Patient Care Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Preparing for patient visit

A
  1. ensure room is clean and proper instruments needed for next appointment are on tray
  2. get clipboard
  3. begin ema note: document main complaint and pull over most important impressions from previous visits, start up the ROS and exam details, etc.
  4. if pt is new, document medical history, medications, allergies, pharmacy, and ROS from PHREESIA
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2
Q

Rooming the patient

A
  1. greet pt, call their FIRST name
  2. confirm pt DOB
  3. introduce yourself, state who pt will be seeing
  4. collect HPI and ROS
  5. provide pt with gown/sheet
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3
Q

Collecting HPI

A
  1. review pt’s medications, allergies, and pharmacy. if any changes, document them. Mark as reviewed.
  2. for skin check: ask if any spots of concern and document in HPI block
  3. follow up on conditions discussed at last visit and ask about condition and concerns
  4. for follow up: ask how condition is doing and if they are following treatment regimen. document in HPI block
  5. check if pt is overdue for skin check and talk to provider about if you should offer one
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4
Q

Collecting ROS

A
  1. Skin checks / follow ups: ask if rash and changing mole. document. hit reviewed button
  2. melanoma checks: give pt handout sheet in room. document. hit mark all reviewed. save
  3. new patients: mark all reviewed, fill in based on phreesia attachment
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