Physcian Rounding-Documentation and Filing Charges Flashcards
1
Q
How does physician order a home med if it wasn’t ordered during admission?
A
Orders activity>Home meds tab>Reorder home meds
2
Q
What does the pushpin mean?
A
problem is chronic
3
Q
Principal problem
A
main reason pt. is in the hospital
4
Q
Positive/negative button in NoteWriter, how can you document it is a present positive?
A
Left click or click the plus sign
5
Q
How can you document a negative condition in NoteWriter?
A
Right click or click the minus sign
6
Q
How can you add a comment after clicking Positive or negative?
A
Hover over positive or negative button and start typing.
7
Q
How can you tell if a comment has been added?
A
Button is underlined
8
Q
True or false? You can add a free text to a note in Note form?
A
True, using Smart Phrases or free text in the white spaces within the note.
