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VS104 Managing Records and History Taking Flashcards | StudBud
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VS104 Managing Records and History Taking
VS104 Managing Records and History Taking
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1
"Has the animal exhibited any signs of illness over the last 24 hours?" is a______ question?
Routine History
Routine preventative
"Every patient gets asked"
Medical
2
What is a log?
Continuously updated data kept in chronological log
Continuously updated data kept in any order
Continuously updated data kept over a span of a few months
Updated data kept in a binder
3
In numeric organization each client is assigned a unique____
Number
Colour
Letter
File
4
What are the 2 ways of organizing paper medical records?
First letter of patient name and species
Numeric & alphabetical
Numeric and first letter of patient name
Alphabetical and species
5
All of the risks and costs involved with the treatment of the patient must be explained to the owner?
False
True
6
What is the percent of interruptions each client receives at a clinic visit?
20%
55%
45%
72%
7
All the information the owner has presented must be summarized in the medical record and recorded accurately
True
False
8
In alphabetical organization each letter is assigned a different ______
File
Colour
Name
Number
9
A signed release form that is obtained before the animal is hospitalized
Release form
Medical history form
Authorization form
Legal release form
10
How many methods are there for organizing paper medical records?
1
2
3
4
11
It is not important to know what the patient eats and how much?
True
False
12
Veterinarians interrupt their clients within ___ seconds
15.3s
15s
14s
12s
13
It is not important to obtain a phone number from the owner or an alternative contact
False
True
14
What do you have to reference in numeric filing system?
A master list of clients assigned numbers
A master problem list
A certain colour
A word document of clients names
15
What is active listening?
Non reflective listening to not understand the owner
Only partially listening to what the owner says
Listening to everything the owner says
Reflective listening to create summary statements
16
What is an open ended question?
Questions asked by the vet to obtain answers about the patient
Questions asked where the owner can give a 1 word answer
Questions that the owner ask the vet or tech
Questions asked where the owner cannot give a 1 word answer
17
What are storage records?
Inactive for >3 years
Inactive for >2 years
Inactive for >1 years
Inactivate for >4 years
18
All medical records are to be purged and shredded after being inactive for ___ years
>5 years
>3 years
>1 year
>10 years
19
What are primary records?
Records that are active over the last year
Records that are active over the last 2 years
Records that are active over the last 3 years
Records that are active over the last 4 years
20
Anyone under 18 is legally authorized to sign a release form for a patient?
False
True
21
Vets and techs usually take a medical history from an ill animal or for an annual physical
False
True
22
What is a chief complaint?
The main complaint the owner has about their pet
Another part of the medical history taking
What is wrong with the animal
The patient comes into the clinic with a problem; has a reason
23
A system of history collection that involves going through each body system separately, asking 1-2 questions about each
Physical Exam
Systems Review Method
Review Method
Body Condition Scoring
24
How often are clients files reviewed?
At least once a year
At least twice a year
Every month
Every 6 weeks
25
Receptionists commonly take history for the healthy, elective surgery?
True
False
26
What 3 purposes does a chronological log serve?
In clinic use, documentation and for fun
Documentation, data, in clinic use
Data, in clinic use and legal use
Documentation, order, legal use