* Civil law: A branch of law that focuses on issues between private citizens * Criminal law: Issues of citizen welfare * CC(Chief Complaint): Main reason for the visit to the medical office * Vital signs: aka cardinal signs; are measurements of bodily functions essential to maintaining life processes. * Patient history form: Commonly used to gather information from the patient before the visit. * * The only time an original history chart may leave the office is when subpoenaed by court of law.
* HIPAA: Health Insurance Portability and Accountability Act of 96’ * Autoclave: Appliance used to sterilize medical instruments with steam under pressure. * Direct & Indirect Control: Direct when touching blood or body fluids, shaking hands, indirect; contaminated food, insects. * * A bio hazardous waste bin needs to be used to dispose body fluids. * * Solution to disinfect: 1 part bleach to 10 parts water * * Dispose a needle immediately * Ethics: Guidelines for moral behavior that are enforced by peer groups.
* Bioethics: Moral issues and concerns that affect a person’s life. * Fraud: A deceitful act with the intention to conceal the truth. * Malpractice: A tort in which the patient is harmed by the actions of a health care worker. * 3 levels of Infection Control: 1. Sterelization: destroys all forms of microorganisms and their spores. 2. Disinfection: killing most but not all pathogenic microorganisms 3. Sanitation: Cleaning any visible contaminants using soap, water and manual friction.
* * Golden rule in charting: If is not documented, it did not happen * Systole: Contraction phase of the cardiac cycle. * Diastole: Relaxation phase of the cardiac cycle. * Parenteral route: Drug administration in which the drug is injected inside the body. * Drug error: Incident in which a patient receives the wrong dose, wrong drug, drug by the wrong route, or a drug given at the incorrect time. * Inhalation: route in which drug droplets, vapors, or gas is inhaled and absorbed through mucous membranes. * Subcutaneous: