Meditech Pcs Initial Patient Encounter

Based on hospital policy, if a patient has smoked in the past 12 months, the appropriate action is to provide smoking cessation information to the patient and document it appropriately. Additionally, it is also recommended to ask if the patient is interested in nicotine replacement therapy while they are in the hospital. This approach aligns with the goal of promoting the patient's health and well-being by offering support and resources to quit smoking.

The Home Medications section of the past Medical History documents all kinds of medications, including herbal remedies, over the counter medications, and prescription drugs. This section aims to provide a comprehensive record of the patient's medication history, allowing healthcare professionals to have a complete understanding of the medications the patient has been taking.

When you have finished documenting on an intervention and will never need to use it again, it is important to change the status of the intervention to complete. This helps to keep the record of the intervention up to date and accurately reflects that it has been completed. By changing the status to complete, it ensures that the intervention is properly documented and closed out in the system.

The correct answer is to record the name of the drug, dosage, frequency, reason, and last taken date/time. This information is important for proper medication management and tracking. Knowing the name of the drug ensures that the correct medication is being administered. Dosage and frequency help in determining the appropriate amount and timing of the medication. The reason for taking the drug provides insight into the patient's medical condition and treatment plan. Lastly, recording the last taken date/time helps in monitoring adherence to the medication regimen and avoiding potential drug interactions.

The correct answer is The Past Medical History and the Admission Database. These two sets of documents are important for the patient's admission process and need to be completed within 24 hours. The Past Medical History provides information about the patient's medical background, previous illnesses, surgeries, and medications. The Admission Database includes details about the patient's current condition, vital signs, initial assessment, and any immediate interventions required. Both sets of documents are crucial for the healthcare team to have a comprehensive understanding of the patient's medical history and current status.

After completing the documentation of an intervention, the appropriate button to click in order to save the documentation is "Save". This button will ensure that all the entered information is stored and saved for future reference or review. Clicking on the "Save" button will prevent any loss of data and ensure that the documentation is successfully saved in the system.

To start documenting the cares provided to patients, you would click on the "Interventions" button from the right side menu on the Status Board. This button is most likely specifically designed for documenting the specific interventions or treatments given to patients, allowing for easy and organized documentation of the care provided.

The button "Add Intervention" will allow you to enter a Standard of Care or add more interventions for you to document on for your patient. This button provides the option to include additional interventions or treatments that are necessary for the patient's care and can be documented for future reference.

An occurrence is something that happens or takes place. In this context, it refers to something that can be documented in more than one location, such as pulse, blood pressure, and wounds. These are events or incidents that can be recorded or documented at different locations or instances.

The Associated Data column is used for pulling data from the EMR/Open Chart so you can see what was last documented on the patient. This allows healthcare professionals to easily access and review the patient's previous medical records and documentation. It provides a convenient way to track the patient's medical history and ensure continuity of care.

Both A and B are correct answers because there are two ways to exit PCS. The first way is by clicking on the black X in the upper right-hand corner of the screen. The second way is by clicking on the Exit PCS button. Both methods will successfully exit PCS.

In order to be able to document in PCS, the first thing you must do when you get a new admission is to add a Standard of Care (SOC) to the patient. This is important as the SOC provides a framework for documenting the patient's care and treatment. It helps ensure that all necessary information is captured and documented accurately, allowing for effective communication and continuity of care among healthcare professionals. By adding the SOC, you can begin documenting the patient's progress and any interventions or treatments provided.

The Go To button is used to navigate to the next piece of the assessment while documenting a group assessment such as Past Medical History or System Flowsheet. This button allows the user to easily move to the next section without having to manually search for it. It provides a convenient and efficient way to navigate through the assessment and ensure that all necessary information is documented accurately.

The color purple in Meditech typically means that you need to save your documentation. This color is used as a visual indicator to remind users to save their work before proceeding. It serves as a prompt to ensure that important information is not lost and that the documentation is properly saved in the system.

On the intervention worklist, any column with a gray background can be changed or updated directly by clicking on the screen.