Question

Abbreviations Exercise-define each of the following abbreviations.

1. MT
2. TAT
3. QA
4. VRS
5. CMT
6. CC
7. ROS
8. H and P
9. DS
10. OR

Short Answer Questions -Identify the items below that may be entered into an EMR by the MA as MAor those items that must be entered by the Provider as P.

1. Chart notes
2. Reason for the patient's visit
3. Vital signs
4. Transmitting a prescription to a pharmacy
5. Transmitting the medical record to another provider
6. Current medications
7. Entering chief complaint
8. Entering patient Allergies
9. Documenting immunizations
10. Patient diagnosis and referral notes

Answer 1

Abbreviations:

MT - Medical technologist. MT is a skilled health professional who analyzes the specimen and reports it appropriately.

TAT - Turn Around Time. It is the interval of time that the process has to be completed within the time schedule.

QA - Quality Assurance. It is systematic monitoring and evaluation of the quality of standards of an organization.

VRS - Verbal Rating Scale. It is used in the assessment of pain where the patients define the level of pain between 0 and 10.

CMT - Certified Medication Technician. The trained individual who has a special skill in intermediate care.

CC - Chief Complaint. It is the evaluation of the patient current problem at the time of arrival at the hospital.

ROS - Review of System. This is the systematic examination of the body organ to determine the abnormalities and the function.

H and P - History and Physical Examination. It is the initial clinical evaluation of a collection of the patient data and examination of body parts.

DS - Double stranded. It is used in the prescription medication which determines double strength.

OR - Operating Room. the operating room is the place where the surgeries take place.

Items entered into EMR by MA	Items entered into EMR by P
Reason for the patient's visit	Patient diagnosis and referral notes
vital signs	Transmitting a prescription to a pharmacy
Current medications	Transmitting medical record to another provider.
Entering chief complaint
Entering patient allergies
Documenting immunization