Ed Scribe - Final Exam
Medical Decision Making (MDM) - answer-The physician's thought process Pain vs. Tenderness - answer-Patient's feeling vs. physician's assessment What does distress mean? - answer-The doctor's judgment of discomfort Baseline - answer-An individual's normal state of being What does Auscultation mean? - answer-Listening with a stethoscope Palpation - answer-The act of pressing on an area by the doctor Inpatient - answer-Admitted to the hospital overnight Outpatient - answer-Seen and sent home the same day What is the ED flow (overview)? - answer-1. Check in and Chief Complaint 2. Physician assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition What is the ED flow before orders are made? - answer-1. Arrival 2. Triage 3. Vital Signs / Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE What is the ED flow after orders are made? - answer-1. Differential Dx 2. Physician orders labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx 5. Disposition What is the general documentation template? - answer-HPI ROS PHx PE ED course Disposition Thyroid problem means.. - answer-Usually Hypothyroidism, sometimes hyperthyroidism "I only take pills for my diabetes" means.. - answer-Non-Insulin Dependent Diabetes
Información del documento
- Subido en
- 4 de junio de 2024
- Número de páginas
- 28
- Escrito en
- 2023/2024
- Tipo
- Examen
- Contiene
- Preguntas y respuestas
