Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

UNIT 4- MED ADMIN > MEDICAL RECORDS > Flashcards

MEDICAL RECORDS Flashcards

1
Q

DOCUMENT THAT GOVERNS USE OF MEDICAL RECORDS:

A

NAVMED P=117 MANMED, CHAPTER 16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

PURPOSE OF THE MILITARY TREATMENT RECORD:

A

A CHRONOLOGICAL RECORDS OF MEDICAL TREATMENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

MEDICAL RECORDS HAS LONG TERM MEDICO-LEGAL VALUE TO:

A

1- THE INDIVIDUAL
2- SURVIVORS
3- US GOVT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

HEALTH RECORDS ARE USED TO:

A

1- PLAN PT CARE/EVALUATE CONDITION AND TREATMENT
2-DOCUMENTARY EVIDENCE
3-DOCUMENT COMMUNICATION BETWEEN ALL PROVIDERS IN CARE OF PT
4-LEGAL PROTECTION
5-PROVIDE DATE FOR EDUCATION AND RESEARCH
6-JUSTIFY COSTS BY 3RD PARTIES
7-VEHICLE FOR COMMUNICATION BETWEEN PROVIDERS AND MEDICAL STAFF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

WHEN ARE HRECs OPENED

A

UPON INITIAL ENTRY INTO REGULAR OR RESERVE SERVICE

-USUALLY DONE AT MEPS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

WHEN ARE DENTAL RECORDS OPENED

A

AT THE FIRST DENTAL VISIT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

OBTAINING RECORDS FOR PRIOR SERVICE AFTER DISCHARGE

A

ORDER HREC/DREC FROM NATIONAL PERSONNEL RECORDS CENTER

-DD877, REQUEST FOR MEDICAL/DENTAL RECORDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GUIDANCE FOR CLOSING HRECs

A

ARTICLE 23 OF MANMED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

WHEN WOULD YOU CLOSE A RECORD

A 
1- DIES
2-DISCHARGED
3-RESIGNS
4-RELEASED FROM ACTIVE DUTY
5-RETIRES
6- FLEET RESERVE
7-MISSING/MIA
8-DESERTER
9-DIS-ENROLLED FROM OFFICER PROGRAMS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

WHERE DO YOU RECORD CLOSING ENTRIES?

A

NAVMED 6150/4

ABSTRACT OF SERVICE AND MEDICAL HISTORY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

WHO HAS CUSTODIAL RESPONSIBILITIES?
SHORE?
SHIP?

A

MEDICAL RECORDS IS US GOVT PROPERTY, MAINTAINED BY MTF OR DTF
SHIP- SMDR HAS CUSTODIAL RESPONSIBILITIES, BY AUTHORITY DELEGATED BY CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

WHAT TO DO WITH MEDICAL RECORDS IN EVENT OF HOSPITALIZATION

  • TRANSFERRED TO FEDERAL FACILITY
  • TRANSFERRED TO VA
  • HOSPITALIZED AT CIVILIAN HOSPITAL
  • HOSPITALIZED IN FOREIGN NATION
A

AT MTF- HREC GOES WITH PT
AWAY FROM MTF- FORWARD UPON REQUEST

-HREC WILL ACCOMPANY PT OR BE SENT ASAP

-FORWARD A COPY OF HREC TO VA
SEND ORIGINAL TO COGNIZANT MTF

-FORWARD HREC TO MEDICAL FACILITY HAVING ADMIN COGNIZANCE IF NEEDED FOR STAY

  • SEND HREC TO MTF WITH ADMIN COGNIZANCE
  • ENSURE ENLGISH TRANSLATION IS SUBMITTED INTO HREC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

DISPOSITION OF RECORDS IN EVENT OF UA

A

-US EXCESS OF 10 DAYS, SEND RECORD TO PSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

RECORD DISPOSITION WHEN TRANSFERRING

A 
VERIFY HREC
INCLUDE DREC
MEMBER CAN HAND CARRY
COMPLETE PINK CARD, NAVMED 6150/7, CHARGE OUT RECEIPT CARD
(KEEP PINK CARD FOR 1 YEAR)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

