...traditional patient’s record is known as a source oriented record. What this means is whatever staff generates the records, the records are stored with that department. For example if a nurse generates a record for a patient the record will therefore stay in the nursing department. Reports from a physician are stored in the medical section. The advantage of this is if a physician’s needs to know the results of an x-ray he can easily look under the radiology section. The down fall to this would have to be if a physician wanted to see the patient’s diagnoses they will have to look under every department section to see what information they are looking for. The problem oriented record consists of four components: data, problem list, initial plan, progress notes. An overview of the patient’s information is in the database, while the patient’s problems are in the problem list. The initial plan outlines the actions that will be taken to determine the condition of the patient as well as treatment. The discharge summary is in the progress note. It also details the care of the patient, his or her treatment and response to that care, and the patient’s condition when he or she is discharged Records in chronological order are called integrated records. This type of record-keeping is good for keeping track of how a patient responds to treatment based on results from tests. Problem-oriented records require training and the same problem has to be documented several times, but all documentation...
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...records (SOR) maintain reports according to source of documentation. This means that whomever the document is generated by, whether it being a nurse, radiology, or a physician each has their own section in the patient records. Problem-oriented records (POR) or problem-oriented medical records (POMR) is a way of record keeping that focuses on a specific problem that a patient may be having, which uses four components database, problem list, initial plan, and progress notes to identify problems. In a POR patients are assigned one or more problems and notes are documented for each problem using the SOAP structure. SOAP is defined as subjective, objective, assessment, and plan. Subjective is a patient’s statement about how she/he feels. Objective is the observation of the patient. Assessment is the judgment, opinion, or evaluation made by the health care provider. Plan is the diagnostic, therapeutic, and educational plan to resolve the patient’s problem. Integrated records format is the arranging of reports in a chronological date order. This allows observation on how the patient is progressing according to test results and how well the patient is responding to treatment based on those test results to be documented. Well I think that the advantages and the disadvantages of all three records format on everyday work is what to be expected when dealing with patient records. Some advantages of all three is that it’s easy to use, less time consuming to file reports, makes it easy to locate...
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...Records Organization The similarities that I found for the organizations of patient files are that most of the paper files between the small and medium facilities are handled the same way. With the demographics and administrative filed on the left and medical on the right. Such as reports of labs, patient progress notes, prescription documentation, and any miscellaneous reports. Some of the small and medium facilities seem to use this filing method. This filing works well in a small to medium facility because there are not many files for the staff members to handle on a daily basis. I believe this system would not work with large facilities because the large facilities will need to use a filing system that is beneficial to the facility to keep track of patient’s files. The difference that I saw with the patient files are there organized by different departments and chronological, oldest to newest in small facilities and also organized using filing alphabetically this filing system will work because it will help keep these facilities organized and help maintain the patients records efficiently. In large facilities numerical filing will work to keep track of all patient files. The similarities I found with all three facilities are that loose documentation remains loose until the attending physician or the patient signs the required documentation needed. All this is done before anchored into patient files. Any remaining administrative documentation is anchored when found loose....
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...each treatment session, staff will communicate any pertinent issues that arose during the week that need addressing in her session (noted on therapist communication form). Pertinent issues will be addressed first, then skills training relevant to her supervision, healthy living plan, social skills, independent living, family relationships, and relapse prevention of dangerous behavior (fire setting and drug/alcohol usage) will follow. Therapy will consist of success oriented cognitive behavioral therapy. Other techniques that will be employed include strategies to manage interactions with others, general skill rehearsal, role modeling, and interventions for safety. Valerie’s progress in treatment will be reviewed in quarterly treatment reports and team meetings. Once Valerie has made adequate progress towards her stated goals it is likely that sessions will be reduced to every other...
