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EXAM 3: Documentation for Dental Hygiene Care And Complete Solutions. $9.99   Add to cart

Exam (elaborations)

EXAM 3: Documentation for Dental Hygiene Care And Complete Solutions.

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  • Course
  • Dental Therapy
  • Institution
  • Dental Therapy

Forms/ways of documentation (8) - Answer - Hand-written - Electronic - Chronological - Systemic - Comprehensive - Accurate - Unaltered - Signed by dental hygienist Essentials of ethical record keeping (6) - Answer - Privacy - Confidentiality - Security - Accuracy - Authenticity...

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  • November 2, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Dental Therapy
  • Dental Therapy
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EXAM 3: Documentation for Dental
Hygiene Care And Complete Solutions.
Forms/ways of documentation (8) - Answer - Hand-written

- Electronic

- Chronological

- Systemic

- Comprehensive

- Accurate

- Unaltered

- Signed by dental hygienist



Essentials of ethical record keeping (6) - Answer - Privacy

- Confidentiality

- Security

- Accuracy

- Authenticity

- Impersonal/objective



Privacy explanation - Answer Patient's right to control access to identifiable personal health
information



Confidentiality explanation - Answer The responsibility of the healthcare provider to protect patient's
information



Security explanation - Answer Protection against unsecured patient data



Accuracy explanation - Answer Recorded information is not altered after the fact

, Authenticity explanation - Answer Only data actually obtained during the patient visit is recorded



Impersonal/objective explanation - Answer Personal opinion or negative social observations not
pertinent to the patient's treatment are never placed in the patient record



The patient record- communication - Answer Communication between staff members and with
patients



The patient record facilitates what? - Answer Planning and continuity of care



The patient record is the basis for what? - Answer Evaluation of quality care



The patient record data from health records can be means and evidence of what? - Answer (means) -
Research and education

(evidence) - Legal evidence in legal or forensic situation



The patient record: Documentation (4) - Answer - Authentic

- Accurate and comprehensive

- Legible

- Objective



The patient record: Entries (4) - Answer - Recorded promptly during/following treatment

- Clear, concise, subjective statements

- Dated

- Signed by clinician



Components of a patient record (3) - Answer - Varies among private practices/clinics

- All info collected is official part of permanent records

- All components of DH process of care are addressed

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