Chapter 9- Vocabulary Flashcards
Kardex file
A potable file that contains and organizes the Kardex form for each patient on the nursing unit
Flagging
A method used by the doctor to notify the nursing staff that a new set of orders has been written
Kardex form
A form on which the health unit coordinator record doctors order , it is used by the nursing staff for quick reference to the patients current orders
Kardexing
The process of recording and updating doctors order the paper Kardex form( many hospital have eliminated the paper Kardex form in favor of entering all patient orders into the computer
One-time or short series order
Doctor order that are executed according to the qualifying phrase and the then automatically discontinued
Ordering
The process of requesting diagnostic procedures, treatment ,or supplies from hospital department other than nursing
Preprinted orders
A typed set of orders for a specific diagnosis or procedure that has been approved for use in the hospital
Prn orders
Similar to standing orders, except that orders of this type are executed according to the patient needs
Requisition
A paper form used to order diagnostic procedure , treatment , or supplies from hospital department other than nursing when the computer is down
Set of doctors orders
An entry of doctors order written on the doctors order sheet,dated,notated for time ,and signed by the doctors
Singing off
A process by which the health unit coordinator record data
Standing orders
Doctor orders that remain in effect and are executed as ordered until the doctor discontinues or change them
STAT orders
Doctors orders are that to be executed immediately then automatically discontinued
Symbols
Notations which consist of word or letter written in black or red ink on the doctors order sheet document completion of s step of the transcription procedure
Telephoned orders
Orders for a patient called into a health care facility
