Interpersonal Relationships (Final 5-7) Flashcards
(129 cards)
What is another name for a patient’s health care record?
chart
What are the contents of a patient’s health care record?
- medical history
- daily progress (filled by nurses and physicians)
- vital sign records
- fluid balance sheets
- lab reports
- reports by allied health professionals
What form of records are usually on your patient’s chart that are filled out by health care aides?
- Kardex
- Fluid Balance Record
- Activity of Daily Living (ADLs) flow sheets
True or false? A patient’s health care record or chart is a legal document and must have basic guidelines and legal standards.
True.
Identify 5 general charting guidelines.
- understand reason why you are documenting (read carefully)
- check for right patient, right room and right chart
- include date and time with each entry (24 hour clock)
- chart entries in chronological order
- chart changes as patient’s condition changes
- be brief, factual and objective
- record only what you observed or have done
- use a pen, write clearly, spell correctly, proper medical terminology,
- no blank spaces or lines between entries
- sign each entry with signature and job title
- make corrections with line through mistake, write error, put initials
- use appropriate abbreviations
- stamp each form with client’s name and other info
- never chart procedure or treatment until after completion
- do not omit info
Meaning of: Hemiplegia
hemi=half
plegia=paralysis
Meaning of: Dyspnea
dys=difficult
pnea=breathing
Meaning of: Bronchoscopy
broncho=bronchi
scopy=examination using a scope
Meaning of: Laryngitis
laryng=larynx
itis=inflammation
Meaning of: Leukocyte
leuko-white
cyte-cell
Meaning of: Ophthalmoscope
ophthalm=eye
scope=examination instrument
Meaning of: Tachycardia
tachy=fast
cardia=heart
Meaning of: Glucometer
gluco=glucose
meter=measuring instrument
Meaning of: Mammogram
mammo=breast
gram=record
Meaning of: Splenectomy
splen=spleen
ectomy=removal of
Meaning of: Aphasia
a=lack of/not/without
phasia=speaking
Meaning of: Arthralgia
arthr=joint
algia=pain
Meaning of: Psychosis
psych=mind
osis=condition
Meaning of: Pyrrhea
py=pus
rrhea=discharge
Abbreviation of: hour
h
Abbreviation of: activities of daily living
ADL
Where would you find the abbreviations used by the facility you work for?
policy manual
Meaning of: abd
abdomen
Meaning of: ac
before meals