MA 114 Week 7 In Person Quiz

prior to the appointment

chart scrub - go over chart and look for gaps in care

morning huddle - condense and report findings to the provider

vital signs & measurements

weight

height - once a year for adults, every visit for pediatric patients

pulse

respiration

blood pressure

Sp02 - depending on symptoms or provider preference

P

provoke vs palliative

anything that triggered the symptoms or anything that relieves the symptoms

Q

quality vs quantity

describe their symptoms and on what level they are feeling them

R

region vs radiation

specific area of the symptoms and if the symptoms are growing or moving

S

severity scale

how severe the symptoms are

T

timing

how long the symptoms have been experienced

questions asked each visit

medication reconciliation

current pharmacy

allergy list

exercise vitals

last menstrual period

smoking status

PHQ-9

depression screening

PHQ-2 is a shortened version that some clinics also utilize

GAD-7

anxiety screening

DAST

drug screening

social needs screening

CMS developed a more in-depth version that includes elements of the PHQ-9, DAST and other common questionnaires

SBAR

situation - what the patient is coming in for, the chief complaint

background - additional details regarding the chief complaint, anything pertinent discovered in the interview (pain scale, duration of symptoms, medication change, additional symptoms)

assessment - your perspective regarding the patient and/or ways to provide the best care possible

recommendation/request - anything you are needing from the provider, anything the patient has requested to discuss

AHRQ

agency for healthcare research and quality

AVS

after visit summary