WHAT TO DO IF A RECORD IS LOST OR DAMAGED

  • WHAT FORMS TO FILL OUT
  • WHO MAKES IT
A

1- FILL OUT PAGE 13, NAVPERS 1070/13 AND SF 600
2- COGNIZANT CUSTODIAN MAKES NEW RECORD
3-WRITE REPLACEMENT OVER FRONT JACKET, OR ANY REPLACED FORMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

DESTROYED HEALTH RECORDS

A

DUPLICATE THE RECORD CLOSE TO ORIGINAL
WRITE DUPLICATE OVER FRONT JACKET, OR DUPLICATE ON BOTTOM OF EACH FORM
SF 600 EXPLAINING DETAILS OF DAMAGE
MICROFICHE ALL FORMS AND PUT INTO ENVELOPE AND ATTACH TO RECORD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

WHEN DO RECORDS GET VERIFIED

A
  • CHECK IN
  • PHA, PHYSICAL EXAMS
  • CHECK OUT
  • MUST BE DONE AT LEAST ANNUALLY*
18
Q

DD 2766

A

ADULT PREVENTATIVE AND CHRONIC CARE FLOW SHEET

19
Q

NAVMED 6230/4

A

IMMS RECORD

20
Q

NAVMED 6000/2

A

HIV TESTING

21
Q

DD 771

A

EYEWEAR PRESCRIPTION

22
Q

NAVMED 6470/10

A

RECORD OF OCCUPATIONAL EXPOSURE TO RADIATION

23
Q

DD 2215

A

REFERENCE AUDIOGRAM

24
Q

DD 2216

A

HEARING CONSERVATION DATA

25
Q

NAVMED 6224/1

A

TB CONTACT/REACTOR

26
Q

SF 600

A

CHRONOLOGICAL RECORD OF MEDICAL CARE

27
Q

SF 513

A

CONSULTATION SHEET

28
Q

SF 517

A

ANESTHESIA

29
Q

SF 522

A

REQUEST FOR ADMINISTRATION OF ANESTHESIA

30
Q

DD 2005

A

PRIVACY ACT STATEMENT

31
Q

NAVMED 1300/1

A

MEDICAL, DENTAL, AND EDUCATIONAL SUITABILITY SCREENING FOR SERVICE AND FAMILY MEMBERS

32
Q

NAVMED 1300/2

A

MEDICAL, DENTAL, AND EDUCATION SUITABILITY SCREENING CHECKLIST AND WORKSHEET

33
Q

NAVPERS 1300/16

A

REPORT FOR SUITABILITY FOR OVERSEAS

34
Q

DD 2808

A

REPORT OF MEDICAL EXAM

35
Q

DD 2807-1

A

REPORT OF MEDICAL HISTORY

36
Q

DD 877

A

REQUEST FOR MEDICAL;/DENTAL RECORDS

37
Q

WHERE TO RECORD ALLERGIES ON HREC

A

1-NAVMED 6230/4 IMMS RECORD
2- DD 2766
3-PLACE “X” ON FRONT JACKET
4-SF 600

38
Q

WHERE TO RECORD ALLERGIES ON DREC

A

ENTER IN RED ACROSS TOP OF EZ 603/603A

39
Q

DENTAL CLASS 1

A

NO PATHOLOGICAL ORAL CONDITIONS- NO TREATMENT NEEDED

40
Q

DENTAL CLASS 2

A

MINOR PATHOLOGICAL ORAL CONDITIONS, NO EARLY TREATMENT NEEDED

41
Q

CLASS 3

A

WITH PATHOLOGICAL ORAL CONDITIONS, EARLY TREATMENT NEEDED

42
Q

CLASS 4

A

UNKNOWN, HAVE NOT RECEIVED ORAL EXAM IN THE PAST 12 MONTHS

UNIT 4- MED ADMIN (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions