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ED 110 738
DOCUMENT RESUME
95 CE 004 540
AUTHOR Keir, Lucille; And OthersTITLE Analysis of the Medical Assisting Occupation.INSTITUTION Ohio State Dept. of Education, Columbus. Div. of
Vocational Education.; Ohio State Univ., Columbus.Trade and Industrial Education InstructionalMaterials Lab.
SPONS AGENCY Office of Education (DREW), Washington, D.C.PUB DATE 30 Dec 74NOTE 417p.; For related documents, see CE 004 160-206, CE
004 263-268, CE 004 425-427, and CE 004 438-439
EDRS PRICE MF-$0.76 HC-$20.94 Plus PostageDESCRIPTORS *Health Occupations Education; *Instructional
Materials; *Job Analysis; Job Skills; *MedicalAssistants; *Occupational Information; Post SecondarEducation; Task Analysis; Task Performance;Vocational Education
ABSTRACTThe occupational analysis contains a brief job
description, presenting for the occupation of medical assistant 113detailed task statements which specify job duties (tools, equipment,materials, objects acted upon, performance knowledge, safetyconsideration/hazards, decisions, cues, and errors) and learningskills (science, mathematics/number systems, and communications). The113 task statements are grouped under the following five dutyheadings: performing medical office management duties, completingbusiness office duties, preparing and sterilizing instruments andsupplies, assisting with clinical procedures, and performing basiclaboratory procedures and diagnostic tests. (JR)
************************************************************************ Documents acquired by ERIC include many informal unpublished *
* materials not available from other sources. ERIC makes every effort ** to obtain the best copy available. nevertheless, items of marginal *
* reproducibility are often encolmtered and this affects the quality *
* of the microfiche and hardcopy reproductions ERIC makes available *
* via the ERIC Document Reproduction Service (EDRS). EDRS is not *
* responsible for the quality of the original document. Reproductions ** supplied by EDRS are the best that can he made from the original. *
***********************************************************************
(X)Q
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atio
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naly
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ruct
iona
lM
ater
ials
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ator
yT
irad
e an
d O
ndus
tria
l Edu
catio
n56
e O
Gio
Sta
te U
nive
rsity
5290
2
AN
AN
ALY
SIS
OF
TH
E M
ED
ICA
LA
SS
IST
ING
OC
CU
PA
TIO
N
Luci
lle K
eir,
C.M
.A.
Inst
ruct
or, M
edic
al A
ssis
ting
Nor
th H
igh
Sch
ool
Col
umbu
s,O
hio
Dev
elop
ed B
y
Rob
erta
Kor
bel
Con
sulta
ntC
ertif
ied
Med
ical
Ass
ista
ntC
olum
bus,
Ohi
o
Occ
upat
iona
l Ana
lysi
sE
.P.D
.A. S
ub P
roje
ct 7
3402
June
1, 1
973
to30
, 197
4D
irect
or: T
om L
. Hin
des
Coo
rdin
ator
:W
illia
m L
. Ash
ley
The
Inst
ruct
iona
l Mat
eria
ls L
abor
ator
yT
rade
and
Indu
stria
l Edu
catio
nT
he O
hio
Sta
te U
nive
rsity
Joan
W. R
ay,
C.M
.A.
Inst
ruct
or, M
edic
al A
ssis
ting
Nor
th H
igh
Sch
ool
Col
umbu
s, O
hio
Fn
"The
act
ivity
whi
ch is
the
subj
ect o
f thi
sre
port
was
sup
port
ed in
who
le o
r in
par
t by
the
U.S
. Offi
ce o
f Edu
catio
n, D
epar
tmen
t of
Hea
lth, E
duca
tion,
and
Wel
fare
.H
owev
er,
the
opin
ions
that
are
exp
ress
ed h
erei
n do
not
refle
ct th
e po
sitio
n or
pol
icy
of th
e U
.S.
Offi
ce o
f Edu
catio
n, a
nd n
o of
ficia
l end
orse
-m
ent b
y th
e U
.S. O
ffice
of E
duca
tion
shou
ldbe
infe
rred
."
$
4
TA
BLE
OF
CO
NT
EN
TS
For
ewor
dV
Pre
face
vii
Ack
now
ledg
men
tix
Job
Des
crip
tion
xi
Dut
ies
AP
erfo
rmin
g M
edic
al O
ffice
Man
agem
ent D
utie
s1
BC
ompl
etin
g B
usin
ess
Offi
ce D
utie
s63
CP
repa
ring
and
Ste
riliz
ing
Inst
rum
ents
and
Sup
plie
s10
7
DA
ssis
ting
with
Clin
ical
Pro
cedu
res
135
EP
erfo
rmin
g B
asic
Lab
orat
ory
Pro
cedu
res
Dia
gnos
tic T
ests
325
5
FO
RE
WO
RD
The
ccc
upat
iona
l ana
lysi
s pr
ojec
t was
con
duct
ed b
y T
he In
stru
ctio
nal M
ater
ials
Labo
rato
ry,
Tra
de a
nd In
dust
rial E
duca
tion,
The
Ohi
o S
tate
Uni
vers
ity in
con
junc
tion
with
the
Sta
teD
epar
tmen
t of E
duca
tion,
Div
isio
n of
Voc
atio
nal E
duca
tion
purs
uant
to a
gra
nt fr
omth
e U
.S.
Offi
ce o
f Edu
catio
n.
The
Occ
upat
iona
l Ana
lysi
s pr
ojec
t was
pro
pose
d an
d co
nduc
ted
to tr
ain
voca
tiona
led
ucat
ors
in th
e te
chni
ques
of m
akin
g a
com
preh
ensi
ve o
ccup
atio
nal a
naly
sis.
Inst
ruct
ors
wer
e se
lect
edfr
om A
gric
ultu
re, B
usin
ess,
Dis
trib
utiv
e, H
omc
econ
omic
s, a
nd T
rade
and
Indu
stria
l Edu
catio
nto
gai
n ex
perie
nce
in d
evel
opin
g an
alys
is d
ocum
ents
for
sixt
y-on
e di
ffere
nt o
ccup
atio
ns. R
epre
-se
ntat
ives
from
Bus
ines
s, In
dust
ry, M
edic
ine,
and
Edu
catio
n w
ere
invo
lved
with
the
voca
tiona
lin
stru
ctor
s in
con
duct
ing
the
anal
ysis
pro
cess
.
The
pro
ject
was
con
duct
ed in
thre
e ph
ases
.P
hase
one
invo
lved
the
plan
ning
and
dev
elop
men
t
of th
e pr
ojec
t str
ateg
ies.
