Term
| Stoppage of breathing or the lack of air reaching the lungs; synonym for suffocation |
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Definition
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Term
| The deliberate spread of pathogenic organisms into a community |
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Definition
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Term
| The deliberate release of a chemical compound for the purpose of causing mass destruction |
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Definition
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Term
| An emergency event of greater magnitude that requires the response of people outside the involved community |
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Definition
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Term
| Conducting connection between a source of electricity and the earth |
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Definition
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Term
| Documentation that describes any injury or potential for injury suffered by a patient in a healthcare agency |
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Definition
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Term
| Domestic violence or battering caused by a spouse, boyfriend, or girlfriend |
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Definition
Intimate partner
violence (IPV) |
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Term
| Intentional dispersal of radioactive materials into the environment for the purpose of causing injury and death |
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Definition
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Term
| Agency that handles poison exposure and provides poison prevention teaching to the general population |
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Definition
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Term
| Device used to limit movement or immobilize a client |
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Definition
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Term
| An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof |
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Definition
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Term
| Bacteria that require oxygen to live and grow |
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Definition
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Term
| Bacteria that can live without oxygen |
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Definition
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Term
| Immunoglobin produced by the body in response to a specific antigen |
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Definition
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Term
| Foreign material capable of introducing a specific immune response |
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Definition
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Term
| Antibacterial agent that kills bacteria or suppresses their growth |
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Definition
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Term
| Absence of disease-producing microorganisms; using method to prevent infection |
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Definition
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Term
| The most significant and most commonly observed infection-causing agents |
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Definition
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Term
| Process used to destroy microorganisms; destroys all pathogenic organisms except spores |
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Definition
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Term
| Infection in which the causative organism comes from microbial life the person himself or herself harbors |
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Definition
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Term
| Infection in which the causative organism is acquired from outside the host |
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Definition
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Term
| Plant-like organisms (molds & yeasts) that can cause infection |
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Definition
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Term
| An infection that was not present on admission to the hospital and develops during the course of treatment for other conditions (nososcomial) |
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Definition
Healthcare-
associated infection |
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Term
| Infection that occurs as a result of a treatment or diagnostic procedure |
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Definition
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Term
| Disease state resulting from pathogens in or on the body |
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Definition
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Term
| Protective procedure designed to prevent the transmission of specific microorganisms; also called protective aseptic techniques and barrier techniques |
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Definition
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Term
| Practices designed to reduce the number and transfer of pathogens; synonym for clean technique |
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Definition
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Term
| Something originating or taking place in the hospital (ie. infection) |
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Definition
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Term
| Disease-producing microorganism |
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Definition
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Term
| Natural habitat for the growth and multiplication of microorganisms |
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Definition
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Term
| CDC precautions used in the care of all patients regardless of their diagnosis or possible infection status; this category combines universal and body substance precautions |
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Definition
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Term
| The process by which all microorganisms, including spores, are destroyed |
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Definition
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Term
| Practices that render and keep objects and areas free from microorganisms; synonym for sterile technique |
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Definition
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Term
| CDC precautions used in patients known or suspected to be infected with pathogens that can be transmitted by airborne, droplet, or contact routes; used in addition to Standard Precautions |
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Definition
Transmission-based
precautions |
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Term
| Nonhuman carriers, such as mosquitoes, ticks, and lice, that transmit organisms from one host to another |
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Definition
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Term
| Ability to produce disease |
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Definition
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Term
| Smallest of all microorganisms; can be seen only by using an electron microscope |
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Definition
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Term
| Process by which drugs are transferred from the site of entry into the body to the bloodstream |
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Definition
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Term
| Undesirable effects other than the intended therapeutic effect |
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Definition
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Term
