Reports Such as Discharge Summaries, History and Physicals, and Operative

question 41

Multiple Choice

Reports such as discharge summaries, history and physicals, and operative reports are created by listening to a dictated report by which of the following positions?

• A) Optical imaging coordinator
• B) Clinical analyst
• C) Medical transcriptionist
• D) Clinical vocabulary manager
• E) HIM compliance specialist

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Definitions:

Topical Anesthetics

Medications applied to body surfaces such as the skin or mucous membranes to reduce pain or discomfort, often before minor procedures.

Triple Check

The process of checking a medication three times before administering it. First check is when you take it from the storage container and match it to the MAR; second check is when you prepare the medication; third check is before you close the container or just before you administer the medication.

Vitamin B12 Shot

An injection containing vitamin B12, often administered to treat or prevent B12 deficiency and its associated symptoms.

Medical Assistant

A healthcare professional who performs administrative and clinical tasks to support patient care and the operation of healthcare facilities.