The
ana
lysi
s pr
oces
s w
as b
ased
on
soun
d pr
inci
ples
of l
earn
ing
and
beha
vior
.P
hase
two
was
the
iden
tific
atio
n, s
elec
tion
and
orie
ntat
ion
of a
ll pa
rtic
ipan
ts.
The
trai
ning
and
wor
ksho
p se
ssio
ns c
onst
itute
d th
e th
ird p
hase
.T
wo-
wee
k w
orks
hops
wer
e he
lddu
ring
whi
ch te
ams
of v
ocat
iona
l ins
truc
tors
con
duct
ed a
n an
alys
is o
f the
occu
patio
ns in
whi
ch
they
had
em
ploy
men
t exp
erie
nce.
The
inst
ruct
ors
wer
e as
sist
ed b
y bo
th o
ccup
atio
nal c
onsu
lt-an
ts a
nd s
ubje
ct m
atte
r sp
ecia
lists
.
The
pro
ject
res
ulte
d in
pro
duci
ng o
ne h
undr
ed tw
o tr
aine
d vo
catio
nal i
nstr
ucto
rsca
pabl
e of
cond
ultin
g an
d as
sist
ing
in a
com
preh
ensi
ve a
naly
sis
of v
ario
us o
ccup
atio
ns.
Occ
upat
iona
l ana
l-ys
is d
ata
wer
e ge
nera
ted
for
sixt
y-on
e oc
cupa
tions
.T
he a
naly
sis
inlc
uded
a s
tate
men
t of t
heva
rious
task
s pe
rfor
med
in e
ach
occu
patio
n.F
or e
ach
task
the
follo
win
g ite
ms
wer
e id
entif
ied:
tool
s an
d eq
uipm
ent;
proc
edur
al k
now
ledg
e; s
afet
y kn
owle
dge;
con
cept
s an
dsk
ills
of m
athe
ma-
tics,
sci
ence
and
com
mun
icat
ion
need
ed fo
r su
cces
sful
per
form
ance
in th
e oc
cupa
tion.
The
anal
ysis
dat
a pr
ovid
ed a
bas
is fo
r ge
nera
ting
inst
ruct
iona
l mat
eria
ls, c
ours
eou
tline
s, s
tude
ntpe
rfor
man
ce o
bjec
tives
, crit
erio
n m
easu
res,
as
wel
l as
iden
tifyi
ng s
peci
ficsu
ppor
ting
skill
s an
dkn
owle
dge
in th
e ac
adem
ic s
ubje
ct a
reas
.
v
4;
PR
EF
AC
E
The
firs
t con
tact
a p
atie
nt h
as W
hen
visi
ting
aph
ysic
ian'
s of
fice
will
be
with
the
Med
ical
Ass
ista
nt.
Frie
ndlin
ess,
war
mth
, and
cor
dial
ity a
le n
eces
sary
as
attr
ibut
esin
any
ass
ista
nt g
iven
the
resp
on-
sibi
lity
of g
reet
ing
and
carin
g fo
r pa
tient
s. A
nun
ders
tand
ing
of b
asic
med
ical
lega
l ram
ifica
tions
in th
e pr
actic
e of
med
icin
e is
des
irabl
e.P
erso
nal a
ppea
ranc
e w
ill a
lso
mak
e an
impo
rtan
t"f
irst
impr
essi
on"
and
shou
ld a
lso
be c
onsi
dere
d.
An
atte
mpt
has
bee
n m
ade
to li
st th
e ta
sks
mos
tof
ten
com
plet
ed b
y a
med
ical
ass
ista
nt. T
he
writ
ers
avoi
ded
listin
g sp
ecia
lty a
ssis
tant
task
s fo
und
only
in a
spe
cial
ty o
ffice
and
ana
lyze
d ta
sks
they
bel
ieve
d to
be
perf
orm
ed in
a g
ener
alpr
actit
ione
r's o
ffice
.
The
aut
hors
wer
e aw
are
of th
e di
ffere
nces
inre
spon
sibi
lity
give
n to
the
med
ical
ass
ista
ntac
cord
ing
to g
eogr
aphi
cal a
rea
and
the
need
s an
dpr
efer
ence
s of
the
indi
vidu
al p
hysi
cian
-em
ploy
er.
Not
hing
is e
ver
com
plet
ed w
ithou
t the
dire
ct o
rder
of t
heph
ysic
ian
and
unde
r hi
s/he
r su
perv
isio
n.
A b
asic
und
erst
andi
ng o
f sel
f is
esse
ntia
l as
wel
l as
a kn
owle
dge
of h
uman
psy
chol
ogy.
Som
e of
the
mor
e co
mm
on e
mot
iona
l rea
ctio
nsw
ith r
egar
d to
pat
ient
s an
d se
lf w
hich
the
Med
ical
Ass
ista
nt
mus
t dea
l with
are
as
follo
ws:
Pos
itive
:N
egat
ive:
Rel
ief a
nd s
atis
fact
ion
App
rehe
nsio
nG
ratif
icat
ion
Hos
tility
Em
path
yF
ear-
anxi
ety
Pro
cedu
res
Em
bara
ssm
ent
Era
tic r
eact
ions
Pre
judi
ce a
nd fe
elin
gs o
f mor
al a
nd e
cono
mic
supe
riorit
y
Non
-ver
b& e
mot
iona
l rea
ctio
n:S
tead
ines
s or
sw
ings
of t
empe
rmen
t
vii
7
AC
KN
OW
LED
GM
EN
T
We
wis
h to
ack
now
ledg
e th
e va
luab
le a
ssis
tanc
e re
nder
ed b
yth
e fo
llow
ing
subj
ect m
atte
rsp
ecia
lists
. The
y pr
ovid
ed in
put t
o th
e vo
catio
nal i
nstr
ucto
rs in
iden
tifyi
ng r
elat
ed s
kills
and
conc
epts
of e
ach
resp
ectiv
e su
bjec
t mat
ter
area
and
ser
ved
astr
aini
ng a
ssis
tant
s in
the
anal
ysis
pro
cess
dur
ing
the
two-
wee
k w
orks
hops
.
Rol
lin M
. Bar
ber,
Psy
chol
ogy
The
Ohi
o S
tate
Uni
vers
ityC
olum
bus,
Ohi
o
Jodi
Bei
ttel,
Com
mun
icat
ions
Col
umbu
s, O
hio
Dia
na L
. Buc
keye
, Mat
hem
atic
sU
nive
rsity
of M
ichi
gan
Avo
n La
ke, O
hio
Ric
k F
ien,
Che
mis
try
The
Ohi
o S
tate
Uni
vers
ityB
each
woo
d, O
hio
N. S
. Gid
wan
i, C
hem
istr
yC
olum
bus
Tec
hnic
al In
stitu
teC
olum
bus,
Ohi
o
Bru
ce A
. Hul
l, B
iolo
gyT
he O
hio
Sta
te U
nive
rsity
Col
umbu
s, O
hio
Don
ald
L. H
yatt,
Phy
sics
Wor
thin
gton
Hig
h S
choo
lW
orth
ingt
on, O
hio
IXGle
nn M
ann,
Com
mun
icat
ions
Col
umbu
s, O
hio
Jerr
y M
cDon
ald,
Phy
sica
l Sci
ence
sC
olum
bus
Tec
hnic
al In
stitu
teR
eyno
ldsb
urg,
Ohi
o
Col
leen
Osi
nski
, Psy
chol
ogy
Col
umbu
s T
echn
ical
Inst
itute
Col
umbu
s, O
hio
Dav
id P
orte
ous,
Com
mun
icat
ions
Uni
vers
ity o
f Con
nect
icut
Col
ches
ter,
Con
nect
icut
Jam
es A
. She
rlock
, Com
mun
icat
ions
Col
umbu
s T
echn
ical
Inst
itute
Col
umbu
s, O
hio
Jim
Van
Ars
dall,
Mat
hem
atic
sW
orth
ingt
on H
igh
Sch
ool
Wor
thin
gton
, Ohi
o
Lilli
an Y
ontz
, Bio
logy
The
Ohi
o S
tate
Uni
vers
ityC
aldw
ell,
Ohi
o
pg
9
Ack
now
ledg
men
t is
exte
nded
to th
e fo
llow
ing
I.M.L
. sta
ff m
embe
rs fo
r th
eir
role
inco
nduc
ting
the
wor
ksho
ps; e
ditin
g, r
evis
ing,
pro
ofin
g an
d ty
ping
the
anal
yses
.
Fai
th J
ustic
eR
esea
rch
Ass
ocia
teS
heila
Nel
son
Adm
inis
trat
ive
Ass
ista
ntM
arsh
a O
pritz
aE
dito
rial C
onsu
ltant
Rita
Buc
cilla
Typ
ist
Peg
Bus
helm
anT
ypis
tC
arol
Fau
snau
ghT
ypis
tM
indy
Fau
snau
ghT
ypis
tR
ita H
astin
gsT
ypis
tC
arol
Hic
ksT
ypis
tS
ue H
olsi
nger
Typ
ist
Bar
bara
Hug
hes
Typ
ist
Car
ol M
arvi
nT
ypis
tP
atti
Nye
Typ
ist
Kat
hy R
oedi
ger
Typ
ist
Mar
y S
alay
Typ
ist
JOB
DE
SC
RIP
TIO
N
A m
edic
al a
ssis
tant
is a
n in
divi
dual
who
isem
ploy
ed b
y a
phys
icia
n in
his
/her
offic
e.T
he d
utie
s
are
man
ifold
and
var
y ac
cord
ing
toth
e in
divi
dual
phy
sici
an-e
mpl
oyer
nee
ds.
The
med
ical
ass
ista
nt
mus
t hav
e an
abi
lity
to r
elat
e to
peo
ple
in a
ll ty
pes
of s
ituat
ions
.T
he r
espo
nsib
ilitie
s of
this
indi
vidu
al m
ay in
clud
e cl
eric
al, s
ecre
taria
l and
man
agem
ent
resp
onsi
bilit
ies;
bus
ines
s of
fice
dutie
s;
diag
nost
ic te
sts
and
proc
edur
es; a
nd e
xam
inat
ion
and
trea
tmen
t roo
m p
roce
dure
s.
a
xi
Dut
y A
Per
form
ing
Med
ical
Offi
ce M
anag
emen
t Dut
ies
1P
repa
re r
ecep
tion
room
for
patie
nts
2S
ort a
nd o
pen
and
rout
e m
ail
3P
ull o
r fil
e pa
tient
's m
edic
al r
ecor
ds4
Rec
eive
pat
ient
s5
Man
age
child
ren
acco
mpa
nyin
g pa
tient
s6
Scr
een
non-
patie
nt v
isito
rs7
Com
plet
e re
gist
ratio
n fo
rm a
nd h
ealth
his
tory
rec
ord
8E
xpla
in to
sch
edul
ed p
atie
nts
unex
pect
ed d
elay
9P
lace
tele
phon
e ca
lls10
Ans
wer
tele
phon
e ca
lls11
Ans
wer
em
erge
ncy
tele
phon
e ca
lls12
Sch
edul
e ap
poin
tmen
ts fo
r pa
tient
s13
Mak
e ar
rang
emen
ts fo
r pa
tient
's a
dmis
sion
to h
ospi
tal
14P
repa
re s
ched
ule
for
phys
icia
n of
hos
pita
l pat
ient
s15
Arr
ange
mee
tings
and
/or
conf
eren
ces
16A
rran
ge tr
avel
acc
omod
atio
ns17
Ope
rate
and
mai
ntai
n ty
pew
riter
18T
rans
crib
e fr
om a
dic
tatin
g m
achi
ne19
Ope
rate
cop
y eq
uipm
ent
20C
ompo
se a
nd ty
pe a
bus
ines
s le
tter
21T
ype
a co
nsul
tatio
n le
tter
22C
ompo
se a
nd ty
pe a
rec
all l
ette
r to
pat
ient
23C
ompo
se a
nd ty
pe c
olle
ctio
n le
tter
24C
ompl
ete
wor
kmen
's c
ompe
nsat
ion
form
s25
Com
plet
e co
mm
erci
al h
ealth
form
s
111
26C
ompl
ete
Med
icar
e P
art B
form
s27
Com
plet
e pu
blic
ass
ista
nce
billi
ng fo
rms
28In
vent
ory
offic
e su
pplie
s29
Ord
er a
nd r
ecei
ve o
ffice
sup
plie
s
3
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E R
EC
EP
TIO
N R
OO
M F
OR
PA
TIE
NT
S13
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Mag
azin
es a
ppro
pria
te to
indi
vidu
al p
ract
ice
Tab
les
Cha
irsLa
mps
Ash
tray
s (o
ptio
nal)
Scr
een
mag
azin
esA
lign
furn
iture
Nec
essa
ry d
ean
upM
aint
ain
com
fort
able
tem
pera
ture
Mai
ntai
n co
nsta
nt a
lert
ness
for
any
dam
aged
furn
iture
, pro
trud
ing
obje
cts,
loos
e or
fray
ed e
lect
rical
cor
dsIn
jury
to p
atie
nt a
nd/o
r st
aff
Kee
p flo
or a
rea
smoo
th a
nd u
nclu
ttere
dD
ange
r of
trip
ping
DE
CIS
ION
SC
UE
SE
RR
OR
S
Dec
ide
whe
n to
str
aigh
ten
room
Det
erm
ine
whe
n to
rep
lace
mag
azin
es
Ove
rall
clea
n pl
easa
nt a
tmos
pher
e sh
ould
be
mai
ntai
ned
at a
ll tim
esM
agaz
ines
fray
ed a
nd/o
r pa
ges
rem
oved
,ou
t-of
-dat
e
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E R
EC
EP
TIO
N R
OO
M F
OR
PA
TIE
NT
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S,
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Vie
win
g
Fee
ling
Aes
thet
ic a
ppea
ranc
e
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ironm
ent
Vis
ual a
naly
sis
Col
or d
iscr
imin
atio
n
Tem
pera
ture
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idity
5
(TA
SK
ST
AT
EM
EN
T)
SO
RT
AN
D O
PE
N A
ND
RO
UT
E M
AIL
5;
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
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r op
ener
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ber
13S
epar
ate
first
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ss m
ail
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gs m
ust b
e ke
pt in
are
a ac
cess
ible
to s
taff