| An immune system response that occurs when the body interprets the drug administered as a foreign substance and forms antibodies against the drug |
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Definition
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Term
| Glass flask containing a single dose of medication for parenteral administration |
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Definition
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Term
| Severe reaction occurring immediately after exposure to a drug; characterized by respiratory distress and vascular collapse |
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Definition
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Term
| Severe reaction occurring immediately after exposure to a drug; characterized by respiratory distress and vascular collapse |
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Definition
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Term
| Combined effect of two or more drugs that produces less than the effect of each drug alone |
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Definition
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Term
| Condition that occurs when the body cannot metabolize a drug before additional doses are administrated |
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Definition
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Term
| Movement of drugs by the circulatory system to the site of action |
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Definition
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Term
| Tendency of the body to become accustomed to a drug overtime; larger doses are required to produce the desired effects |
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Definition
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Term
| Removal of a drug from the body |
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Definition
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Term
| Name assigned by the manufacturer who first develops a drug; it is often derived from the chemical name |
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Definition
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Term
| The amount of time it takes for half a dose of a drug to be eliminated from the body |
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Definition
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Term
| Unusual, unexpected response to a drug that may manifest itself by overresponse, underresponse or response different from the expected outcome |
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Definition
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Term
| Administration of a drug in solution via the respiratory tract |
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Definition
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Term
| Injection placed just below the epidermis |
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Definition
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Term
| An injection into deep muscle tissue, usually of the buttock, thigh or upper arm |
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Definition
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Term
| Injection of a solution into the vein |
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Definition
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Term
| Breakdown of a drug to an inactive form; also referred to as biotransformation |
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Definition
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Term
| Intermittent infusion is battery operated and allows medication mixed in a syringe to be connected to the primary line and delivered by mechanical pressure applied to the syringe plunger |
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Definition
mini-infusion
pump
(syringe pump) |
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Term
| Name by which a drug is identified in official publications |
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Definition
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Term
| Outside of intestines or alimentary canal; popularly used to refer to injection routes |
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Definition
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Term
| Highest plasma concentration of a drug |
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Definition
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Term
| Study of action of chemicals on living organisms |
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Definition
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Term
| The intermittent or additive solution to be placed higher than the primary solution container |
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Definition
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Term
| Latin word meaning "I shall please"; an inactive substance that gives satisfaction to the person using it |
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Definition
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Term
| "As needed" order for medications |
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Definition
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Term
| Single order that is carried out immediately |
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Definition
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Term
| Injection into the subcutaneous tissue that lies between the epidermis and the muscle |
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Definition
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Term
| Combined effect of two or more drugs is greater than the effect of each drug alone |
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Definition
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Term
| Known to have potential to cause developmental defects in the embryo or fetus |
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Definition
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Term
| That concentration of drug in the blood serum that produces the desired effect without causing toxicity |
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Definition
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Term
| Application of a substance directly to a body surface |
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Definition
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Term
| Specific groups of symptoms related to drug therapy that carry risk for permanent damage or death |
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Definition
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Term
| Drug name selected and trademarked by the company marketing the drug; also called brand name or proprietary name |
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Definition
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Term
| The point when a drug is at its lowest concentration |
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Definition
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Term
| Glass bottle with self-sealing stopper through which medication is removed; may be single or multiple dose |
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Definition
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Term
| Medication is diluted with a small amount of solution and administered through the patient's intravenous line |
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Definition
Volume-control
administration set |
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Term
| Zigzag technique used to administer medications intramuscular |
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Definition
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Term
| Communication method used by nurses who are completing care for a patient to transmit patient information to nurses who are about to assume responsibility for continuing care; may be exchanged verbally in a meeting or audio taped |
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Definition
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Term
| Shorthand method for documenting patient data that is based on well-defined standards of practice; only exceptions to these standards are documented in narrative notes |
