Which of the following is the purpose of an electronic graph, or flow sheet, in a patient's medical record?
To record the patient's demographic information
To record the patient's name, insurance, and next of kin
To record nursing plans and postoperative care
To record vital signs, weight, I&O, and doctor visits
The Correct Answer is D
A. To record the patient's demographic information: Demographic information is recorded in other sections of the medical record, not in a flow sheet.
B. To record the patient's name, insurance, and next of kin: This information is also found in other sections of the medical record, not typically in a flow sheet.
C. To record nursing plans and postoperative care: Nursing plans and postoperative care are documented in different sections, such as care plans or progress notes, not in a flow sheet.
D. To record vital signs, weight, I&O, and doctor visits: Flow sheets or electronic graphs are used to track and visualize ongoing patient data, including vital signs, weight, intake and output (I&O), and doctor visits.
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Correct Answer is C
Explanation
A. Colonoscopy: A colonoscopy is an invasive procedure that requires written informed consent due to the associated risks and the need for detailed patient understanding.
B. Dilation and curettage: Dilation and curettage (D&C) is an invasive procedure requiring written informed consent, including an explanation of risks, benefits, and alternatives.
C. Venipuncture: For venipuncture, verbal consent is generally sufficient, as it is a minor procedure with minimal risk.
D. Cardiac stress test: A cardiac stress test, while less invasive, typically requires written informed consent due to potential risks and the need for patient understanding.
Correct Answer is C
Explanation
A. CLIA: CLIA regulates lab testing but does not require unique patient identifiers.
B. OSHA: OSHA regulates workplace safety but does not require unique patient identifiers.
C. HIPAA (Health Insurance Portability and Accountability Act): This is correct. HIPAA requires the use of unique identifiers to protect patient privacy and ensure the confidentiality of medical records.
D. CDC: The CDC focuses on public health and disease control, not patient identifiers.