HUC Ch 9 Quiz

A stat order also may be noted as:

now or immediately. The words now and immediately usually are considered to indicate stat orders that should receive urgent attention.

When doctors' orders are transcribed, the correct order of the following tasks is: 1. Place telephone calls as necessary. 2. Write medication orders on the MAR. 3. Complete stat orders. 4. Fax the doctors' orders sheet to the pharmacy.

4312 In following the 10 steps of transcription, the orders would be faxed to the pharmacy first, stat orders would be transcribed next, necessary telephone calls would be made next, and then medications would be entered onto the MAR.

When the HUC is transcribing doctors' orders that are recorded at the top of the order sheet, what should the HUC do to prevent an error of omission?

Check the orders on the previous order sheet. If the new orders are recorded at the top of the doctors' order sheet, check to see whether the orders are continued from the previous sheet.

The HUC would include which of the following pieces of information when signing off on a set of doctors' orders?

Date, time, first and last names, and status To sign off, the HUC records the date, time, full name, and status (may use the abbreviation SHUC if a student HUC, or CHUC if certified).

Which of the following orders should be transcribed first?

Stat EKG with severe chest pain A stat doctor's order is to be executed immediately, then automatically discontinued.

Which of the following is a responsibility of the HUC in executing doctors' orders?

When orders are recorded near the bottom of the doctors' order sheet, drawing diagonal lines across the space so new orders will not be recorded there and will be recorded on the following page If the set of orders finishes near the bottom of the doctors' order sheet, cross through the remaining space with diagonal lines. This is done so that newly written orders will begin at the top of the new doctors' order form. When orders are recorded at the bottom of one page and are continued onto the next, it is easy to miss transcribing those recorded on the first page.

Newly written doctors' orders that need transcription are recognized by the:

absence of symbols and sign-off. New orders can be identified by the absence of symbols and by the absence of sign-off information.

Doctors' orders are recorded on a Kardex to:

communicate and update orders for the nursing staff. The HUC records doctors' orders on the Kardex so the nursing staff can use it for quick review of the patient's current orders.

A set of doctors' orders is defined as:

entry of a doctor's orders onto the doctors' order sheet, dated, timed, and signed. doctor's orders are entered onto the doctors' order sheet, which is dated, noted for time, and signed by the doctor.

The HUC orders (requisitions) medications by:

faxing or sending a copy of the doctor's orders to the pharmacy. Medications are ordered or are requisitioned by sending or faxing to the pharmacy a copy of the doctor's order sheet.

The purpose of the use of symbols when the HUC is transcribing orders is to:

indicate completion of that particular transcription step. By using symbols, the HUC provides a written record of the steps completed; this reduces the possibility that a part of the transcription procedure may be omitted or forgotten.

The HUC would sign off on a set of doctor's orders _____ the doctor's signature.

one line below The HUC would sign off on a set of doctors' orders on the line directly below the doctor's signature.

An order that is executed according to its qualifying phrase and is automatically discontinued after completion is a _____ order.

one-time or short-series A one-time or short-series order is executed according to the qualifying phrase and then is automatically discontinued.

The _____ is likely to be found on a Kardex form.

patient's activity and diet The five main areas common to most Kardex forms are activity, diet, vital sign frequency, treatment, and diagnostic studies.

Antacid of choice as needed for dyspepsia is an example of a _____ order.

prn As needed for dyspepsia indicates that this is a standing prn order that is executed according to the patient's needs.

The ninth step in the 10 steps of transcription is to:

recheck each step for accuracy and thoroughness. The ninth step of the 10 steps of transcription is to recheck each step for accuracy and thoroughness.

An order that is in effect and is executed routinely until discontinued or changed by doctors' orders is a _____ order.

standing A standing doctor's order remains in effect and is executed as ordered until the doctor discontinues or changes it.

An order written EKG now would be ordered:

stat. The words now and immediately usually are considered to indicate stat orders that should receive urgent attention.

A chart that has been flagged means that:

the chart is awaiting transcription because the doctor has written new orders. Flagging is a method used by the doctor to notify the nursing staff that a new set of orders has been written.

Notations and symbols made on the doctors' order sheet are written in ink because:

the doctors' order sheet is a legal document. Notations are made in black or red ink, because the doctors' order sheet is a legal document.

A prn order is recognized by prn written on the order, or by:

the inclusion of a qualifying phrase. A prn order may be recognized by the abbreviation prn, or by the content of a qualifying phrase. It remains in effect until it is changed or discontinued by the doctor.

CPOE is a method for:

the physician to provide orders for a hospitalized patient. CPOE is a method for the doctor to enter orders directly into the patient's EMR.

The sixth step of transcription is:

to transcribe routine doctors' orders. The sixth step is to order diagnostic tests, treatments, and supplies for a completed downtime laboratory requisition.

The Kardex system is useful for:

viewing the patient's current orders. Kardexing is the process of recording and updating doctors' orders on the Kardex form. Many hospitals have eliminated the paper Kardex form in favor of entering all patient orders into the computer.

The HUC would sign off on a set of doctors' orders:

when every order has been addressed and the first nine steps of transcription have been completed. Signing off is the process that is used to indicate completion of the transcription procedure of a set of doctors' orders.

To avoid transcription errors, the HUC should:

write symbols such as, ord, K, or M in ink in front of or above each doctor's order on the doctors' order sheet to indicate completion of a transcription step. By using symbols, the HUC provides a written record of the steps completed. This reduces the possibility that a part of the transcription procedure may be omitted or forgotten.