Patient Charts Flashcards

1
Q

Admission/separation record

A

Front of chart

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2
Q

Dr. Order forms

A

Orders tab

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3
Q

Diabetic record

A

Medications tab

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4
Q

Anesthetic record

A

Operative report

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5
Q

Easy access to info on patients

A

Kardex

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6
Q

Niddm

A

Non-insulin dependant diabetes mellitus

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7
Q

Ad. Lib

A

As much as desired

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8
Q

Hob

A

Head of bed

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9
Q

Brp

A

Bathroom privileges

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10
Q

Hs

A

Hour of sleep

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11
Q

Freedom of information

A

Any person has the right to access federal records to an extent

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12
Q

Protection of privacy

A

Protect your right to personal privacy by prohibiting disclosure of your personal information

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13
Q

Aro

A

Antibiotic resistant organisms

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14
Q

Mrsa

A

Methicillin resistant staphylococcus aureus

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15
Q

Vre

A

Vancomycin resistant enterococcus

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16
Q

Clipboards outside of room consists of:

A
Nurses notes
clinical record
24hr flow sheet
Nursing history
Neurological  record
Plan  of  care