DD Form 689 - Answers individual sick call slip; initiates sick call process; communication between
medical personnel and the pt's commander
SF 600 - Answers Chronological Record of Medical Care; Must include 1) date and time of visit 2) Medical
treatment facility where care was given 3) signature of person making the entry
Who is responsible for requesting a disclosure of patient care information? - Answers The patient
administrator
SOAP acronym for documentation - Answers S) Subjective
O) Objective
A) Assessment
P) Plan
Subjective information (documentation) - Answers relevant history of the pts presenting symptoms or
chief complaints; use direct quotes form the pt
PMH - Answers past medical history
PSH - Answers past surgical history
Soc Hx - Answers social history
OPQRST - Answers onset, provocation, quality, radiation, severity, time
Profile types - Answers Quarters, Bedrest, Duty
Quarters (profile) - Answers Restriction/rest in place of domicile (barracks, home). Free to move in living
space (may use the day room). May not perform military duties. Normally will not exceed 72 hours.
Bedrest (profile) - Answers Restricted to bed, may travel to dining facility and latrine. May not perform
any military duties
Duty - Answers Pt is returned to unit for full duty without restrictions
Pathogen - Answers disease causes microorganism
Most difficult infection to treat - Answers Spore Forming Bacteria
chain of infection - Answers infectious agent, reservoir, portal of exit, mode of transmission, portal of
entry, susceptible host
vehicle transimission - Answers Direct contact, indirect contact, Airborne, foodborne, bloodborne,
waterborne, human carrier, vector
, Dirty - Answers anything that has not yet been cleaned or sterilized
Contaminated - Answers anything that was clean/sterile but made contact with a non-clean/sterile
object
clean - Answers most harmful organisms have been removed from the object or skin
Sterile - Answers The item is free of all microorganisms and spores
disinfectant - Answers a chemical substance that kills harmful bacteria or viruses but not their spores
Sterilization - Answers The process that completely destroys all microbial life, including spores.
Medical asepsis - Answers clean technique
surgical asepsis - Answers sterile technique
Transmission based precautions - Answers airborne, contact, droplet
reverse isolation - Answers Precaution used for individuals who are immune-compromised to protect
them from harmful organisms; for immunocompromised (HIV, Geriatric, transplant patients)
Hand washing - Answers The most effective way to fight or prevent infection
nosocomial infection - Answers hospital acquired infection
trade name - Answers the common brand name of a drug
generic name - Answers legal noncommercial name for a drug
side effects - Answers reactions to medicine other than the one intended
Contraindications - Answers reasons not to give a medication
indications - Answers reasons to give a medication
therapeutic effect - Answers expected positive effects of a drug
Psychological drug dependence - Answers The patient believes they need they drug
physiological drug dependence - Answers a condition in which the patient has a chemical need for a
drug
drug tolerance - Answers the tendency for larger doses of a drug to be required over time to achieve the
same effect
Drug interactions - Answers the effects that may occur when the drug is given along with another drug,
food, or substance