Week 5 Flashcards
Mr. Jones reports his pain is rated as 6/10. Where does this statement belong?
Plan
Analysis
Objective
Subjective
Subjective
What does the abbreviation ORIF stand for?
Open replacement of internal fracture
Open reduction internal fixation
Open reduction internal fixation
When writing in a patient chart, being clear and concise isn’t that important. Just be sure that you write everything down.
True
False
False
In your subjective note, you should include information about the patients ethnicity and pleasantness?
True
False
False
If a clinician does not have the time to complete a chart entry, he/she can skip that entry.
True
False
False
What does the abbreviation AAROM stand for?
All active range of motion
Active assisted range of motion
Active assisted range of motion
Legally, patient records need to be stored for how long?
7 years for adult patients and 10 years for patients under 18
Forever. It is critical to be able to access files to determine the past medical history.
10 years after the last intervention
10 years after the last intervention and/or 10 years after a discharged patient turns 18
10 years after the last intervention and/or 10 years after a discharged patient turns 18
If you need to make a correction to the patient chart, the original entry can be scratched out so that you can start again.
True
False
False
Charting is never the responsibility of the OTA PTA. The supervising therapist must make all chart entries.
True
False
False
Follow up with occupational therapist and monitor signs and symptoms. Where does this chart entry belong?
Subjective
Analysis
Plan
Objective
Plan
What does the abbreviation IADL stand for?
Instrumental activities of daily living
Individual activities of daily living
Instrumental activities of daily living
What does the abbreviation WBAT stand for?
Weight bearing as tolerated
Weight bearing as told
Weight bearing as tolerated
What does the abbreviation SOBOE stand for?
Shortness of breath on exercise
Shortness of breath on exertion
Shortness of breath on exertion
What does the abbreviation CABG stand for?
Carotid artery bypass graft
Coronary artery bypass graft
Coronary artery bypass graft
Mr. Smith presents with swelling around his knee and a slight limp. Where does this chart entry belong?
Analysis
Plan
Objective
Subjective
Objective
