Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
|
What does SOAP stand for? |
1. S- Subjective 2. O- objective 3. A- Assessment 4. P- Plan |
|
|
What are the different sections of the Health Record? |
1. Chief Complaint 2. History of Present Illness 3. Review of Systems 4. Past Medical History 5. Past Surgical History 6. Family History 7. Social History |
|
|
What are the 3 types of body planes? |
1. Saggittal 2. Coronal 3. Transverse |
|
|
Health Care Facility Abbreviations: 1.CCU 2.ECU 3.ER 4.ED 5.ICU 6.PICU 7.NICU 8.SICU 9.PACU 10.L&D 11.OR 12.Post-Op 13.Pre-Op |
1. Coronary Care Unit 2. Emergency Care Unit 3. Emergency Room 4. Emergency Department 5. Intensive Care Unit 6. Pediatric Intensive Care Unit 7. Neonatal Intensive Care Unit 8. Surgical Intensive Care Unit 9. Post-anesthesia Care Unit 10. Labor and Delivery 11. Operating Room 12. After Surgery 13. Before Surgery |
|
|
Which are abbreviations that you will find on Health Records? and What do they mean? VS ER SOB WNL T NEC Rx CTA PERRLA HPI NAD BP HR |
VS- Vital Signs T- Temperature HR- Heart Rate BP- Blood Pressure Rx- Prescription HPI- History of Present Illness |
|
|
What abbreviation means By Mouth? What is it's opposite? |
1. PO 2. NPO |
|
|
Abbreviation for How frequent to take prescription BID TID QID |
1. Twice Daily 2. Three Times Daily 3. Four Times Daily |
|
|
Abbreviation for when to take meds? Take Medication Before meals Take Medication After Meals |
1. AC 2. PC |
|
|
Name the 10 Types of Health Record Notes? |
1. Clinical Note 2. Consult Note 3. Emergency Dept. Note 4. Admission Summary 5. Discharge Summary 6. Operative Report 7. Daily Hospital Note or Progress Note 8. Radiology Report 9. Pathology Report 10. Prescription |
|
|
What does Unremarkable Mean? |
Another way of saying Normal |
