EBK CASE STUDIES IN HEALTH INFORMATION
3rd Edition
ISBN: 9781337514538
Author: Mccuen
Publisher: VST
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When a patient is being admitted from home,
the social worker should arrange for the medical records on the patient's last
hospitalization.
the facility should begin recording the patient's past history and background.
prior medical records are generally not available.
the social worker should obtain medical records from the admitting physician's
office.
A physician requests that you change the “date of dictation” on a medical report to 3 days before the actual date of dictation so that the report will appear to have been dictated in a timely fashion. He explains that he was called out of town for a family emergency and fell behind in his dictation, and that he appreciates your cooperative and helpful attitude with small requests such as this. What do you do?
A request for a patient’s medical record is sent by fax to your office. The fax cover sheet contains the letterhead of a nearby medical facility. You do not recognize the name of the physician, fax number, or telephone number stated for the physician’s office. How do you respond to the request?
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- Below is an example of an ISBAR communication between a registered nurse and a healthcare provider. Which statement represents the "background" in ISBAR?arrow_forwardNone of the patient access staff have access to the health history section of the patient's health record. This is an example of a(n)_____________safeguard.arrow_forwardWhen the patient presents with a non life threatening issue, the provider is most likely to access the full electronic health record (EHR) to assess for A Patient history and allergies B Self pay status C Social Security number D Marital statusarrow_forward
- If a student comes to you with signs of child abuse or neglect and you want to have visual evidence, you should: A. Take pictures with your mobile phone. B. Wait for ACS to arrive to take pictures. C. Ask an administrator to take pictures with the school's designated camera.arrow_forwardYou are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family. The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit. Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf. Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy. The issue that the Physician is facing is that Mr. Jones’ daughter does not want her father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred. Question: Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…arrow_forwardThe LPN/LVN is preparing to take a verbal medication order over the telephone from a health-care provider. For which reason would this action be permitted by the LPN/LVN? The RN is going home with a sudden fever and vomiting. The order is in response to the emergency need for a patient. The LPN/LVN is the only person at the nursing station. The action is supported by both state board and facility policy.arrow_forward
- You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example. “Hi, my mother was in to see the doctor yesterday. Ever since then she has been quite upset. She won’t talk to me about it. I want to know what is going on.”arrow_forwardWhen Dr. Williams applied for his position as Head of Surgery at the new medical center, he supplied the hiring committee with a copy of a forged diploma from a medical school he only briefly attended. What is the best term for his behavior in this situation? malpractice negligence fraud arbitrationarrow_forwardA provider electronically transmits a prescription to a pharmacy. Before filling the medication order, the pharmacist notices that the patient is also taking an additional medication that is dangerous to take with the new medication ordered. The pharmacist contacts the provider to discuss their concerns. Which type of system is this type of information identified in? A Pharmacy information system B Radiology information system C Emergency department information system D Surgical information systemarrow_forward
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