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egor
ize
bala
nce
of m
ail
only
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ch c
omm
unic
atio
ns r
egar
ding
pat
ient
s to
Impr
oper
use
appr
opria
te c
hart
for
phys
icia
n's
atte
ntio
nS
ort a
nd d
ispo
se o
f dru
g sa
mpl
es p
er p
hysi
cian
'sde
sire
Ans
wer
app
ropr
iate
mai
lF
ile in
com
ing
bills
for
paym
ent
DE
CIS
ION
S
Det
erm
ine
rout
ing
of m
ail
CU
ES
Pay
car
eful
atte
ntio
n to
mai
l con
tain
ing
pay-
men
ts
Nee
ds p
hysi
cian
's a
ttent
ion
and
deci
sion
bef
ore
actio
n ca
n be
take
n
ER
RO
RS
Fai
lure
to a
ttach
ava
ilabl
e in
form
atio
n(i.
e. p
atie
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hart
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viou
s co
mm
unic
atio
nth
at w
ill a
ssis
t phy
sici
an in
und
er-
stan
ding
req
uest
and
/or
taki
ng a
ctio
n
(TA
SK
ST
AT
EM
EN
T)
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RT
AN
D O
PE
N A
ND
RO
UT
E M
AIL
SC
IEN
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MA
TH
NU
MB
ER
SY
ST
EM
S
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MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
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OD
ES
EX
AM
PLE
SS
KIL
LS/C
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CE
PT
S
Rea
ding
Writ
ing
Lette
rs fr
om p
atie
nt's
and
/or
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pani
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tc.
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patie
nts
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roffi
ce m
emos
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ines
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tters
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rmat
/con
tent
)
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ing
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man
ship
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ssifi
catio
nM
emo
form
atLo
gic
7
(TA
SK
ST
AT
EM
EN
T)
PU
LL O
R F
ILE
PA
TIE
NT
'S M
ED
ICA
L R
EC
OR
DS
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OO
LS, E
QU
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AT
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S A
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cab
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rts
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ewrit
erS
tatio
nary
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ient
cha
rt fo
rms
PE
RF
OR
MA
NC
E K
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WLE
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E
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te c
hart
and
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file
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e lis
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atie
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dule
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heck
fold
er to
be
cert
ain
all c
urre
nt d
ata
filed
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pare
new
she
et fo
r no
tes
by p
hysi
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ifch
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s fu
llR
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ce in
pro
per
orde
r af
ter
use
SA
FE
TY
HA
ZA
RD
I
Dan
ger
of e
ntire
cab
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tipp
ing
with
res
ult-
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ossi
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ma
if m
ore
than
one
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awer
ope
ned
at a
tim
e
Dan
ger
of ti
ppin
g ov
er o
r ru
nnin
g in
to a
file
draw
er le
ft op
en w
hen
not i
n us
e w
ithre
sulta
nt p
ossi
ble
trau
ma
DE
CIS
ION
S
Det
erm
ine
if fil
ing
is to
be
done
alp
habe
tical
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num
eric
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or
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r su
bjec
t mat
ter
for
mis
cella
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s pa
pers
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ce p
olic
ies
CU
ES
ER
RO
RS 17
(TA
SK
ST
AT
EM
EN
T)
PU
LL O
R F
ILE
PA
TIE
NT
'S M
ED
ICA
L R
EC
OR
DS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S,
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
nth
e
num
ber
line
(seq
uent
ial o
rder
ing)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Vie
win
g
Writ
ing
File
s
New
cha
rt n
ote
form
s
Vis
ual a
naly
sis
Det
ail/i
nfer
ence
Logi
cR
ecog
nitio
n of
sym
bols
, cod
es, a
nd e
m-
blem
s
Pen
man
ship
and
/or
typi
ng
9A
IR
(TA
SK
ST
AT
EM
EN
T)
RE
CE
IVE
PA
TIE
NT
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Dai
ly p
ract
ice
log
Wel
com
e pa
tient
by
nam
eP
rovi
de fo
r pa
tient
com
fort
and
eas
eM
eet i
ndiv
idua
l nee
ds a
s re
quire
d
DE
CIS
ION
SC
UE
SE
RR
OR
S
Not
rec
ogni
zing
as
an e
mer
genc
y th
epa
tient
with
a c
ritic
al e
mot
iona
l nee
dD
eter
min
e at
wha
t poi
nt it
is a
dvis
able
toE
mer
genc
y, s
ever
e ill
ness
see
a pa
tient
with
or
with
out a
n ap
poin
tmen
tah
ead
of th
ose
alre
ady
wai
ting
RE
CE
IVE
PA
TIE
NT
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S,
Elic
it pa
tient
nee
ds th
roug
