Bridge Training Questions & Answers(RATED A+)
onset, timing, location, quality, severity, modifying factors, associated sx, context - ANSWERA complete HPI has all of the following: Pt presents for pruritic rash all over body which developed yesterday, noted to be large red bumps. First dog exposure outside 45 minutes before rash. Mom thought she had hives. Given Benadryl w/ mild relief noted to decrease size of bumps and itching. - ANSWERParent says: "My daughter, Katherine, was playing outside w/ her cousin's dog which is a Corgi for the first time for 45 minutes yesterday. She has never played w/ dogs before but she really gets along well w/ them. They were playing catch and she was running around outside w/ the dog. It was the cutest thing! She liked to pet the dog and threw the ball around the backyard playing fetch. She then came inside and immediately started scratching all over her body and had formed these large red bumps all over her body. i told her to stop itching, but she said she wouldn't stop. I thought she was going to make herself bleed from itching so much! She was really scratching everywhere! It looked like she had hives, but I wasn't sure so I gave her some Benadryl which stopped her from scratching and the red bumps went down some. I brought her in first thing in the morning because I didn't know what to do." has decreased activity than normal, fatigued, has been sleeping more than normal - ANSWERList 3 ways to document "lethargy", "listless", or "just not themselves" in the HPI. lethargy, listless, unresponsive, inconsolable, toxic appearing - ANSWERList 5 words commonly used by parents that you should not document unless explicitly asked to do so by the provider. ask medical questions to pt, sign orders, touch pts, click into chart before pt is in office - ANSWERList 4 things you can never do as a scribe. pend orders and hit refresh on the chart - ANSWERYou are not allowed to sign orders, but you can __________. click review tab at top of EPIC to review information in a pt's chart before the visit - ANSWERYou are not allowed to click into a chart to review pertinent info before the pt is in the office, but you can __________. constant, intermittent, waxing/waning - ANSWERdescriptions for timing quality - ANSWERSharp, dull, aching, cramping, etc. describe what element of an HPI? severity - ANSWERA 1-10 scale and mild/moderate/severe describe what element of an HPI? UOP (urinary output) - ANSWERWhat is one of the best indicators of hydration? frequency of wet diapers - ANSWERIf the provider asks about __________, be sure to document it because UOP (urinary output) is one of the best indicators of hydration. # oz pt is taking, at what time intervals, brand of formula/EBM (expressed breast milk), m
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