1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
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Terms in this set (79)
Individual sick call slip that initiates the sick call
process
Used for patient who requests or receives
DD Form 689 medical/dental evaluation or treatment at an Army
Medical Treatment Facility (MTF)
used as a means of communication between
medical personnel and the patient's commander
Chronological Record of Medical Care
form used to document the chronological record of
the patient's treatment
SF 600
Should include:
- Date and time of visit
- Medical Treatment Facility
- Signature of person making entry
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,1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
Draw a single line through the information, write
"Error," and your initials
If you have finished the documentation and decide
later information needs to be changed:
Correction procedures
for an entry error - add correct information
- reason for change
- date and initial
- Do not skip lines or leave any spaces above
signature
Health Insurance Portability and Accountability Act
HIPAA
a federal law protecting the privacy of patient-
specific health care information
- the patient
Access to patient's
- patient care personnel
medical information may
- medical researcher
be given too...
- medical educators
- if access is court ordered by law
Exceptions for those that
- if access if needed for hospital accreditation
can access a patient's
- if access is authorized by the patient via a written
medical information are...
document
Disclosure of medical the PA or the patient administrator (PAD)
information is handled
by...
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 2/31
,1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
1) Observation - begins when patient walks through
the door
2) Listening - will help you find out the problem
3) Open-ended questions - helps you get more
complete and accurate information
4) Provider obstacles - keep a good attitude and
assume every patient has a legitimate complaint
History Taking Techniques
5) Patient obstacles - patient's w/o medical
experience will very often request specific
diagnostic studies, therefore, we must gain their
trust
6) Obtain a thorough history
7) Maintain an index of suspicion
8) Consider the mechanism of injury
Triage is about looking for signs and symptoms that
could lead to serious illness or even death
You may decrease the likelihood of overlooking
Triage
these conditions by maintaining an index of
suspicion based on the presenting symptoms and
by obtaining accurate vital signs on each and every
patient
- Obtain the chief complaint
- Identify patients with signs and symptoms that
Techniques for
have increased potential for complications
Identifying Critically Ill
- promptly obtain vital signs
Patients
- perform a physical exam and report findings to
medical provider
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 3/31
, 1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
1) Patient will obtain a DD Form 689., an individual
sick slip, which will ensure accountability of the
soldier is maintained both at the MTF and with
patient's unit
2) a combat medic will be assigned to sign in all
patients in a daily disposition log
Initiating the Sick Call 3) the combat medic will retrieve the patient's
Process medical record and initiate an entry on a SF 600, or
the Chronological Record of Medical Care
4) Combat medic will take the patient's vital signs
and initiate an entry on SF 600 in a SOAP format by
asking for the patient's HPI
5) Physical examination will be performed by the
Medical Officer
Subjective information is information that the patient
tells you. It is what the patient reports he feels or
understands as the problem. It is information that
you cannot necessarily find in an examination.
- age, sex, race and first day of last menstrual
period (FDLMP)
- chief complaints
Subjective Information
- HPI - contains all of the relevant information to the
patient's chief complaint
- past medical/surgical/social history
- last oral intake
- events leading up to illness or injury
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 4/31
Get 1 month of Quizlet Plus for $1. Click here.
68W Limited Primary Care 2025|Actual Exam
Set Questions And Verified Answers (Correct
solutions) | Get It 100% Accurate!!
Save
Terms in this set (79)
Individual sick call slip that initiates the sick call
process
Used for patient who requests or receives
DD Form 689 medical/dental evaluation or treatment at an Army
Medical Treatment Facility (MTF)
used as a means of communication between
medical personnel and the patient's commander
Chronological Record of Medical Care
form used to document the chronological record of
the patient's treatment
SF 600
Should include:
- Date and time of visit
- Medical Treatment Facility
- Signature of person making entry
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 1/31
,1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
Draw a single line through the information, write
"Error," and your initials
If you have finished the documentation and decide
later information needs to be changed:
Correction procedures
for an entry error - add correct information
- reason for change
- date and initial
- Do not skip lines or leave any spaces above
signature
Health Insurance Portability and Accountability Act
HIPAA
a federal law protecting the privacy of patient-
specific health care information
- the patient
Access to patient's
- patient care personnel
medical information may
- medical researcher
be given too...
- medical educators
- if access is court ordered by law
Exceptions for those that
- if access if needed for hospital accreditation
can access a patient's
- if access is authorized by the patient via a written
medical information are...
document
Disclosure of medical the PA or the patient administrator (PAD)
information is handled
by...
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 2/31
,1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
1) Observation - begins when patient walks through
the door
2) Listening - will help you find out the problem
3) Open-ended questions - helps you get more
complete and accurate information
4) Provider obstacles - keep a good attitude and
assume every patient has a legitimate complaint
History Taking Techniques
5) Patient obstacles - patient's w/o medical
experience will very often request specific
diagnostic studies, therefore, we must gain their
trust
6) Obtain a thorough history
7) Maintain an index of suspicion
8) Consider the mechanism of injury
Triage is about looking for signs and symptoms that
could lead to serious illness or even death
You may decrease the likelihood of overlooking
Triage
these conditions by maintaining an index of
suspicion based on the presenting symptoms and
by obtaining accurate vital signs on each and every
patient
- Obtain the chief complaint
- Identify patients with signs and symptoms that
Techniques for
have increased potential for complications
Identifying Critically Ill
- promptly obtain vital signs
Patients
- perform a physical exam and report findings to
medical provider
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 3/31
, 1/23/25, 11:25 AM 68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!…
1) Patient will obtain a DD Form 689., an individual
sick slip, which will ensure accountability of the
soldier is maintained both at the MTF and with
patient's unit
2) a combat medic will be assigned to sign in all
patients in a daily disposition log
Initiating the Sick Call 3) the combat medic will retrieve the patient's
Process medical record and initiate an entry on a SF 600, or
the Chronological Record of Medical Care
4) Combat medic will take the patient's vital signs
and initiate an entry on SF 600 in a SOAP format by
asking for the patient's HPI
5) Physical examination will be performed by the
Medical Officer
Subjective information is information that the patient
tells you. It is what the patient reports he feels or
understands as the problem. It is information that
you cannot necessarily find in an examination.
- age, sex, race and first day of last menstrual
period (FDLMP)
- chief complaints
Subjective Information
- HPI - contains all of the relevant information to the
patient's chief complaint
- past medical/surgical/social history
- last oral intake
- events leading up to illness or injury
https://quizlet.com/996389105/68w-limited-primary-care-2025actual-exam-set-questions-and-verified-answers-correct-solutions-get-it-100-accur… 4/31