h co
mpe
tent
/car
ing
man
ner
Mai
ntai
n ca
paci
tyto
fost
er tr
ust,
conf
iden
tialit
y, c
oope
ratio
n, a
nd to
cope
with
con
flict
beh
avio
r
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
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OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Vie
win
g
Spe
akin
g
Pat
ient
's n
eeds
Wat
ch fo
r pa
tient
's n
eeds
Pro
vide
com
fort
and
ass
ista
nce
Aud
itory
, dis
crim
inat
ion,
con
cent
ratio
n,lo
gic,
and
noi
se d
iscr
imin
atio
n
Vis
ual a
naly
sis,
des
crib
ing,
logi
c, a
ndde
tail/
infe
renc
e
Impl
ying
, cla
rity
of e
xpre
ssio
n, p
ersu
asio
n,dr
ess,
faci
al a
nd b
ody
feat
ures
, poi
se,
and
usag
e
_
11
(TA
SK
ST
AT
EM
EN
T)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
.._--
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Ass
ortm
ent o
f app
ropr
iate
boo
ks a
nd to
ysS
tora
ge a
rea
for
book
s an
d to
ysLo
llipo
ps (
optio
nal)
safe
ty s
tick
Chi
ldre
n's
furn
iture
opt
iona
l
Car
e of
chi
ld in
som
e in
stan
ces
Haz
ardl
ess
toys
Gua
rd a
gain
st to
ys in
wal
king
are
apo
ssib
le in
jury
to c
hild
or
othe
r vi
sito
r
DE
CIS
ION
SC
UE
SE
RR
OR
S
Pat
ient
's d
issa
tisfa
ctio
nD
eter
min
e po
int a
t whi
ch c
hild
has
bec
ome
Pat
ient
com
plai
nts,
exc
essi
ve n
oise
, des
truc
-di
srup
tive
and
take
app
ropr
iate
act
ion
tion
of o
ffice
acc
esso
ries
21
TA
SK
ST
AT
EM
EN
T)
SC
IEN
CE
1
MA
TH
NU
MB
ER
SY
ST
EM
S-
Mai
ntai
n ca
paci
ty to
fost
er tr
ust,
conf
iden
tialit
y, c
oope
ratio
n; to
cope
with
con
flict
beh
avio
r; to
func
tion
effic
ient
ly W
hen
enco
unte
ring
fast
cha
ngin
g, m
ultip
le, p
erso
nal o
r si
tuat
iona
lva
riabl
es, a
nd to
exh
ibit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
cont
rol,
self-
relia
nce,
sel
f-re
spec
t, an
d ad
apta
bilit
y
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Tou
chin
g
Ver
bal i
nter
actio
n w
ith c
hild
and
pat
ient
Tac
tile
com
mun
icat
ion
with
chi
ld
Impl
ying
Per
suas
ion
Logi
cG
estu
res
Mov
emen
tC
omfo
rt o
r re
stra
int
13
(TA
SK
ST
AT
EM
EN
T)
SC
RE
EN
NO
NP
AT
IEN
T V
ISIT
OR
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
App
oint
men
t boo
k (if
nee
ded)
Writ
ing
inst
rum
ent
Sch
edul
e fu
ture
app
oint
men
ts p
er p
hysi
cian
'sdi
rect
ions
Esc
ort v
isito
rs to
be
seen
into
app
ropr
iate
wai
ting
area
1111
1111
11=
11!
DE
CIS
ION
SC
UE
SE
RR
OR
S
Phy
sici
an-e
mpl
oyer
dis
satis
fact
ion
due
to in
suffi
cien
t inf
orm
atio
nD
eter
min
e w
here
vis
itors
fit i
nto
vario
usA
ppea
ranc
e of
vis
itor,
nat
ure
and
urge
ncy
ofca
tego
ries
and
deal
with
them
in in
divi
dual
requ
est
man
ner
acco
rdin
g to
wis
hes
of p
hysi
cian
I.
(TA
SK
ST
AT
EM
EN
T)
SC
RE
EN
NO
N P
AT
IEN
T V
ISIT
OR
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Mai
ntai
n ca
paci
ty to
fost
er tr
ust
Mai
ntai
n ca
paci
ty to
fost
er c
onfid
entia
lity
Mai
ntai
n ca
paci
ty to
fost
er c
oope
ratio
nM
aint
ain
capa
city
to c
ope
with
con
flict
beh
avio
rM
aint
ain
capa
city
to fu
nctio
n ef
ficie
ntly
whe
n en
coun
terin
g fa
stch
angi
ng, m
ultip
le, p
erso
nal o
r si
tuat
iona
l var
iabl
esE
xhib
it qu
aliti
es o
f sel
f-co
nfid
ence
, sel
f-co
ntro
l, se
lf-re
lianc
e, s
elf-
resp
ect,
and
adap
tabi
lity
Exh
ibit
qual
ities
of ta
ct, p
oise
, con
side
ratio
n, g
raci
ousn
ess,
and
imag
ina
:ion
Mea
sure
of t
ime
(Exa
mpl
e: ti
me-
min
utes
/hou
rs)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
List
enin
g
With
vis
itors
and
phy
sici
an
Rec
ordi
ng a
ppoi
ntm
ent
Vis
itor's
req
uest
s
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nD
escr
iptio
nLo
gic
Aud
itory
dis
crim
inat
ion,
det
ectio
n of
pro
-pa
gand
a de
vice
s, d
iscr
imin
ate
fact
s fr
omno
n-fa
cts,
con
cent
ratio
n, a
nd lo
gic
1524
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E R
EG
IST
RA
TIO
N F
OR
M A
ND
HE
ALT
H H
IST
OR
Y R
EC
OR
D
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Cha
rt fo
lder
Reg
istr
atio
n fo
rmH
isto
ry s
heet
Writ
ing
mat
eria
lW
ritin
g su
rfac
e
Com
plet
e hi
stor
y sh
eet a
ccor
ding
to p
hysi
-ci
an's
inst
ruct
ions
Com
plet
e re
gist
ratio
n fo
rm a
s in
dica
ted
DE
CIS
ION
SC
UE
S
Orig
inal
sou
rce
of d
ata
If pr
inte
d fo
rm u
tiliz
ed, a
ll in
form
atio
nfu
lly c
ompl
eted
ER
RO
RS
Inco
mpl
ete
or in
accu
rate
info
rmat
ion
re-
cord
edIn
abili
ty to
trac
e de
linqu
ent a
ccou
nts
Asc
erta
in c
orre
ct s
pelli
ng o
f nam
e an
d co
rn-
plet
e ad
dres
sD
eter
min
e if
all i
nfor
mat
ion
is c
ompl
eted
as
nece
ssar
y
I25
(TA
SK
ST
AT
EM
EN
T)
CO
MP
L E
TE
P.E
GIS
TR
AT
ION
FO
RM
AN
D H
EA
LTH
HIS
TO
RY
RE
CO
RD
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
With
pat
ient
and
/or
rela
tives
Rec
ordi
ng
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min
olog
yE
nunc
iatio
nC
larit
y of
exp
ress
ion
Logi
cP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nM
emo
form
atD
escr
iptio
nM
edic
al te
rmin
olog
y
g*-
17
(TA
SK
ST
AT
EM
EN
T)
EX
PLA
IN T
O S
CH
ED
ULE
D P
AT
IEN
TS
UN
EX
PE
CT
ED
DE
LAY
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Tel
epho
ne (
if in
dica
ted)
.A
polo
gize
for
dela
yA
ppoi
ntm
ent b
ook
Offe
r ap
prop
riate
exp
lana
tion
of e
rror
Writ
ing
inst
rum
ent
Res
ched
ule
appo
intm
ents
as
indi
cate
d or
mak
e re
ferr
al
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
exp!
