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When assessing a patient you note a bruise on his chest on a prehospital patient care report this injury would be properly documented as?
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What should Prehospital patient care decisions should be based on .?
The opinions of physicians
What is another term for assessing patient's needs?
Screening
Assessing a patient through a stethoscope is called?
Auscultation
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.
What action to take after speaking with a patient?
All correspondence should be documented in the patient's chart after speaking with them.
How should subjective statements by the patient be documented?
by crossing your arms
What must be documented in the patient record and is the major billing factor for the psychiatric subsection?
Patient status
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
What is frequently documented in the patient record and is the major billing factor for the Psychiatric therapy subsection?
The type and duration of therapy sessions, the presenting problems or symptoms of the patient, the therapeutic interventions used, and the progress made by the patient are frequently documented in the patient record and are major billing factors for the Psychiatric therapy subsection.
When the nurse is assessing a new patient in a clinic which medications would be of most concern?
the patient has severe asthma and requires frequent therapy with oral steroids
What is the only information documented in the may be considered in determining level of service?
patient record
What does SUV mean on a PET scan?
Standardized Uptake Values which aids in assessing patient response to cancer therapy.
