9781435441156

Hillcrest Medical Center : Beginning Medical Trascription

by ;
  • ISBN13:

    9781435441156

  • ISBN10:

    143544115X

  • Edition: 7th
  • Format: Workbook
  • Copyright: 6/7/2010
  • Publisher: Cengage Learning
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Summary

HILLCREST MEDICAL CENTER: BEGINNING MEDICAL TRANSCRIPTION, 7th Ed. creates a simulation approach to medical transcription that will give your students a working knowledge of the medical reports most commonly used in both inpatient and outpatient care settings. Your students will transcribe over 100 real medical reports including 10 comprehensive inpatient case studies and 25 outpatient clinic records. HILLCREST MEDICAL CENTER BEGINNING MEDICAL TRANSCRIPTION, 7th Ed. is organized by body system and includes full color anatomy & physiology illustrations and coverage of medical terminology. In addition, HILLCREST MEDICAL CENTER BEGINNING MEDICAL TRANSCRIPTION, 7th Ed. provides a review of proper formatting, grammar, and style in accordance with the AHDI's Book of Style. Transcribed reports include: history and physical examinations; consults; operative, pathology, and radiology reports; SOAP notes; and death and discharge summaries.

Table of Contents

Preface
Prerequisites
New to this Edition with Featured Items
Course Description
Objectives
Student Text-Workbook
Instructor's Manual
About the Authors
Supplements at a Glance
How to Use StudyWARE?
Introduction
Welcome to Hillcrest Medical Center
Confidentiality Policy
Legal Issues
Objectives
Length of Course
Certification
Transcribing Medical Reports
Evaluations
Expand Your Knowledge: Word Games and Exercises
Listing of Appendix
Association for Healthcare Documentation Integrity
Medical Transcriptionist Job Descriptions
AHDI Code of Ethics
Certification Possibilities--RMT and CMT
Health Insurance Portability & Accountability Act: MT checklist
Understanding Medical Records
History and Physical Examination (H&P)
Diagnostic Imaging or Radiology Report
Operative Report (OP)
Pathology Report (Path)
Consultation (Consult)
Discharge Summary
Death Summary
Autopsy Report
Outpatient Model Reports
Model Report Forms
References
Transcription Rules for Hillcrest Medical Center and Quali-Care Clinic
Style Variations
Capitalization
Numbers
Punctuation
Abbreviations and Symbols
List of Metric Measurements
The Grammar of Microbiology
Vital Signs
CMTips?
Difficult Singular and Plural Words and Phrases
Temperature versus Fever
A Tongue Twister
Dermatology Terms
Pulmonary Terms
Race/Age
Zero Safety
The Digits
Time
Abduction versus Adduction
Class and Stage
Connective Tissues
Subjective versus Objective
Surgical Terms
Obstetric Terms
Cardiology Terms
The ABO Blood Group
Jr, Sr, II, and III
Report Formatting Guidelines
The Future of Medical Transcription
Skill-Building Report Log
Doctors' and Other Professional Names Used
Understanding Medical Terminology
Principles
Prefixes/Pronunciation
Combining Forms
Suffixes
Case Studies
The Reproductive System
Glossary
The Gastrointestinal System
Glossary
The Cardiopulmonary System
Glossary
The Integumentary System
Glossary
The Psychology Neurology System
Glossary
The Nervous System
Glossary
The Orthopedics/Endocrinology System
Glossary
The Vascular/Renal System
Glossary
The Musculoskeletal System
Glossary
The Respiratory System
Glossary
Quali-Care Clinic
Welcome to Quali-Care Clinic
Quali-Care Clinic Outpatient Report Log
Outpatient Reports
a&b Consult & Echocardiogram (Cardiology)
Operative Procedure (Genitourinary)
Operative Report (Orthopedics)
Surgical Pathology Report (Breast)
Emergency Dept Treatment Record (Pediatrics)
Interventional Radiology (Vascular)
Spine Clinic HPIP Note (Orthopedics)
Radiology Report (Orthopedics)
Clinic SOAP Note (Vascular)
Surgical Procedure (Orthopedics)
Operative Report (Plastic Surgery)
Colonoscopy Procedure (Gastroenterology)
Clinic HPIP Note (Internal Medicine)
Operative Report (Neurosurgery)
Operative Report (Urology)
Radiology Report (Orthopedic/Neurology)
Clinic Followup Note (Pediatric Neurology)
Operative Report (Obstetrics)
Operative Report (Orthopedics)
Clinic Followup Note (Vascular)
Operative Report (Dentistry)
Operative Report (Orthopedics)
Consult (Orthopedics)
Psychological Evaluation (Psychology)
a&b Letter & Consult (Cardiology)
Expand Your Knowledge
Crossword Puzzles 1 through 17
Proofreading Exercises 1 through 12
Common Dictation Errors
Appendix
Proofreader's Marks
Challenging Medical Words, Phrases, Prefixes
Sample Patient History Form
The Lund Browder Chart
Laboratory Test Information
Sample Forms for Ordering Laboratory Tests, Scheduling Radiology Tests
Physical Therapy Consults, Sleep Studies
Building a Reference Library
Web Sites for Transcriptionist' Professional Association
"A Healthcare Controlled Vocabulary"
Official "Do Not Use" List from The Joint Commission
Bibliography
Index
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