LPC 68W
what form initiates the sick call process - ANS-DD form 689
if someone other than the patient requests medical record copies, where should they be
directed - ANS-medical administration
what is the purpose of DD form 689 - ANS-used for a patient who requests or receives
medical/dental treatment or evaluation at
what is the purpose of the SF 600 - ANS-used to document chronological record of
medical care
is it okay to make up one's own abbreviations to save time, why - ANS-no, because the
abbreviations are not standard and known to everyone, therefore can cause confusion
why is gathering a complete patient hx and patient triage so important - ANS-it helps
give you more info than a physical exam
what are the subjective components - ANS-chief complaint
age
sex
race
FDLMP
OPQRST
past history (PMH, PSH, SOC Hx)
last oral intake
events leading up
what are the objective components - ANS-vital signs
physical exam findings
height
weight
general impression
if you are unable to assess the patient's specific problem, what should you write -
ANS-restate the patient's chief complaint
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