Routine Flashcards
1
Q
Clinic Flow
A
Check in and chief complaint, history and physical, orders and results, assessment and plan, check out
2
Q
Nurse or MA Assessment
A
Chief Complaint [CC], Diagnostic vs Health Management
3
Q
CC
A
Chief Complaint
4
Q
HR
A
Heart Rate [BPM]
5
Q
BP
A
Blood Pressure [mmHg]
6
Q
RR
A
Respiratory Rate
7
Q
T
A
Temperature
8
Q
SaO2
A
Oxygen Saturation [%]
9
Q
Nurse or MA Assessment [part 2]
A
Vital signs checked, Height, Weight, Smoking status, Review allergies and medications
10
Q
Before entering the room the provider will:
A
Review the patient’s medical records, Assessment & plan from the previous visit, labs and/or imaging results.
11
Q
HPI
A
History of present illness
12
Q
ROS
A
Review of Systems [symptoms]
13
Q
PE
A
Physical Exam
14
Q
A Physician will during a visit:
A
HPI, ROS, Past history, PE, DDx [for diagnostic visits]
