Vocabulary

Question 0

Adressograph machine

Answer 0

Used with adressograph card to imprint chart forms and requisition

Question 1

Adressograph plate

Answer 1

Plastic card with individual patient information imprinted on it

Question 2

Additional chart forms

Answer 2

Forms used only when specific conditions call for their use

Question 3

Admission day surgery

Answer 3

Surgery scheduled on day of patient’s arrival at hospital

Question 4

Admission orders

Answer 4

Written instructions by the doctor for patient care and treatment upon entry to hospital

Question 5

Admission packet

Answer 5

Pre assembled packet of standard chart forms to be used upon admission of patient to the unit

Question 6

Admission-separation form (face sheet)

Answer 6

Form initiated by admitting; contains personal and demographic information

Question 7

Advanced directives

Answer 7

Documents that indicate a patient’s wishes should they become unable to make decisions regarding medical care

Question 8

Allergy armband

Answer 8

Plastic band on which allergy information is printed, worn by patient for duration of hospital stay

Question 9

Armband

Answer 9

Plastic band on which patient ID information is printed; worn for duration of hospital stay

Question 10

cardiac arrest

Answer 10

When patient’s heart contractions are absent/insufficient to produce pulse

Question 11

Coroner

Answer 11

Public officer who investigates the cause of a death not due to natural causes

Question 12

Direct admission

Answer 12

Unscheduled admission; admitted from doctor’s office, clinic, ER

Question 13

Discharge planning

Answer 13

Centralized, coordinated, multidisciplinary process to ensure patient has a plan for care after leaving hospital

Question 14

Emergency admission

Answer 14

Admission necessitated due to accident or medical emergency

Question 15

Isolation

Answer 15

The placement of a patient separated from other patients to prevent spread of infection

Question 16

Kardex

Answer 16

Form used by nursing staff to maintain current patient profile

Question 17

Medical Record Number/Unit Number

Answer 17

Number assigned to a patient on or before admission, used for records identification and used for all subsequent admissions to that hospital

Question 18

Patient Account Number

Answer 18

A number assigned to the patient each time they are admitted to hospital

Question 19

Pre Admit

Answer 19

Process of obtaining information and partially preparing admission forms before patient’s arrival at the hospital

Question 20

Scheduled admission

Answer 20

A patient admission planned in advance (may be urgent or elective)

Question 21

Stuffing charts

Answer 21

Placing extra chart forms in patients’ charts so they will be available when required

Question 22

Supplemental chart forms

Answer 22

Supplemental chart forms are added to patient chart accord to specific care needs

Question 23

Transcribing symbols

Answer 23

Notations made in red ink on the doctor’s orders sheet to indicate a step of the transcription procedure is complete