anat
ion
to b
e gi
ven
toN
atur
e of
del
ayIn
vasi
on o
f priv
acy
and
abon
dmen
tpa
tient
sLe
gal c
onsi
dera
tion
of e
xpla
natio
nP
atie
nt's
wel
l bei
ngD
eter
min
e be
st p
ossi
ble
alte
rnat
e ap
poin
t-P
hysi
cian
's s
ched
ule
Phy
sici
an a
nd/o
r pa
tient
dis
satis
fact
ion
men
tP
atie
nt's
sch
edul
eD
eter
min
e if
patie
nt s
houl
d be
ref
erre
dE
mer
genc
y pr
oble
mM
edic
al-le
gal p
robl
ems
to a
noth
er p
hysi
cian
for
imm
edia
te c
are
Doc
tor
not e
xpec
ted
in o
ffice
ove
r a
Poo
r pa
tient
car
epe
riod
of ti
me
Phy
sici
an a
nd p
atie
nt d
issa
tisfa
ctio
n
(TA
SK
ST
AT
EM
EN
T)
EX
PLA
IN T
O S
CH
ED
ULE
D P
AT
IEN
TS
UN
EX
PE
CT
ED
DE
LAY
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
gra
ciou
snes
s, a
ndim
agin
atio
nM
aint
ain
capa
city
to fo
ster
trus
tM
aint
ain
capa
city
to fo
ster
coo
pera
tion
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
ly w
hen
enco
unte
ring
fast
chan
ging
, mul
tiple
, per
sona
l or
situ
atio
nal v
aria
bles
Mea
sure
of t
ime
(Exa
mpl
e: ti
mem
inut
es/h
ours
etc
.)
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Writ
ing
Exp
lana
tion
to p
atie
nt
Inst
ruct
ions
from
the
phys
icia
nR
eact
ion
and
need
s of
pat
ient
s
Rec
ordi
ng in
app
oint
men
t boo
kC
ompl
etio
n of
app
oint
men
t car
d
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nP
ersu
asio
nLo
gic
Poi
se
Con
cent
ratio
nLo
gic
Not
e ta
king
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, a
ndlo
gic
19
(TA
SK
ST
AT
EM
EN
T)
PLA
CE
TE
LEP
HO
NE
CA
LLS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Tel
epho
neT
elep
hone
boo
kT
elep
hone
inde
xW
ritin
g m
ater
ials
Obt
ain
corr
ect t
elep
hone
num
ber
Mod
ulat
e vo
ice
to p
leas
ing
pitc
hP
ositi
on r
ecei
ver
prop
erty
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
if ph
ysic
ian
is r
eadi
ly a
vaila
ble
Per
sona
lly r
eque
sted
cal
lam
ple
notif
icat
ion
of c
all b
eing
pla
ced
iiil
1
Was
ted
time
(TA
SK
ST
AT
EM
EN
T)
PLA
CE
TE
LEP
HO
NE
CA
LLS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Mai
ntai
n ca
paci
ty to
fost
er c
oope
ratio
nM
aint
ain
capa
city
to c
ope
with
con
flict
beh
avio
rE
xhib
it qu
aliti
es o
f sel
f-co
nfid
ence
, sel
f-co
ntro
l, se
lf-re
lianc
e, s
elf-
resp
ect,
and
adap
tabi
lity
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
gP
laci
ng c
all
Ter
min
olog
yA
ppro
pria
te d
ictio
nE
nunc
iatio
nC
larit
y of
exp
ress
ion
:4)
21
(TA
SK
ST
AT
EM
EN
T)
AN
SW
ER
TE
LEP
HO
NE
CA
LLS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Writ
ing
mat
eria
lsT
rans
mit
info
rmat
ion,
che
ck r
esou
rces
as
Nev
er h
ave
food
or
gum
in m
outh
App
oint
men
t boo
kne
cess
ary
Avo
id im
prop
er v
oice
tone
Com
plet
e di
rect
ory
of c
omm
unity
age
ncie
sS
ched
ule
appo
intm
ents
Rec
ord
mes
sage
s fo
r pr
oper
res
pons
e by
phys
icia
nS
cree
n ca
lls, i
.e. t
hose
ass
ista
nt c
an a
nsw
er,
thos
e ph
ysic
ian
mus
t ans
wer
Rec
ord
pert
inen
t inf
orm
atio
n on
pat
ient
reco
rd
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
calle
r's n
eeds
Be
awar
e of
offi
ce p
olic
y an
d/or
phy
sici
an's
Giv
ing
out i
nfor
mat
ion
to u
naut
horiz
edD
eter
min
e w
ho s
houl
d ha
ndle
cal
lpr
efer
ence
Be
awar
e of
med
ical
-lega
l im
plic
atio
ns o
fgi
ving
info
rmat
ion
over
tele
phon
eD
eter
min
e if
phys
icia
n ca
n re
turn
cal
l at
Not
of a
n em
erge
ncy
natu
reP
atie
nt d
issa
tisfa
ctio
nhi
s/he
r co
nven
ienc
eP
oor
patie
nt c
are
Med
ical
-lega
l pro
blem
s
1
(TA
SK
ST
AT
EM
EN
T)
AN
SW
ER
TE
LEP
HO
NE
CA
LLS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
gra
ciou
snes
s, a
ndim
agin
atio
nM
aint
ain
capa
city
to fo
ster
trus
t,M
aint
ain
capa
city
to fo
ster
coo
pera
tion
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
ly w
hen
enou
unte
ring
fast
chan
ging
, mul
tiple
, per
sona
l ol.
situ
atio
nal v
aria
bles
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
akin
g
Writ
ing
List
enin
g
Que
stio
n to
det
erm
ine
calle
r's n
eeds
Rec
ord
mes
sage
s, a
ppoi
ntm
ents
, and
per
-tin
ent d
ata
on p
atie
nt r
ecor
d
Cal
ler's
req
uest
s
Impl
ying
, enu
ncia
tion,
cla
rity
of e
xpre
ssio
n,an
d lo
gic
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, d
es-
crip
tion,
and
logi
c
Aud
itory
dis
crim
inat
ion,
det
ectio
n of
prop
agan
da d
evic
es, d
iscr
imin
ate
fact
sfr
om n
on-f
acts
, con
cent
ratio
n, lo
gic,
and
note
taki
ng:7
1,fa
1.