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...Jail Responsibilities Monique Priorello September 23, 2012 One of the main responsibilities of a jail is to give the officers the correct “Police Correspondence” courses. This is because these courses give the officers the effective basic training that they need to do things such as; Writing of Memoranda, Police Reports, and Civilian Letters. What needs to be done first is make sure that there are NO errors. This means in spelling, punctuation, price, and grammar. These should be thoroughly, and constantly, edited. Another thing is conciseness; this means it should be brief or limited in words. Although, concision does not mean deleting words that count just to make your statements ‘rough in manner’. Officers should avoid tired old phrases, also known as triteness. Examples of these are; “in the final analysis”, “cold as ice”, “hard as a rock”, and “last but not the least”. They should also avoid misleading expressions (euphemisms) such as “meet our Creator” which means death and “Policy of Disinformation” which means lying to the public. Weak phrases should be avoided also. Weak phrases are ones such as; “wealthy business person”, “Carrying a child” and “one year old boy”. Instead, what can be used are phrases such as “tycoon”, “pregnant” and “one year of age boy”. Police officers must NEVER discriminate because of gender. Neutral terms should be used to manifest, fairness and equality between sexes. Examples are; “If a woman drives” to “if a person...
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...May 6, 2013 COM 203 Professor Taylor Final Exam You’re absolutely right. Students who attend Canisius College turn out well, if not exceptional people. However, I do have to respectfully disagree with your statement regarding the students’ writing skills and media knowledge. Since different outlets of media have expanded since your years in college, students have been more up to date on current events than ever before. Media is all around you; it’s impossible to escape it. These students have television, radio, magazines, blogs, the internet, cell phones, newspapers, and even their peers as outlets of the media. The basic writing course that you mentioned not only discusses the varying orifices of the media but also tears apart and exposes all of the layers that make up distinctive news stories. The purpose of the media is to communicate and relay information to the general public. There are also three general purposes of communication that were identified by Harold Lasswell: surveillance of the environment, correlation of the parts of society in responding to that environment, and transmission of the cultural heritage from generation to generation. When you read a news article it seems like an easy task; gather information, write a rough draft, send it to the editor, make changes, then send it to print. What people don’t realize are the challenges of communication that writers, news reporters, and journalist need to avoid. All of these things we learned in that media class...
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...Anticipated graduation date ↑ Anticipated graduation date ↑ Use professional, McCombs, or utexas email address Remove hyperlink to email address Use professional, McCombs, or utexas email address Remove hyperlink to email address Keep resume to 1 pg. & font size between 10-12 pt. Utilize an easy-to-read font such as Arial, Calibri, or Times New Roman Keep resume to 1 pg. & font size between 10-12 pt. Utilize an easy-to-read font such as Arial, Calibri, or Times New Roman All margins should be a minimum of 1/2 inch All margins should be a minimum of 1/2 inch Use 14-18 pt., bold font to delineate name Use 14-18 pt., bold font to delineate name FirstName LastName FirstName.LastName@bbaXX.mccombs.utexas.edu Local Street Address, Apt. ### City, State Zip (###) ###-#### EDUCATION The University of Texas at Austin | Major & minor must be officially declared Major & minor must be officially declared Bachelor of Business Administration, Major | May XXXX | Highlight an additional area of study [Optional] or an academic certificate Highlight an additional area of study [Optional] or an academic certificate | Minor: Area of study↑ Completed hours w/ grades posted ↑ Completed hours w/ grades posted Additional Coursework in [Area of study], XX hours | | | ↑Do not round up GPA; truncate after two decimal places ↑Do not round up GPA; truncate after two decimal places ...
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...Chapter One Introdution: Fundamentals of Business Writing I. The major differences between school writing and business writing School writing, typically in the form of essays, is aimed at impressing the audience, i.e. examiners. To score high, student writers have to use fairly complicated vocabulary and sentences in their written work. Business writers, however, mainly aim to communicate information to their colleagues, clients, and other associated parties. They are relatively free to use what language that can get the business done efficiently and effectively. II. Seven steps in the process of wring 1. clarifying your aim 2. identifying your readers 3. making a general plan 4. sketching a synopsis (大纲) 5. drafting your text 6. putting the draft aside 7. revising and editing ★ Writing is a recursive and creative process. The detailed plan is not adhered to in actual writing. Writers frequently come up with ideas that are activated in the process of writing. Writers read the text they have already produced to help generate more ideas. In effect, the writing process is no linear at all but is characterized by recursive ness and creativeness. III. Three principles of business writing 1. Clarity – means setting your message across clearly. (See detailed information on page 4) 2. Consideration – good business writers take their readers’ needs, problems, and reactions to the writing into consideration. And they...
