Vocabulary Flashcards

1
Q

addressograph

A

A plastic card containing patient information, used to identify patient’s records; it reduces errors and helps with legibility and positive patient identification

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2
Q

admission orders

A

Written instructions by the doctor for the care and treatment of the patient upon entry into the hospital.

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3
Q

allergy armband (identification bracelet)

A

A plastic band on which allergy information is printed and that the patient wears throughout the hospitalization

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4
Q

armband (identification bracelet)

A

A plastic band on which the identification information of a patient is printed and that the patient wears throughout the hospitalization

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5
Q

autopsy

A

An examination of a body after death; it may be performed to determine the cause of death or for medical research

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6
Q

blood consent

A

A patient’s written permission to receive or refuse blood or blood products

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7
Q

cardiac arrest

A

When the patient’s heart contractions are absent or insufficient to produce a pulse or blood pressure

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8
Q

census sheet (activity sheet)

A

A daily listing of all patient’s activities (admissions, discharges, transfers, and death) within the hospital.

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9
Q

chart pack

A

A preassembled packet of standard chart forms to be used on the admission of a patient to the nursing unit

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10
Q

communicable disease

A

A disease that may be transmitted from one person to another

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11
Q

coroner

A

A Public Officer whose principal duty is to inquire by an inquest into the cause of any death which there is reason to suppose is not due to natural causes.

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12
Q

coroner’s case

A

Performed under certain circumstances by a Coroner to investigate a cause of death.

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13
Q

direct admission

A

A patient who was not scheduled to be admitted and is admitted from the doctor’s office, clinic or Emergency Room.

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14
Q

Facesheet

Admission-Separation Form

A

A form initiated by the Admitting Department included in the inpatient medical records, which contains personal and demographic information, usually computer generated at the time of admission.

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15
Q

expiration

A

A death

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16
Q

inpatient

A

A patient who has been admitted to the hospital and assigned to a bed on the nursing unit.

17
Q

isolation

A

The placement of a patient apart from other patients for the purpose of preventing the spread of infection

18
Q

Kardex

A

A form used by nursing staff to maintain a current patient profile and is disposed of upon patient discharge

19
Q

name alert

alert sticker

A

A method of alerting staff when two or more patients with the same or similarly spelled last names are located on the same nursing unit.

20
Q

old record

A

The patient’s record from previous admissions stored in the Health Records Dept. and may be retrieved for review when a patient is readmitted.

21
Q

organ donor

A

Donating or giving ones organs and / or tissues after death. The donor may specify which organs (ex. Corneas only)

22
Q

outpatient

A

A patient receiving care in a hospital, but not admitted or staying overnight

23
Q

postmortem

A

after death

24
Q

respiratory arrest

A

When the patient ceases to breathe or when respirations are so depressed that the blood cannot receive sufficient oxygen and therefore the body cells die

25
Q

stuffing charts

A

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

26
Q

supplemental chart forms

A

Supplemental chart forms are in addition to the standard chart forms and are added to the patient’s chart according to his/her specific care needs.

27
Q

terminal illness

A

An illness ending in death

28
Q

thinning charts

A

Portions of the patient’s current chart that are removed when the chart becomes so full that it is unmanageable.

29
Q

valuables envelope

A

A container for storing the patient’s jewelry, money, and other valuables, which are placed in the hospital safe for safekeeping.