23
(TA
SK
ST
AT
EM
EN
T)
AN
SW
ER
EM
ER
GE
NC
Y T
ELE
PH
ON
E C
ALL
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
08JECTS ACTED UPON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Writ
ing
mat
eria
lsA
ppoi
ntm
ent b
ook
Com
plet
e di
rect
ory
of c
omm
unity
age
ncie
s
Han
dle
on in
divi
dual
mer
itQ
uest
ion
calle
r un
til tr
ue s
ituat
ion
isas
cert
aine
d, a
nd ta
ke p
rom
pt a
ctio
nac
cord
ingl
yIf
serv
ere
emer
genc
y, d
irect
pat
ient
toem
erge
ncy
room
(if
phys
icia
n is
not
avai
labl
e)O
ffer
first
aid
adv
ice
if ph
ysic
ian
is n
otav
aila
ble
and
if it
is a
ppro
pria
teR
ecor
d ca
ll
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
calle
r's n
eeds
Dec
ide
cour
se o
f act
ion
Cal
ler's
voi
ce a
nd m
enta
l sta
teM
edic
al a
nd le
gal i
mpl
icat
ions
Igno
ring
psyc
holo
gica
l nee
dsT
akin
g to
o m
uch
auth
ority
in s
o fa
ras
med
ical
dec
isio
nsN
ot c
hart
ing
deta
ils o
f cal
lM
isad
vice
to p
atie
nt a
s to
his
/her
cou
rse
of a
ctio
n
an
(TA
SK
ST
AT
EM
EN
T)
AN
SW
ER
EM
ER
GE
NC
Y T
ELE
PH
ON
E C
ALL
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Mai
ntai
n ca
paci
ty to
fost
er tr
ust,
conf
iden
tialit
y, c
oope
ratio
n; to
cop
ew
ith c
onfli
ct b
ehav
ior;
to fu
nctio
n ef
ficie
ntly
whe
n en
coun
terin
gfa
st c
hang
ing,
mul
tiple
, per
sona
l or
situ
atio
nal v
aria
bles
; to
exhi
bit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
cont
rol,
self-
relia
nce,
sel
f-re
spec
t,an
d ad
apta
bilit
y
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
List
enin
g
Pho
ne c
omm
unic
atio
n in
cal
m v
oice
Log
imm
edia
tely
and
acc
urat
ely
all
emer
genc
y ph
one
calls
Cal
ler's
req
uest
's
App
ropr
iate
dic
tion,
enu
ncia
tion,
cla
rity
ofex
pres
sion
, log
ic p
ersu
asio
n, a
nd p
oise
Cla
ssifi
catio
n, d
escr
iptio
n, te
rmin
olog
y/ge
nera
l voc
abul
ary,
cla
rity
of e
xpre
ssio
n,an
d lo
gic
Dis
crim
inat
e fa
cts
form
non
-fac
ts, c
once
n-tr
atio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s), a
nd n
ote
taki
ng
25i
:4
(TA
SK
ST
AT
EM
EN
T)
SC
HE
DU
LE A
PP
OIN
TM
EN
TS
FO
R P
AT
IEN
TS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Writ
ing
surf
ace
Writ
ing
mat
eria
lsA
ppoi
ntm
ent b
ook
App
oint
men
t car
ds
Rec
ord
on p
rope
r da
te a
nd ti
me
inap
poin
tmen
t boo
kC
ompl
ete
appo
intm
ent c
ard
Giv
e or
mai
l to
patie
nt
DE
CIS
ION
SC
UE
SE
RR
OR
S
Insu
ffici
ent t
ime
for
prel
imin
ary
wor
kS
ched
ulin
g to
o he
avy
Sch
edul
e is
del
ayed
due
to in
suffi
cien
ttim
eD
elay
in c
ompl
etio
n of
pro
cedu
res;
som
e co
uld
be c
ompl
eted
bef
ore
phys
icia
n se
es p
atie
nt, i
f phy
sici
an is
awar
e of
pro
cedu
res
and
so d
irect
sm
edic
al a
ssis
tant
to b
egin
Det
erm
ine
time
of a
ppoi
ntm
ent a
ccor
ding
to p
atie
nt's
nee
ds a
nd p
hysi
cian
's s
ched
ule
Det
erm
ine
prop
er ti
me
inte
rval
for
appo
intm
ent
Det
erm
ine
nota
tions
to b
e m
ade
on a
ppoi
nt-
men
t boo
k re
gard
ing
phys
icia
n's
requ
est
for
diag
nost
ic p
roce
dure
s or
nat
ure
ofap
poin
tmen
t
Nat
ure
of a
ppoi
ntm
ent/p
atie
nt's
nee
ds
Pro
babl
e pr
oced
ures
to b
e co
mpl
ete_
Pat
ient
his
tory
Req
uest
s m
ade
by p
hysi
cian
n5
(TA
SK
ST
AT
EM
EN
T)
SC
HE
DU
LE A
PP
OIN
TM
EN
TS
FO
R P
AT
IEN
TS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Mea
sure
of t
ime.
