Shared Flashcard Set

Details

Black Mode - Book chapters
Texas Careers - MA program
33
Health Care
Undergraduate 2
04/07/2009

Additional Health Care Flashcards

 


 

Cards

Term
EHR
Definition
Electronic Health Record
Term
Information in Health Records Must be kept in the following manner:
Definition

Easily Retrievable

Kept in an orderly manner

complete

legible

accurate

brief

 

 

Term
Present Illness
Definition
A more specific account of the chief complaint including time frames and characteristics.
Term
Chief Complaint
Definition
Description of the symptoms that led the patient to seek care.
Term
HIPAA
Definition
Health Insurance Portability and Accountability Act.
Term
Medical Records Format
Definition
Narrative
SOAP
POMR
Term
Patient History Forms
Definition
are commonly used to gather information from the patient BEFORE the visit.
Term
Flow Sheets
Definition
Designed to limit the need for long hand written care notes
Term
Progress Notes
Definition
are written statemnts about various aspects of patient care
Term
Golden Rule
Definition
If it wasn't documented it wasn't done
Term
Worker's Compensation
Definition
Insurance that Employers are required by law to carry for employees that are injured on the job... must start a new chart for every workman's comp file
Term
Classification of Health Records
Definition
Active
Inactive
Closed
Term
QI (Quality Improvement)
Definition
is the commitment and plan to improve every part of an organization.
Term

Risk

Management

Definition
is an internal process geared to identifying potential problems before they cause injury to patients or employees
Term

Incident

Reports

Definition

Incident Reports sometimes referred to as occurrence reports, are written accounts of untoward (negative)

patient, vistor, or staff events.

Term

DRUG

DEVELOPMENT

Definition
Is a long and arduous process, which takes anywhere from 7 to 12 years and sometimes even longer.
Term

ORPHAN

DRUG

PROGRAM

Definition
The Orphan Drug Act of 1983 was passed to encourage the development and marketing of products used to treat rare diseases.  The act defines a "rare disease" as a condtion affecting fewer than 200,000 individuals in the United States.
Term

COMPASSIONTE ACCESS

TO UNAPPROVED

DRUGS

Definition

The Compassionate Access program allows patients to receive drugs that have not been approved by the FDA.

This program provides experimental drugs for patients who could benefi from new treatments but who probably die before the drug is approved.

Term
PRESCRIPTION DRUGS
Definition
Are drugs tht the federal government has designated to be potentially harmful unless their use is supervised by a licensed health care provider, such as a nurse practioner, physician, or dentist.
Term

NON-PRESCRIPTION

DRUGS

Definition

Are drugs that are designted by the FDA to besafe if taken as directed.

Term
OTC
Definition
OVER THE COUNTER
Term

CONTROLLED

SUBSTANCES

Definition
Are the most carefully monitored of all drugs.
Term

PHYSICAL

DEPENDENCE

Definition
Is a compulsive need to use a substance repeatedly to avoid mild to severe withdrawl symptoms.  It is the body's dependence on repeated administration of a drug.
Term

PSYCHOLOGICAL

DEPENDANCE

Definition
Is a compulsion to use a substance to obtain to pleasurable experience, it is the minds dependence on the repeated administration of a drug.
Term

HOW OFTEN ARE

CONTROLLED SUBSTANCES COUNTED IN HOSPITALS OR OTHER AGENCIES?

Definition
EVERY 8 TO 12 HRS to account for each ampule, tablet, or other form of the drug.
Term
WHAT IS THE BEST WAY FOR DRUGS TO BE ABSORBED INTO THE BLOODSTREAM?
Definition

Best when given by

Intravenous (IV) route

directly into the bloodstream

Term

WHAT MUST BE

MAINTAINED IN ORDER FOR THE DRUG TO BE EFFECTIVE?

Definition
In order for the drug to be effective a certain blood level must be maintained.
Term
AGONISTS
Definition
Are drugs that bind with a receptor to produce a therapeutic response.
Term

ALLERGIC

REACTION

Definition

Hypersensitivity (reaction) to a certain drug.

examples: hives, itching, swelling of limbs

Term

ANAPHYLACTIC

SHOCK

Definition
Is an EXTREMELY SERIOUS ALLERGIC DRUG REACTION, that usually occurs soon after the administration of a drug to which the individual is severly sensative to.
Term

WHAT ARE THE VARIOUS FACTORS THAT MAY INFLUENCE A PATIENT'S

DRUG RESPONSE?

Definition
They are a patient's AGE, WEIGHT, GENDER, DISEASE, AND THE ROUTE OF ADMINISTRATION.
Term

"SEVEN RIGHTS"

OF DRUG ADMINISTRATION

Definition

* RIGHT PATIENT

*RIGHT DRUG

* RIGHT DOSE

* RIGHT ROUTE

*RIGHT TIME

* RIGHT DOCUMENTATION

*RIGHT TECHNIQUE

Term

"THREE CHECKS"

FOR DRUG ADMINISTRATION FROM SUPPLY AREA

Definition

1) check label when removing the drug from the storage area.

2) check label immediately before removing the drug from the container.

3) check label before returning the drug to it's storage area.

Supporting users have an ad free experience!