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SCC - Communications > Definitions/Vocabulary > Flashcards

Definitions/Vocabulary Flashcards

1
Q

Tasks performed at the beside or in direct contact with the patient

A

Clinical Tasks

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2
Q

A computerized program into which physicians directly enter patient orders

A

Computer Physician Order Entry (CPOE)

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3
Q

A person licensed to practice medicine

A

Doctor

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4
Q

The health care that a doctor prescribes in writing for a hospitalized patient

A

Doctor’s Orders

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5
Q

An electronic record of patient health information generated by one or more encounters in any care delivery setting

A

Electronic medical Record (EMR)

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6
Q

The health care team member who performs nonclinical patient care tasks for the nursing unit

A

Nursing Unit Clerk/Nursing Unit Coordinator/Health Unit Coordinator or Ward Clerk

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7
Q

Divisions within the hospital that specialize in services

A

Hospital Departments

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8
Q

Tasks performed away for the bedside (indirect patient care)

A

Nonclinical Tasks

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9
Q

The desk are of a nursing unit

A

Nurses Station

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10
Q

A group of nursing staff members who care for patients on a nursing unit

A

Nursing Team

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11
Q

An area within the hospital that includes equipement and nursing personnel available for the care of a given number of patinets

A

Nursing Unit

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12
Q

A person who receives health care, including preventive, promotional, acute and chronic and all other services in the continuum of care

A

Patient

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13
Q

Information such as guidelines for practice and hospital regulations found online or in a manual

A

Policies and Procedures

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14
Q

A process used to communicate the doctor’s orders to the nursing staff and other hospital departments, computers or handwritten requisitions are used

A

Transcription

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15
Q

Equipment and services provided to patients in their homes to ensure comfort and care

A

Home Health

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16
Q

Supportive care for terminally ill patients and their families

A

Hospice

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17
Q

A variety of services, often provided in nonhospital settings, that help meet both the medical and the nonmedical needs of people with a chronic illness or disability who cannot care for themselves for long periods of time

A

Long Term Care (LTC)

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18
Q

Level of care patients would require on the basis of their medical condition: used to evaluate staffing needs

A

Acuity

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19
Q

Level of health care generally provided in hospitals or emergency departments for sudden, serious illnesses or trauma

A

Acute Care

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20
Q

A form completed at the beginning of each work shift that indicates the nursing staff members assigned to each patient on that nursing unit

A

Assignment Sheet

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21
Q

Term applied to a physician who admits and is responsible for a hospital patient

A

Attending Physician

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22
Q

A certified heath care giver who performs basic nursing tasks

A

Certified Nursing Assistant (Registered Care Aide)

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23
Q

Long lassting: describes an illness or medical condition that lasts over a long period and sometimes causes a long term change in the body

A

Chronic

24
Q

A method of outling a patient’s path of treatment for a specific diagnosis, procedure, or symptom

A

Clinical Pathway

25
Q

Full time, acute care specialist who focuses exclusively on hospitalized patients

A

Hospitalist

26
Q

Patient to receive medical or sugical scare whose doctor has written an admission order

A

Inpatient

27
Q

Well coordinated collaboration among health care professionals towards a common goal

A

Interdisciplinary Teamwork

28
Q

A graduate of a 1-2 year school of nursing program who is licensed in the province in which he or she is practicing, provides direct care and functions under the direction of the Registered Nurse

A

Licensed Practical Nurse

29
Q

A registered nurse who assists the director of nyursing in carrying out administrative responsibilities and is in charge of onr or more nursing units

A

Nurse Manager

30
Q

A patient receiving medical or surgical care while registered as an outpatient and who docotr has not written an admission order.

A

Outpatient

31
Q

Meeting of a patient’s doctor or resident, primary nurse, case manager or social worker and other health care professionals for the purpose of planning the patient’s care

A

Paitent Care Conference

32
Q

Department of the hospital that provides care before(preoperative), during (intraoperative), and after (postoperative) surgery.

A

Perioperative Services

33
Q

Graduate of a 2 or 4 year college based nursing program who is licensed in the province in which he or she is practicing, may provide direct patient care or may supervise patient care given by others

A

Registered Nurse

34
Q

Registered nurse who is in chart of a nursing team

A

Team Leader / PCC - Patient Care Coordinator

35
Q

Nursing interventions, classification defined as establishing priorities of patient care, usually according to a three-level model: emergent, urgent and nonurgent

A

Triage

36
Q

Two or more boards that may be present on a nursing unit, including one for education and policy changes and one for personal infromation for nursing staff

A

Bulletin Boards

37
Q

Whiteboard, usually in the nurses station area on which to record census information including unit room numbers, admitting doctor’s names and the name of the nurse assigned to each patient

A

Census board

38
Q

Alphabetical listing of names, telephone numbers and directory telephone numbers of physicians on staff

A

Doctor’s Roster

39
Q

A paper order form (requisition) that is used to process information when the computer is not available for use

A

Downtime Requisition

40
Q

A mechanical device for transporting food or supplies from one hospital floor to another

A

Dumbwaiter

41
Q

Machine that prints patient labels from the information entered into the computer: located near the nursing unit coordinators area

A

Label Printer

42
Q

Device used to communicate between the nurses station and patient rooms on the nursing unit

A

Patient Call System Intercom

43
Q

System in which air pressure transports tubes carrying supplies, some lab specimens and some medications to and from hospital units or departments

A

Pneumatic Tube system

44
Q

Small electronic device that when activated by entering a series of numbers into a telephone delivers a digital or voice message to the carrier of the pager

A

Pocket Pager

45
Q

System by which the hospital telphone operator pages a message for a doctor or makes other announcements, the system reaches all hospital areas (used only when absolutely necessary to keep noice level down)

A

Voice Paging system

46
Q

A mobile computer that can be taken to a patients bedside, allowing nurses and other health care providers the ability to access and enter information into patient records

A

WOW - Workstation on Wheels

47
Q

A set of rules and procedures for professional conduct based on the values and ethical standards of an organization or profession

A

Code of Ethics

48
Q

The legally protected rights afforded to all patients of having personal and medical information (written or spoken) be protectes

A

Confidentiality

49
Q

A system of moral principles (beliefs) that determine how we make judgments in regards to right and wrong

A

Ethics

50
Q

Doctrine that states that before patinets are asked to consent to a risky or invasive diagnostic or treatmnet procedure, they are entitled to receive certain information: (1) a description of the procedure (2) any alternatives to it and their risks (3) risks of death or serious bodily disability from the procedure (4) probable results of the procedure, inclduing any problems with recuperation and anticipated time of recuperation and (5) anything else that is generally disclosed to patients who are asked to consent to a procedure

A

Informed Consent

51
Q

Professional negligence of a health care professional: failure to meet a professional standard of care: resulting in harm to another

A

Medical Malpractice

52
Q

Legal description of what a specific health professional may and may not do

A

Scope of Practice

53
Q

A list of patients including room and bed numbers and other relevant inforamtion that may be printed from a computer menu

A

Census Sheet

54
Q

From used on a nursing unit that includes a list of patinets names and room & bed numbers with blank spaces next to each name. This may be used by the NUC to record patient activities

A

Census Worksheet (Brains)

55
Q

A communication process between shifts in which nursing personnel who are going off duty report nursing unit activies to personnel coming on shift - may be provided in person , written, or tape recorded

A

Change of Shift Report

SCC - Communications (2 decks)

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