient speaks in a guarded way and has injuries that they can not or will not explain
WHAT IS.. Signs of abuse
May help determine cause of current problem Ages, medical conditions Age at death and cause
WHAT IS.. Patient's Family History
GENIT/O
WHAT IS.. GENITALS
A position in which the head of the patient's bed is raised 30 to 90 degrees above the level, with the knees sometimes also elevated
WHAT IS... Fowler's Position
What supplies are needed
WHAT IS... Needle, Syringe, Gauze, Alcohol Wipes, Band-Aid, & Medication
Decline in work and relationships Erratic behavior Mood changes Loss of appetite Constant tiredness
WHAT IS.. Signs of Drug Abuse
Look at patient Pay attention Provide feedback - restatement
WHAT IS.. Active Listening
PERTAINING TO THE CHEST
WHAT IS.. Thoracic
The patient lies on the left side with the left thigh slightly flexed and the right thigh acutely flexed on the abdomen; the left arm is behind the body with the body inclined forward, and the right arm is positioned according to the patient's comfort
WHAT IS... Sims Position
What is it called when you check for blood
WHAT IS.. Aspirate