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;
11 Cards in this Set
- Front
- Back
|
History and physical examination (H&P) |
Records the patients admitting history and physical exam, as performed by the attending physician or resident |
|
|
Physician's orders |
Records the physicians orders and prescriptions |
|
|
Progress sheet |
Keeps a continuing account of the patient's process for the physician |
|
|
Medication record |
Notes drugs and IV fluids that are given to the patients |
|
|
Vital signs graphic sheet |
Records the patient's temp, pulse, respirations, and blood pressure over time |
|
|
I/O sheet |
Records the patient's fluid intake and output over time |
|
|
Laboratory sheet |
Summarizes the results of lab tests |
|
|
Specialized flow sheets |
Mechanical ventilation |
|
|
Advanced directives |
Wishes, living wills, POA, DNR |
|
|
EMR |
Electronic medical record |
|
|
HIPAA |
Health insurance portability and accountability act |
