Term
| Components of a health care system |
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Definition
-People
-Settings
-Regulatory agencies
o JCAHO – to set quality standards for accreditation of health care facilities
o Utilization review committees – to monitor for appropriate diagnosis and treatment of hospitalized clients
-Health care financing mechanisms
o Medicare 65 or older and those with permanent disabilities
o Medicaid federally funded for those with low incomes, eligibility determined by state
o Private plans |
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Term
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Definition
| educating and equipping clients to reduce and control risk factors of disease. i.e. programs that promote immunization, stress management and seat belt use |
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Term
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Definition
| emphasizes health promotions, including prenatal and well-baby care, nutrition counseling, and disease control; based on partnership between client and provider. i.e. office/clinic visits and schedules school/work screening |
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Term
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Definition
| and treatment of emergency, acute illness or injury in hospital settings, diagnostic centers of emergent care centers |
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Term
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Definition
| provision of specialized highly technical care. i.e. oncology and burn centers |
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Term
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Definition
| long-term or chronic health care needs. i.e. hospice, adult day care, in-home respite |
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Term
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Definition
| intermediate follow up care for restoring health. i.e. home health care, skilled nursing facilities and rehabilitation centers |
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Term
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Definition
interdisciplinary personnel working collaboratively to provide holistic care to the client
nurse is most often the manager of care and must understand the roles and responsibilities of other team members |
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Term
| Telephone Orders or Verbal Orders |
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Definition
-should be avoided but may be necessary during emergencies and at unusual times
-Have second RN/LPN listen
-Repeat back including med name, dosage and time
-Document reading back and second nurse and question any order that may seem contraindicated |
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Term
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Definition
Demographic info
medical diagnosis and providers
clients health status, plan of care, recent progress
alterations that may become urgent
most recent vitals
directives within next few hours
allergies and meds prescribed with last dose, diet and activity order
special equipment need
advance directives, resuscitation status
family involvement if applicable |
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Term
| Incident Reports (Unusual Occurrences) |
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Definition
Documented without judgment or opinion
Should not be referred to in a clients medical record |
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Term
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Definition
under HIPAA
-only health care team directly involved can see record
-client has aright to read and obtain a copy of med record under facility policy
-no part of chart can be copied except authorized exchange for providers/institutions
-password protected
-given to no one on phone or unauthorized fam/people that ask-code
-communicate only in private room except change of shift reports if no roommate |
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