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Definition
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Term
| Case management plan that is a detailed, standardized plan of care developed for a patient population with a designated diagnosis or procedure; it includes expected outcomes, a list of interventions to be performed, and the sequence and timing of those interventions |
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Definition
Collaborative
pathway;
Critical
Pathway |
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Term
| Computer-generated patient data collection system that can be distributed among many care givers in a standardized format, allowing them to compare and uniformly evaluate patient progress easily, or compare the progress of groups of patients with similar diagnosis |
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Definition
Computer-based
record;
Electronic medical
record (EMR) |
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Term
| Consult with someone to exchange ideas or to seek information, advise or instruction |
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Definition
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Term
| Process in which two or more individuals with varying degrees of experience and expertise deliberate about a problem and its solution |
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Definition
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Term
| Case management plan that is a detailed, standardized plan of care developed for a patient population with a designated diagnosis or procedure; it includes expected outcomes, a list of interventions to be performed, and the sequence and timing of those interventions |
|
Definition
Critical
Pathway;
Collaborative
pathway |
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Term
| Description of where the patient stands in relation to problems identified in the record at discharge; documents any special teaching or counseling the patient received, including referrals |
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Definition
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Term
| Written, legal record of all pertinent interventions with the patient-assessments, diagnosis, plans, interventions, and evaluations |
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Definition
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Term
| Computer-generated patient data collection system that can be distributed among many care givers in a standardized format, allowing them to compare and uniformly evaluate patient progress easily, or compare the progress of groups of patients with similar diagnosis |
|
Definition
Electronic medical
record (EMR);
Computer-based
Record |
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Term
| Graphic record of abbreviated aspects of patient's condition (eg, vital signs, routine aspects of care) |
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Definition
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Term
| Documentation system that replaces the problem list with a focus column that incorporates many aspects of a patient and patient care; the focus may be a patient strength or a problem or need |
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Definition
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Term
| Form used to record specific patient variables |
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Definition
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Term
| Documentation that describes any injury or potential injury suffered by a patient in a healthcare agency |
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Definition
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Term
| Trade name for a care plan documentation system that encompasses (1) prescriptions for nursing care related to activities of daily living (2) Nursing diagnosis and related patient goals and nursing orders; and (3)the nursing care related to diagnostic measures and the medical regimen |
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Definition
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Term
| Record documenting all medications administered to the patient, the nurse administrating the drugs, and sometimes the reason the drug was administered and its effectiveness |
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Definition
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Term
| A standard established by healthcare institutions that specifies the information that must be collected from every patient |
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Definition
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Term
| Descriptive record of the patient's condition; includes patient's response to interventions by health professionals and patient's progress toward goal achievement |
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Definition
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Term
| Formal meeting of nurses to discuss some aspect of patient's care |
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Definition
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Term
| Procedure in which a group of nurses visit patients individually as bedside to gather information that helps to plan and to evaluate nursing care |
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Definition
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Term
Group of data elements that:
Represent core items of a comprehensive assessment for an adult home care patient and form the basis for measuring patient outcomes for purposes of outcome-based quality improvement (OBQI) |
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Definition
OASIS;
Outcome and
Assessment
Information
Set |
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Term
| A compilation of a patient's health information; the patient record is the only permanent legal documentation that details the nurse's interactions with the patient |
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Definition
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Term
| Web based records that contain the individual's medical history, including diagnosis, symptoms, and medications; controlled by the individual |
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Definition
Personal health
record (PHR) |
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Term
| Documentation system that does not develop a separate care plan; the care plan is incorporated into the progress notes in which problems are identified. |
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Definition
Pie Charting,
Problem
Intervention
Evaluation |
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Term
| Documentation system organized according to the person's specific health problems; includes database, problem list, plan of care, and progress notes |
|
Definition
Problem-oriented
medical record
(POR) |
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Term
| Any of a variety of methods of notes that relate how a patient is progressing toward expected outcomes |
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Definition
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|
Term
| Process of sending or guiding someone to another source for assisting |
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Definition
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|
Term
| Oral, written, or computer-based communication of a patient data with the purpose of informing others |
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Definition
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|
Term
| Method of charting narrative progress notes |
|
Definition
SOAP format;
Subjective information
Objective information
Assessment
Plan |
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|
Term
| Documentation system in which each healthcare group records data on its own separate form |
|
Definition
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|
Term
| Documentation method in case management that records unexpected events, the cause for the event, actions taken in response to the event, and discharge planning when appropriate |
|
Definition
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