Exam (elaborations) TAUC

Wound over 1 hour ago, pt does not want fixex️️Selecting Wound not repaired under Sending pt to emergency room what in chart️️Which ER, additional information discussed, who the provider spoke to, how pt is going to ER Which are trauma CT's️️CT Brain w/o IV, CT abd Pelvis w/ IV, CT c-spine w/o contrast 18 y/o m self pay pt presents with self pay sports physical-️️Adult physical Pt was in MVC and got all trauma CT scans, which Dx️️closed head injury, cervical strain, abdominal contusion, chest contusion, facial contusion 15 y/0 male c/o 3 days of fever feeling weird. Ordered strep, flu, mono what dx?️️viral syndrome, pain in throat pt receives iv how many minimum vitals️️2 when charting abcess I&D when do you put complex?️️When packed Which findings under chest/lungs️️accessory muscle use, decreased breath sounds, retractions What should you do when transferring CT️️contact ct tech to discuss scan, fill out ct transfer sheet with orders, if ct tech doesn't answer call tauc 1 team lead anaphylaxis epinephrine dose️️1:1000 what does a yellow room number mean️️pt ready to be seen by provider, bubble discharge after seen by provider, APP is done with pt dex is contraindicated when️️diabetes which dx not primary/top️️fall, MVC driver, Bitten by dog. (end in letters) Shortness of breath after flight️️Pulmonary embolism receiving a ct us transfer what in chart️️dx/plan, procedures, short HPI, Vitals Pt abrasion to right cheek what should be unchecked️️atraumatic login and password for AVR teleris️️taucis#1, ts being sent to ER, what should include️️print radiology reports, EKG to packet, IV option vitals and leave lock, print clinical summary, disc w/ all radiology studies copy of lab work performed by primary, how to document️️procedure note stating what tests was done and by who 4 normals of an EKG️️NL axis, NSR, NL interval, NL ST-T Pt discharged with crutches how to document️️add note to splint/cast section where do you find EKG w/interpret️️main tab if positive CVA tenderness what are you worried for️️pyelonephritis Provider consults with outside specialist how should you chart this️️procedure note saying who was spoken to as well as advice given what section do you document cough️️general Provider insists pt goes to ER pt doesn't want to, what should you chart️️document conversation between provider and pt when do you not need to document medication️️new medication for the first time through tauc what to do if provider removes wax from both ears️️ear wax removal (unilateral) x- ray readings entered in where️️opal which findings under skin, hair, nail️️petechiae erythema septal hematoma when ordering basic met panel w/ck what isn't necessary️️ISTAT basic met panel if a patient has an IV what needs to be ordered️️Vitals and IV D/C when scribing for an APP what do you verify in coding tab️️the supervising physician which of these are acceptable for order of CT brain️️worsening or prolonged HA, paresthesia, worst HA of pt life, nystagmus, pt fell off bike with no helmet, neurologic deficit what body section CVA tenderness️️abdominal Age of female who need preg test️️14-59 provider instruct pt to not drink alcohol how do you document️️same warning