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Information in Health Records Must be kept in the following manner: |
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Definition
Easily Retrievable
Kept in an orderly manner
complete
legible
accurate
brief
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A more specific account of the chief complaint including time frames and characteristics. |
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Description of the symptoms that led the patient to seek care. |
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Health Insurance Portability and Accountability Act. |
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are commonly used to gather information from the patient BEFORE the visit. |
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Designed to limit the need for long hand written care notes |
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Definition
are written statemnts about various aspects of patient care |
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Definition
If it wasn't documented it wasn't done |
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Insurance that Employers are required by law to carry for employees that are injured on the job... must start a new chart for every workman's comp file |
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Classification of Health Records |
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is the commitment and plan to improve every part of an organization. |
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is an internal process geared to identifying potential problems before they cause injury to patients or employees |
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Incident Reports sometimes referred to as occurrence reports, are written accounts of untoward (negative)
patient, vistor, or staff events. |
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Definition
Is a long and arduous process, which takes anywhere from 7 to 12 years and sometimes even longer. |
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The Orphan Drug Act of 1983 was passed to encourage the development and marketing of products used to treat rare diseases. The act defines a "rare disease" as a condtion affecting fewer than 200,000 individuals in the United States. |
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Term
COMPASSIONTE ACCESS
TO UNAPPROVED
DRUGS |
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Definition
The Compassionate Access program allows patients to receive drugs that have not been approved by the FDA.
This program provides experimental drugs for patients who could benefi from new treatments but who probably die before the drug is approved. |
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Definition
Are drugs tht the federal government has designated to be potentially harmful unless their use is supervised by a licensed health care provider, such as a nurse practioner, physician, or dentist. |
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Are drugs that are designted by the FDA to besafe if taken as directed. |
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Are the most carefully monitored of all drugs. |
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Is a compulsive need to use a substance repeatedly to avoid mild to severe withdrawl symptoms. It is the body's dependence on repeated administration of a drug. |
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Definition
Is a compulsion to use a substance to obtain to pleasurable experience, it is the minds dependence on the repeated administration of a drug. |
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Term
HOW OFTEN ARE
CONTROLLED SUBSTANCES COUNTED IN HOSPITALS OR OTHER AGENCIES?
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Definition
EVERY 8 TO 12 HRS to account for each ampule, tablet, or other form of the drug. |
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Term
WHAT IS THE BEST WAY FOR DRUGS TO BE ABSORBED INTO THE BLOODSTREAM? |
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Definition
Best when given by
Intravenous (IV) route
directly into the bloodstream |
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Term
WHAT MUST BE
MAINTAINED IN ORDER FOR THE DRUG TO BE EFFECTIVE? |
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Definition
In order for the drug to be effective a certain blood level must be maintained. |
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Are drugs that bind with a receptor to produce a therapeutic response. |
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Definition
Hypersensitivity (reaction) to a certain drug.
examples: hives, itching, swelling of limbs |
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Definition
Is an EXTREMELY SERIOUS ALLERGIC DRUG REACTION, that usually occurs soon after the administration of a drug to which the individual is severly sensative to. |
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Term
WHAT ARE THE VARIOUS FACTORS THAT MAY INFLUENCE A PATIENT'S
DRUG RESPONSE? |
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Definition
They are a patient's AGE, WEIGHT, GENDER, DISEASE, AND THE ROUTE OF ADMINISTRATION. |
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Term
"SEVEN RIGHTS"
OF DRUG ADMINISTRATION |
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Definition
* RIGHT PATIENT
*RIGHT DRUG
* RIGHT DOSE
* RIGHT ROUTE
*RIGHT TIME
* RIGHT DOCUMENTATION
*RIGHT TECHNIQUE |
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Term
"THREE CHECKS"
FOR DRUG ADMINISTRATION FROM SUPPLY AREA |
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Definition
1) check label when removing the drug from the storage area.
2) check label immediately before removing the drug from the container.
3) check label before returning the drug to it's storage area. |
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