Chapter 6 Flashcards
Anterior
Ventral
Or toward the front of the body or body
Abbreviation
Shortened form of a word or phrase
Chart
Medical record
Clinical record
A written or electronic account of a persons condition response to treatment and care
Communication
Exchange of information a message centers received incorrectly interpreted by the intended person
Conflict
Clash between opposing interests or ideas
Distal
The part for this from the center or from the point of attachment
Dorsal
Posterior
At or toward the back of the body or body part
End of shift report
A report that the nurse gives at the end of the shift to the oncoming shift
Kardex
A type of card file that summarizes information found in the medical record drug treatment diagnosis routine care measures equipment and special-needs
Lateral
Away from the midline at the side of the body or body part
Medial
At or near the middle or midline of the body or body part
Prefix
A words element placed before a root
Progress note
Describes the care given in the person’s response in progress
Proximal
The part nearest to the center or to the point of origin
Recording
The written account of care and observations
