answers
Discharge Planning Correct Answer-plan/process to discharge the
patient from hospital
Airborne Correct Answer-infectious agents that remain infectious over
long distances when transported by air
Centers for Disease Control and Prevention (CDC) Correct Answer-
provides facilities & services for the investigation, identification,
prevention, & control of a disease
Cohorting Correct Answer-practice of grouping patients who are
colonized or infected with the same pathogen
Hospital Infection Control Practices Advisory Committee (HICPAC)
Correct Answer-provide advice & guidance for the practice of infection
control
Joint Commission on Accreditation of Healthcare Organizations
(JCAHO) Correct Answer-provides accreditation to hospitals & other
health care facilities
Ambulate Correct Answer-move from place to place
gait Correct Answer-manner of walking
,Shift Report Correct Answer-report given during the shift/watch turn-
over
After how long are non-active duty inpatient records retired? Correct
Answer-retired 2yrs after the last inpatient discharge
Three Major Categories of Med Rec. Correct Answer-health, outpatient,
inpatient
NAVMED P-117 Correct Answer-Manual of the Medical Department
NAVMED 6150/10-19 Correct Answer-health record folder selected by
the last 2 #'s of ssn
Clinical Summary Correct Answer-required for all inpatient
hospitalizations lasting more than 48hrs
The Purpose of Documenting Patient Care (IREC's) Correct Answer-To
make sure inpatient records are completed to ensure they meet the
highest standards of completeness, promptness, clinical pertinence, and
standards of the JCAHO
NAVMED 6550/8 Correct Answer-Medical Administration Record
(MAR) A form used to record all medications administered during a
seven day time period
, SF 508 Correct Answer-Doctor's Orders
NAVMED 6550/12 Correct Answer-Patient Profile is used to
standardize treatment and provide a reference of the care that patient
received
SF 509 Correct Answer-progress notes
SF 510 Correct Answer-Nursing Notes are used to document inpatient
care
What needs to get documented in SF 510? Correct Answer-- date/time of
entry
- Observations
- Patient identification
- signature of note writer
How do you correct a mistake? Correct Answer-ONLY draw one line,
initial, date the line
SF 558 Correct Answer-Emergency Care and Treatment used to
document all the care given to the patient in the ER
DD Form 792 Correct Answer-24 hour intake and output worksheet