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...The conference room at the Staples headquarters in Framingham had 33 associates, two coffee jars and three white boards anticipation of a developing strategic ideas around corporate messaging and desktop engineering. To the left was a poster of the chronological history of how Staples evolved from Tom Stemburg in 1986 to Ron Sargent. The other end of the conference room had a poster with the words “Together Everyone Achieves More” and abbreviated as TEAM. The associates were gathered in the room to discuss the technology strategy for the company – an effort that I was going to lead. The project goal was to develop a solution such that an associate’s desktop will be available anytime, anywhere and from any device (laptop/tablet PC or even mobile phones). Multiple teams were identified to contribute towards the final goal. A process was defined whereby there would be strong accountability and systems were setup to review the progress on a weekly basis. The teams were told by the top management in the room that we must adhere to complete transparency and ensure full communication across all the teams. The project was a huge undertaking and due to the timelines everyone involved understood that we would be working under some additional work pressure. This project was initiated by the Office of the CIO (Chief Information Officer) and had visibility at the highest level because it would affect Staples’ associates globally and involved approximately $30 million. I recently joined...
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...structure Deliverables, Acceptance Criteria, and Tasks in a manner most likely to result in an effective contractual agreement, and to • Finalize the SOW document (incorporating Customer-generated content) in a format consistent with University standards. Steps for Writing the SOW 1. Provide background on the requirement, including the objective or purpose. Consider citing funding source information, historical precedent, or parallel sourcing efforts that provide additional information on your requirement. 2. Define the requirement and/or the services to be provided. 3. List the specific tasks to be performed by Supplier. • Categorize tasks as either major or sub-tasks. • Organize tasks in chronological order. • Define Supplier’s level of effort and all Supplier responsibilities. 4. Specify all required results and/or deliverables. Specify required milestones and due dates. 5. Identify the Period of Performance. The Period of Performance defines the anticipated Start Date and End Date for Supplier’s...
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...Request For Inspection - Simplify ( RFI ) Simplify RFI : Write-up Overview Simplify RFI (Simplify) provides a central repository of all the activities and their actual updates. This tool is primarily developed for tracking progress of various Infrastructure projects pertaining to businesses like Roads, Metro, Sea Link etc. It is an integrated work flow management tool which interfaces online with project management tool - Primavera to draw the project plan on one hand, while on the other it accepts the update on these plans as per actual execution from the vendors. The actual submitted by the vendor gets approved by the concerned engineers involved as well as the project manager (PM). On final approval from PM, the status of execution gets updated back in Primavera. In addition to tracking of progress against planned work, it also automatically generates the invoice based on the approved work done. An automated work flow for invoice approval helps in minimizing delays and brings in transparency into the process for all stake holders. Moreover, it helps in keeping track of the huge number of manual paper based transactions through electronic mode at a centralized place – a promising step towards green computing. The transactions getting generated in Simplify are chronologically managed and easily identified through unique reference number assigned to each one of them. Thus, overall it acts as a simple tool to address the worry of manual mistakes, avoid duplication in work payments...
