Emr soap note - Study guides, Class notes & Summaries

ScribeAmerica Outpatient Course 4, ScribeAmerica OP Course 3, ScribeAmerica OP Course 2, ScribeAmerica OP Course 1 Questions and Answers 2023 auscultation Listening, usually with a stethoscope palpation The act of pressing on an area of the body cachectic Emaciated, malnourished anterior toward the front of the body posterior toward the back of the body medial closer to the midline of the body lateral further from the midline of the body d...

What does "PHI" stand for? Expand the abbreviation - Answer protected health information What medical term describes the surgical removal of the gallbladder? - Answer cholecystectomy T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case - Answer False A patient's PCP is on vacation. The patient is scheduling to see the NP who is covering for the PCP during this time. The patient has never been seen by the NP ...

Scribeamerica Outpatient Final exam 2023 | 100 Questions And Answers Latest Updates. What does "PHI" stand for? Expand the abbreviation - answers-protected health information What medical term describes the surgical removal of the gallbladder? - answerscholecystectomy T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case - answers-False A patient's PCP is on vacation. The patient is scheduling to see the NP...

WEEK 1: hypertension/hypotension Paget’s disease Hyperlipidemia SOAP note Metabolic syndrome Glaucoma Cardiac: CP, PVC, A-Fib Nurse Practice Act Diabetes: Diabetic retinopathy EMR Conjunctivitis Dermatitis-Atopic dermatitis (eczema) is not considered a distinct disease entity but is a descriptive term for a group of skin disorders characterized by pruritus and inflammation whose distinct cause is unknown.  Atopic dermatitis is an inherited skin reaction that usually begins in infa...

Chapter 10: Documentation, Electronic Health Records, and Reporting MULTIPLE CHOICE 1. The nurse understands the need for accurate documentation due to which fact? a. Accurate documentation is needed for proper reimbursement. b. Accurate documentation must be electronically generated. c. Accurate documentation does not include e-mails or faxes. d. Accurate documentation is only accepted in court if written by hand. ANS: A Accurate documentation is necessary for hospitals to be reimbursed...

Scribe America OP Final Questions with correct Answers 2023 * What medical term describes the surgical removal of the gallbladder? cholecystectomy What does "PHI" stand for? Expand the abbreviation. Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. False ** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you recor...

ALL NREMT SOLUTION BANK (2022) • NREMT written exam • NREMT Practice questions 1 2022 • NREMT practise test bank- multiple choice • NREMT – Everything you need to know • NREMT practice exam 2 2022 • NREMT Written EMT basic exam • NREMT Cognitive exam prep 2022 • NREMT PRACTICE EXAM QUESTIONS 2022 • NREMT paramedic exam NREMT Cognitive Exam Prep 2022 Where does the modern EMS system have its origin? The modern EMS system has its origins in funeral homes, which o...

A nurse is caring for a client in the emergency department (ED). Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. Client rates pain as 7 on a scale of 0 to 10. Client also reports nausea, vomiting, and dyspepsia. Client is awake, alert, and oriented x3. Lung sounds clear bilaterally, S1 and S2 heart tones noted. All pulses palpable. Bowel sounds active in all 4 quadrants. Complete the diagram by dragging from the choices below t...

REVIEW QUESTIONS CCDS questions with complete solutionsWhich of the following EHR benefits is an example of improved clinical decision supporting evidence? A) The system creates a drug alert for a potential medication interaction. B) A physician reviews treatment protocols for hypertension. C) The physician creates a SOAP note while examining the patient. D)The patient enters symptom information into her record B. A physician reviews treatment protocols for hypertension. Which of the...

ScribeAmerica OP Final questions and answers 2023 * What medical term describes the surgical removal of the gallbladder? cholecystectomy What does "PHI" stand for? Expand the abbreviation. Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. False ** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you record into the...