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Q: What positions should you place the patient in to record the tracing EKG?
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Quotation marks should be used when indicating a patient's exact words on a medical record.


If a code is not documented in medical records the medical assistant should never code a patient as having what?

a medical assistant should never code a patient as having what unless its is documented in medical record


The medical record should be released only with a?

Medical records are confidential. They should only be released after the patient has signed a release form.


The patient states he smokes a pack of cigarettes a day On what form should you record this information?

B. Physical Examination


How do you print on tracing papers?

Provided the size of the tracing-paper sheet fits the paper tray of a printer, there should be no problem in printing on tracing paper. Printers (inkjet, laser) usually print on A4 copier paper, or clear acrylic film (for presentation by projection during a lecture). Provided the tracing paper is not too flimsy and too thin to be gripped by rollers on passing through the printer, it should be possible to print on tracing paper.


What is the doctrine of proffessional discreation?

A physician may determine, based on his or her best judgment, if the patient with mental or emotional problems should view the medical record. Because the medical record is a written documentation of the contract established between the physician or healthcare provider and the patient, it must be retained for legal purposes.


What parts of medical record should be checked to see whether additional forms need to be added before a patient arrives for an office visit?

appointment


What action should you take after speaking to the patient?

After speaking with a patient on the phone, the correspondence should be documented in the patient's chart.


How can the medical assistant ensure patient confidentiality while preparing the patient for the physical examination?

Help the patient prepare for the exam by explaining to the patient what clothing should be removed, in what direction to put the gown on, and provide a drape to ensure patient privacy. Throughout the sequence of events, explain what is happening and consistently maintain the patient's privacy and confidentiality. Place the patient's medical record in the designated area for the physician, making sure that no identifiable patient information is visible, in accordance with regulations established by the Health Insurance Portability and Accountability Act (HIPAA).


What is a hospital admission sheet?

The admission or identification form:It should always be kept at the front of each admission or at the beginning of the outpatient or primary care record. This form contains space for identification and sociological data to positively identify a patient.


When a patient and respiration are being counted it is best that the patient?

The patient should be resting or quietly sitting.