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Jeopardy

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by

Madeleine Ringham

on 21 April 2015

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Transcript of Jeopardy

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History
Rooming
Clinicians
Team effort
Nurse visit
Wild card
This Specialty must be selected when entering all medical/surgical history
Gynecology
This document is generated as the last step in the rooming process
Intake Note
This is the first thing you should do when you open Confidential History
Check the box at the top!
What history is required to be entered for both birth control visits and non-birth control visits?
Social & Confidential
When entering both blue link and black text history items, it is important to____________________
Enter them separately
These 2 history items are added via the "Other" link in medical/surgical history
Eating disorder & migraines/headaches
HIV Offered is documented in this link
Health Plan Review
A patient states that they are currently using a blood pressure medication but cannot recall the name of the tablet. How and where is this documented?
Unknown Medication, Med Module
A patient comes in to the clinic for a birth control visit and mentions she has odor and discharge. Where should the roomer document this information for the clinician?
Intake Comments
This option is used when entering immunization history for a vaccination which the patient has received all doses of
Exclusions (Orders Module)

The "BRDG Images" folder, which contains images for clinician visual documentation, is located here
Images module
Clinicians can access the headache screening questionnaire via this link
PPFA Screenings
Initial clinician documentation of the patient's symptoms, etc is completed on this type of template
HPI
This is where you document a breast mass finding
Breast exam section of
GYN template (SOAP)
This is where the clinician documents smoking cessation counseling
This summary must be generated at the end of every office visit and offered to the patient
Patient Plan
This tool is located on the Patient Information Bar and is used to keep track of a patient's progress throughout their visit
Patient Tracking (Compass Icon)
These screening questions must be entered into EHR by the roomer when normal and by the clinician when abnormal
Breast Cancer Screening
These are the two components that satisfy the Title X requirements and are done in place of the 606
1) Documenting the method-specific CIIC in the Document Generator
2) the Title X myplrase
This is how you document that several family members have the same medical condition
"Family history of" in Family History with Family Member abbreviations in the "Names"
This is where estimated due date will be calculated for positive pregnancy test visits
Gestational Age (PPFA Screenings)
This is the area where menstrual and pregnancy history is entered
OBGYN Details
This PPFA checkbox is not required to be used for non-clinician visits
Medications checkbox
This is where after visit birth control for partner method is captured
The charge ticket
This type of nurse visit does not include documentation in an HPI
EC Visit
This is the visit type when abuse/coercion questionnaire must be completed
Every office visit
This area of A/P Details is used to record additional items that were discussed during the non-clinician visit and not addressed in a checkbox
Patient Details
In History Review, this is the option that must be selected when comments are added
Reviewed, Updated
When performing a nurse visit for EC, verbal order verification is required by the consulting clinician. After ordering the emergency contraception in the Medication Module, a task is created from ____________
Patient tracking (compass icon)
During which visits is Immunization History entered?
All birth control-related & Colposcopy visits


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Gear icon (Risk Factors Config)

Full transcript