General Patient Records
Vaccinations
Inpatient/Outpatient Documentation
Nursing Process
Admissions/Discharges
100
Also known as the 'Adult Preventive and Chronic Care Flowsheet'. A record of ambulatory health care
What is DD Form 2766
100
Three shot series that is administered over a period of six months to personnel with the risk of exposure to blood and body fluids
What is Hepatitis B (HBV)
100
Provides a written account of a patient's condition, treatments, progress, and response to care
What is documentation
100
Sharp or severe; having a rapid onset, a short course, and pronounced symptoms
What is acute
100
You must have a __________ before discharging a patient
What is doctor's order
200
A record of care given in an emergency situation such as an emergency room visit
What is SF 588
200
An information sheet that is prepared by the Centers for Disease Control and Prevention (CDC) that contains relevant vaccine information
What is Vaccine Information Sheet (VIS)
200
Indicates a symptom or abnormal condition produced by, or resulting from, an individual's mind or state of mind
What is subjective
200
The five steps of the nursing process (in order) are...
What is (A) assessment, (D) nursing diagnosis, (P) planning, (I) implementation, (E) evaluation ADPIE
200
This contains the required indentification date to imprint on medical forms
What is an addressograph
300
Medical treatment records and their contents are the property of the...
What is Federal Government
300
This information must always be verified before administering a vaccine
What is allergies, pregnancy, and immune status
300
Used to document an accurate account of the patient's fluid intake and output over a 24 hour period
What is DD Form 792
300
This step in the nursing process involves setting priorities and goals, both short term and long term
What is planning
300
These are the two types of patient admissions to the medical treatment facility
What is routine and emergency
400
Information that is written in pencil on the inner leaf of the Health Record folder
What is patient identifying information
400
It is highly desirable to allow a minimum of ____ days between doses to permit the establishment of satisfactory immunity without interference
What is 30
400
Used to document medications administered during a 7 day period
What is Medication Administration Record (MAR)
400
This scale may be used for infants and non-communicative children
What is FLACC (face, legs, activity, cry, consolability)
400
An inventory taken of a patient's valuables upon admission is performed by...
What is two commissioned officers if the patient is a commissioned officer or civilian One commissioned officer and one enlisted staff member if the patient is an enlisted member
500
Responsible for the maintenance and storage of Health Records
Who is the Commanding Officer of the treatment facility
500
A national program that monitors the safety of vaccines after they are licensed bu the Food and Drug Administration for use
What is Vaccine Adverse Event Reporting System (VAERS)
500
This information is included in the Nursing Note (6)
What is mental status assessment, the physical assessment, all nursing care, treatments, procedures, and patient education performed
500
Name 3 of the 6 methods to reduce pain
What is (1) medication, (2) mild exercises, (3) diversion techniques, (4) hot or cold compresses, (5) physical therapy, (6) reassurance
500
This type of admission is for patients who do not have a life threatening condition
What is routine admission