Module L: Definitions

Question 1

Communicating with the Health Care Team

Answer 1

the exchange of information, either verbally or in written form, between and among members of the health care team

Question 2

HIPAA (Health Insurance Portability and Accountability Act)

Answer 2

law that protects privacy of resident’s health information and identifies certain health information that must be kept private and confidential

Question 3

Medical Record

Answer 3

is a legal document that organizes all the information about care of a single resident in one document and allows each discipline involved in the care to know what all disciplines are doing

Question 4

Objective Data

Answer 4

observations using the senses

Question 5

Recording

Answer 5

is the written account of care done by the nurse aide and observations noted, in pen and paper form or electronic form (using computers)

Question 6

Reporting

Answer 6

is the oral account of care done and observations noted, given to other members of health care team

Question 7

Subjective Data

Answer 7

information told to the nurse aide