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...Points of Test case on fleet management No. | Test case | Comment | 1. | Track Vehicle On Map | 2.1. | As a Logged in User I want to know the exact Place Name of each vehicle on Google Map so that I know the where-about of the vehicle. | 1 of 27 has problem on location | 2.2.1. | As a Logged, the place name of information is not correct. (Place Name must update) | Done | 2.2. | As a Logged In User I want to track by Offline Map so that I can track vehicle offline. | Un done | 2.3. | As a Logged in user I want to see fuel in container figure so that I can know the fuel in container information. | Column is done | 2.4.2. | As a Logged in user, the currently fuel in container information is not correct. | Incorrect data | 2.4. | As a Logged In User I want to see the Fuel In Container figure in Details View by Guage so that I can see Fuel In Container Information in Gage. | Fuel gage is done with wrong data | 2.5. | As a Logged In User I want to see the Engine Status as On or Off instead True or False so that I can see Engine Status as On or Off. | done | 2.6. | As a Logged In User I want to see the Time label display Date, Month, Year, and Time instead it shows an Amount Time Ago so that I can get vehicle's status sending Date, Month, Year, and Time. | done | 2.7. | As a Logged In User I want to see the Vehicle State Color Code shows me as Stated so that I can see vehicle's State appropriately...
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...The Process of Self-Discovery Dina Carrington Saint Leo University Dr. V. Rose February 23, 2014 Abstract Self-discovery can be a hard task to tackle. Part of self-discovery is determining your values, goals, strengths and weaknesses. Once a person has determined what their values, goals, strengths and weaknesses are, they can set a solid foundation for a rewarding career. A person should have a passion for their career and knowing whom you are and what you want to do is the first part. This paper will describe the process of self-discovery through personal career goals, learning your strengths, improving your weaknesses, what career skills are required and why, as well as, how to identify the components of a career plan and why it is important to determine your path early in life. Some methods used to determine self-discovery are Myers-Biggs Type Indicator (MBTI) instrument by Carl Jung, Career Interest Profiler, General Mental Ability (GMA) introduced by Spearman, and Strength Finders 2.0. The Process of Self-Discovery A person’s values are a set of standards or beliefs that are important to them; these basic standards also guide our choices in regards to right and wrong behavior. We derive some of our values from our family, friends and environment. Some values that may be important to you are: being honest, healthy, knowledgeable, respected, or leading. When a person understands their values, they can establish authentic and gratifying goals. We use our...
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...The Management Planning Process An effective management planning process includes evaluating long-term corporate objectives. Management planning is the process of accessing an organization’s goals and creating a realistic, detailed plan of action for meeting those goals. It is kind of like writing a business plan, a management plan takes into consideration short and long term corporate strategies. Some basic steps in the management planning process involves creating a road map that outlines each task the company must accomplish to meet its overall objectives. There are seven very important management planning process steps I am going to talk a little bit in depth about. The first step in the management planning process is establishing goals. In planning you have to identify specific company goals. The part of the planning process should include a detail overview of each goal, including the reason for its selection and the anticipated outcomes of goal related projects. Anywhere there are possible objectives should be described in quantitative or qualitative terms. For example, a goal is to raise profits by ten percent over a four month period. Establishing goals is a good way to help any organization see their hard pay off. The second step is to identify organizational resources that will be beneficial to them for help and advice. Each goal should have financial and human resources projection associated with its completion. For example, a management plan may identify how many...
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...Technical Writing Fundamentals Blank ENG/221 March 19, 2013 Blank 1. PURPOSE 1.1 The University of Phoenix (UOPX) is an internationally accredited institution of higher learning and excellence, with over 200 campuses worldwide. UOPX offers over 100 degree programs in Associate, Bachelors, Masters and Doctorate areas, and accepts students into its associates and bachelors degrees through prior learning assessments. UOPX has the honor and responsibility of teaching students in a multitude of fields, including the fields of information technology. This requires the university to ensure also that the student understands the latest versions of accepted and internet dependent software, including Microsoft ® Office ® applications. 1.2 UOPX tasks the contractor (insert name here) to conduct training for UOPX instructors on the latest version of Microsoft ® Office ® applications, and to provide accredited certification for those persons who successfully complete the training. This is an annually recurring requirement, and is considered high priority due to the dynamics of the software tools and the importance of current familiarity / competency of the latest version of Microsoft ® Office ® software. 1.3 The contractor (insert name here) shall provide UOPX with data pertaining to the status and condition of the UOPX instructors' competency with the software, as well as certificates of accomplishment. These certificates shall...
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