Deck 9: Health Unit Coordinator Role in Processing of Electronic, preprinted, and Handwritten Doctors Orders

Question 1

The Kardex system is useful for:

A)keeping track of nonclinical supplies on the nursing unit.
B)viewing surgery schedules for patients on the nursing unit.
C)viewing the employee work schedule.
D)viewing the patient's current orders.

Answer 1

viewing the patient's current orders.

Question 2

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

A)Physically carrying out those orders that are of a nonclinical nature
B)Checking the computer periodically for test results to ensure that orders have been carried out
C)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
D)Assigning the appropriate staff member to carry out each order

Answer 2

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

Question 3

A stat order also may be noted as:

A)now or immediately.
B)directly.
C)ASAP.
D)written in red so as to indicate its urgency.

Answer 3

now or immediately.

Question 4

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.

A)1,2,3,4
B)4,3,1,2
C)4,3,2,1
D)3,4,2,1

Question 5

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

A)stat
B)short-series
C)one-time
D)standing

Question 6

To avoid transcription errors,the HUC should:

A)not allow anyone to have the patient's chart until the orders have been transcribed.
B)make a notation on a notepad of orders that have not been completed.
C)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.
D)take a break in the middle of a complicated set of doctors' orders.

Question 7

An order written EKG now would be ordered:

A)to be done as soon as the EKG technician arrives on the floor.
B)as soon as any available technician might be able to perform the study.
C)as soon as the department sees the order on the computer.
D)stat.

Question 8

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

A)the specific hours by which the order is to be carried out.
B)the inclusion of a qualifying phrase.
C)the specific type of order.
D)how the chart is flagged.

Question 9

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

A)when every order has been addressed and the first nine steps of transcription have been completed.
B)when every order has been read and understood.
C)after the nurse has received a copy of the orders.
D)only after each order has been carried out,as when blood has been collected,x-rays completed,etc.

Question 10

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

A)prn
B)standing
C)one-time or short-series
D)doctors'

Question 11

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

A)absence of symbols and sign-off.
B)doctor's signature.
C)specific type of order.
D)date.

Question 12

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

A)alert the doctor that the order is completed and where he or she can locate the examination results.
B)alert the nurse that the order has been transcribed and when he or she should expect it to be completed.
C)indicate to the HIMS department that the order has been transcribed.
D)indicate completion of that particular transcription step.

Question 13

A set of doctors' orders is defined as:

A)entry of a doctor's orders onto the doctors' order sheet,dated,timed,and signed.
B)several sheets of doctors' orders that would outline the patient's care during an admission.
C)all of the orders written on a particular patient.
D)several sheets of orders for a particular diagnosis.

Question 14

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

A)time the doctor makes rounds
B)names of nurses who are expected to attend to the patient
C)patient's activity and diet
D)name of the insurance company and the benefits expected to be paid for the hospital stay

Question 15

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

A)prn
B)standing
C)short-series
D)stat

Question 16

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

A)Date,time,first initial,and last name
B)Date,time,first and last names,and status
C)Time and first and last names
D)Date,time,first initial,last name,and status

Question 17

A chart that has been flagged means that:

A)the health information management system (HIMS)is involved because the doctor is on suspension.
B)the chart is off the floor because the patient is receiving therapy off the unit.
C)a lawsuit for negligence is possible.
D)the chart is awaiting transcription because the doctor has written new orders.

Question 18

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

A)on the same line as
B)two lines below
C)one line below
D)out in the right margin next to

Question 19

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

A)complete medication orders by writing them on the MAR.
B)place telephone calls as necessary to complete the doctor's orders.
C)recheck each step for accuracy and thoroughness.
D)order diagnostic tests,treatments,and supplies.

Question 20

Which of the following orders should be transcribed first?

A)MOM 15 mL PO q8h prn constipation
B)Stat EKG with severe chest pain
C)CXR PA/LAT in AM
D)Demerol 50 mg IM on call to endoscopy

Question 21

The HUC orders (requisitions)medications by:

A)writing the doctor's medication orders on the MAR.
B)entering the medication orders into the computer.
C)faxing or sending a copy of the doctor's orders to the pharmacy.
D)calling the pharmacist and reading the doctor's medication orders directly.

Question 22

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

A)most people prefer to write with ink pens.
B)pencils always need sharpening.
C)nurses prefer that ink is used.
D)the doctors' order sheet is a legal document.

Question 23

The sixth step of transcription is:

A)to make required telephone calls.
B)to transcribe routine doctors' orders.
C)to transcribe stat doctors' orders.
D)Kardex orders.

Question 24

CPOE is a method for:

A)the physician to provide orders for a hospitalized patient.
B)the nurse to enter orders into the patient's EMR.
C)the HUC to graph the patient's vital signs.
D)the ancillary departments to enter notes into the patient's EMR.

Question 25

Doctors' orders are recorded on a Kardex to:

A)communicate and update orders for the nursing staff.
B)ensure that treatments are given.
C)make it easier to prepare the requisitions.
D)maintain a record of medications.

Question 26

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?

A)Check the orders on the previous order sheet.
B)Place diagonal lines in the space below the orders.
C)Transcribe those orders before faxing or sending the pharmacy a copy.
D)Transcribe that set of orders before transcribing any other patient's orders.