| A | B |
|---|
| Medical assistants | originally trained by physician |
| oncology | study of cancer |
| MA actions | physician held accountable |
| tort | wrongful act against person or property resulting in harm |
| living will | kept in pt's file defining what life if any support is allowed |
| quality assurance | gather/evaluate info and compare with accepted standard |
| computer system | many user trained to verify amount of money spent |
| internet access | pt may access records |
| quality of pt care | determined by pt and others |
| med record destruction policy | needs to be in writing |
| electronic telephone msg | send to multiple users by computer |
| artificial nutrition | food/water through tube |
| personal beliefs | influenced by culture and experience |
| path/o | disease |
| -ologist | specialist |
| caduceus | medical symbol staff with 2 coiled snakes |
| informed consent | signed & advised of consequences of with or without TX |
| presb/o | old |
| -opia | vision |
| 50% | smell lost at 80 yrs |
| elderly "v" young adults | fewer acute illeness |
| assistive devices | used with/for movement |
| 4-5 | # of meds older adult use |
| 5% | older population in long term facility at given time |
| indeciherable writing | leads to medical errors |
| discharge summary | why admit, summary of pt HX, review of hospital visit |
| incident report | unusual occurance or document problem area in facility |
| data managements | similiar to electronic filing |
| outside invaders for ID theft | virus, hacker, cracker |
| proximate cause | defendant action/lack of action directly caused injury |
| abandonment charge | no formal notice of discharge of care |
| aortic aneurysm | aorta wall dilation rupture leads to death if not TX |
| young old | between 65-75 years |
| ageing process | begins at birth |
| new chart info | update |
| EMR sharing | computers must be networked |
| hard copy | printed document |
| computer downtime | temporarily out of service |
| serial numbering | numbers in sequence |
| chart error | NEVER ERASE line out with initials |
| SOAP note | type of progress note |
| Quality Assurance Committee | not for pt money profit issue |
| Body Mechanics | avoid lifting above waist keep close to body |
| 1960 | Mayo clinic using EMR |
| rehabilitation | care from illness or injury |
| NCMA | graduate from school or 2 yrs steady work experience |
| medical privilages | where physician have practice rights |
| MSDS | printed material on chemical safety, useage, storage,disposal |
| body fluids | semen bld, synovial fluid |
| thoracic | chest area |
| hospice | home care for terminal ill or dying pts |
| Duty | physician-client relationship |
| civil laws or torts | cover medicine |
| death certificate | states cause of death must be signed |
| Medical Law | based on Hippocratic oath |
| emancipated minor | legal capacity of adult |
| 60 | hours of CEU in 5 yrs maintain NCMA |
