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| A preassembled packet of standard chart forms to be used on the admisison of a client to the nursing unit |
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| An acquired, abnormal immune response to a substance that does not normally cause a reaction; could include medications, food, tape, and many others |
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| Labels affixed to the front cover of a patient's chart that indicate a patient's allergies |
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| A red plastic bracelet that is worn by a patient that indicates his or her allergies |
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| Preprinted labels containing individual patient information to identify patient records |
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| A patient who has been admitted to a health care facility at least overnight for treatment and care |
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| A method of alerting staff when two or more patients with the same or similarly spelled last names are located on a nursing unit |
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| The patient's record from previous admissions stored in the health records department that may be retrieved for review when a patient is admitted to the emergency room, nursing unit, or outpatient department; older microfilmed records may also be requested by the patient's doctor |
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| A patient receiving care by a health care facilitiy but not admitted to the faciltiy or staying overnight |
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| Portions of the patient's current chart that are removed when the chart becomes so full that it is unmanageable |
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| Placing extra chart forms in patients' charts on a nursing unit so they will be available when needed |
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| Patient chart forms used only when specific conditions or events dictate their use |
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| A chart rack located on the wall outside of a patient's room that stores the patient's chart and when unlocked forms a shelf to write upon |
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| medication administration record |
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| no known medication allergies |
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