Examples of medical office clinical documents Correct Answer: physical exam report, medication record, health history
report that documents the assessments and treatments designed to restore a patients ability to fun
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Examples of medical office clinical documents Correct Answer: physical exam report, medication record, health history
report that documents the assessments and treatments designed to restore a patients ability to function Correct Answer: therapeutic service report
A collection of subjective data about the patient Correct Answer: health history
the symptom causing the pt the most trouble Correct Answer: chief complaint
social history includes: Correct Answer: dietary history, health habits, occupation
proper procedure for documenting in the medical record Correct Answer: check the name on the record before making an entry, begin each phrase with a capitol letter, never document for someone else
excessive perspiration Correct Answer: diaphoresis
dizziness Correct Answer: vertigo
microorganisms that do NOT produce diseases Correct Answer: non pathogen
microorganism that can exist only in the presence of oxygen Correct Answer: aerobe
the name given to a person who cannot fight off a pathogen that has entered the body Correct Answer: susceptible host
help prevent the entrance of microorganisms into the body Correct Answer: coughing,sneezing, acidity of urine, hydrochloric acid in the stomach and mucus in the nose and respiratory tract
practices that help to keep an object or area clean and free from infection Correct Answer: medical asepsis
Examples of OPIM Correct Answer: any bodily fluid visibly contaminated with blood, vaginal secretions and semen
safer medical device Correct Answer: A device that, based on reasonable judgment, would make an exposure incident involving a contaminated sharp less likely
PPE Correct Answer: used to draw blood
Liver cancer Correct Answer: resul
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