Definitions L Flashcards
Communicating with healthcare team
Written or verbal exchange of information between and among members of a healthcare team
Health Insurance Portability and Accountability Act (HIPAA)
Law protecting confidentiality of patient’s information that identifies some information that must be kept private
Medical record
Legal document organizing all the information about a single person which allows medical disciplines to coordinate care
Objective data
Data collected using the senses
Recording
Written account of actions taken and observations made by NA
Reporting
Oral account of actions taken and observations made which is given to other members of the healthcare team
Subjective data
Information told to NA