(E
xam
ple:
tim
emin
utes
/hou
rs)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Con
fer
with
pat
ient
s an
d ph
ysic
ians
Rec
ordi
ng d
ata
on a
ppoi
ntm
ent c
ard
and
book
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Usa
ge
27I
: 6
(TA
SK
ST
AT
EM
EN
T)
MA
KE
AR
RA
NG
EM
EN
TS
FO
R P
AT
IEN
T A
DM
ISS
ION
TO
HO
SP
ITA
L
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pat
ient
cha
rtP
hone
Writ
ing
inst
rum
ent
App
ropr
iate
pre
-adm
issi
on fo
rms
from
spec
ific
hosp
ital
Pla
ce c
all
Sch
edul
e ad
mis
sion
Not
ify a
nd in
stru
ct p
atie
ntC
ompl
ete
the
pre-
adm
issi
on fo
rm o
r in
stru
ctpa
tient
in p
roce
dure
acc
ordi
ng to
type
of
form
use
d by
hos
pita
l
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
mos
t con
veni
ent t
ime
and
day
Nat
ure
and
leng
th o
f hos
pita
l sta
yP
atie
nt's
and
doc
tor's
sch
edul
e
(TA
SK
ST
AT
EM
EN
T)
MA
KE
AR
RA
NG
EM
EN
TS
FO
R P
AT
IEN
T A
DM
ISS
ION
TO
HO
SP
ITA
L
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
and
gra
ciou
snes
s CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Tal
k w
ith a
dmis
sion
offi
ce p
erso
nnel
Tal
k w
ith p
hysi
cian
and
pat
ient
Rec
ord
on p
atie
nt c
hart
Pre
-adm
issi
on fo
rm
App
ropr
iate
dic
tion,
enu
ncia
tion,
and
logi
cT
erm
inol
ogy/
gene
ral v
ocab
ular
y, c
larit
yof
exp
ress
ion,
and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, d
es-
crip
tion,
term
inol
ogy/
gene
ral v
ocab
ular
y,an
d lo
gic
Typ
ing
29
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
CH
ED
ULE
FO
R P
HY
SIC
IAN
OF
HO
SP
ITA
L P
AT
IEN
TS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Typ
e pe
r w
ishe
s of
phy
sici
an; i
.e. f
requ
ency
of p
repa
ratio
n, a
nd o
rder
and
type
of i
n-fo
rmat
ion
DE
CIS
ION
SC
UE
SE
RR
OR
S
List
sho
uld
incl
ude
any
fact
ors
whi
ch w
ould
faci
litat
e pa
tient
car
e an
d ef
ficie
ntly
util
ize
phys
icia
n's
time
Om
issi
on o
f "em
erge
ncy
adm
issi
ons"
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
CH
ED
ULE
FO
R P
HY
SIC
IAN
OF
HO
SP
ITA
L P
AT
IEN
TS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to a
nd fr
om p
hysi
cian
Com
mun
icat
ion
with
hos
pita
l
Rec
ord
sche
dule
and
rel
ated
info
rmat
ion
Ter
min
olog
y/ge
nera
l voc
abul
ary
App
ropr
iate
dic
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Pen
man
ship
and
/or
typi
ng
Spe
lling
Cla
ssifi
catio
nD
escr
iptio
nC
larit
y of
exp
ress
ion
Den
otat
ive/
conn
otat
ive
wor
ds
31i.
4.0
(TA
SK
ST
AT
EM
EN
T)
AR
RA
NG
E M
EE
TIN
GS
AN
D/O
R C
ON
FE
RE
NC
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
-. H
AZ
AR
D
Sta
ndar
d of
fice
supp
lies
As
indi
cate
d by
indi
vidu
al s
ituat
ionv
arie
sto
gre
at d
egre
e
Con
tact
par
ties
invo
lved
Obt
ain
and/
or d
isbu
rse
info
rmat
ion
conc
erni
ng d
etai
ls, i
.e. d
ate,
tim
e, d
urat
ion,
plac
e, n
atur
e of
mee
ting
or c
onfe
renc
e,nu
mbe
r of
per
sons
invo
lved
Rec
ord
deta
ilsF
ollo
w-u
p on
det
ails
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
natu
re o
f mee
ting
Age
nda,
par
ties
invo
lved
Det
erm
ine
mos
t app
ropr
iate
dat
e, ti
me,
and
Doc
tor's
sch
edul
epl
ace
Inef
ficie
ncy
41
(TA
SK
ST
AT
EM
EN
T)
AR
RA
NG
E M
EE
TIN
GS
AN
D/O
R C
ON
FE
RE
NC
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
gra
ciou
snes
s, a
ndim
agin
atio
nM
aint
ain
capa
city
to fo
ster
coo
pera
tion
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
ly w
hen
enco
unte
ring
fast
chan
ging
, mul
tiple
, per
sona
l or
situ
atio
nal v
aria
bles
Exh
ibit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
crnc
rol,
self-
relia
nce,
sel
f-re
spec
t, an
d ad
apta
bilit
y
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Ver
bal i
nter
actio
n w
ith p
hysi
cian
and
oth
erpa
rtie
s co
ncer
ned
Rec
ord
arra
ngem
ents
com
plet
edN
otify
par
ties
invo
lved
SK
I LLS
/CO
NC
EP
TS
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
seP
ersu
asio
n
Spe
lling
Cla
ssifi
catio
nB
usin
ess
lette
rs (
form
at/c
onte
nt)
Ter
min
olog
y/ge
nera
l voc
abul
ary
Cla
rity
of e
xpre
ssio
n
33
(TA
SK
ST
AT
EM
EN
T)
AR
RA
NG
E T
RA
VE
L A
CC
OM
OD
AT
ION
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
1O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Sta
ndar
d of
fice
supp
lies
Typ
ewrit
erT
elep
hone
Arr
ange
for
tran
spor
tatio
nA
rran
ge fo
r lo
dgin
g
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
mos
t app
ropr
iate
mod
e of
tran
s-D
ates
times
cost
and
kin
d of
acc
omod
a-po
rtat
ion
and
plac
e of
lodg
ing
tions
phys
icia
n's
desi
res
Not
req
uest
ing
writ
ten
conf
irmat
ion
espe
cial
ly fo
r lo
dgin
g, n
o re
serv
atio
n
43
(TA
SK
ST
AT
EM
EN
T)
AR
RA
NG
E T
RA
VE
L A
CC
OM
OD
AT
ION
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
gra
ciou
snes
s, a
ndim
agin
atio
nM
aint
ain
capa
city
to fo
ster
coo
pera
tion
Mai
ntai
n ca
paci
ty to
cap
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
ly w
hen
enco
unte
ring
fast
chan
ging
, mul
tiple
, per
snna
l or
situ
atio
nal v
aria
bles
Exh
ibit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
cont
rol,
self-
relia
nce,
sel
f-re
spec
t, an
d ad
apta
bilit
y
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Tal
k w
ith p
hysi
cian
and
oth
ers
conc
erni
ngar
rang
emen
ts
Inqu
iries
abo
ut a
ccom
odat
ions
Rec
ord
accu
rate
ly th
e ar
rang
emen
ts m
ade
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
seP
ersu
asio
n
Spe
lling
Bus
ines
s le
tters
(fo
rmat
/con
tent
)C
larit
y of
exp
ress
ion
Logi
c
Mem
o fo
rmat
Des
crip
tion
..35
(TA
SK
ST
AT
EM
EN
T)
OP
ER
AT
E A
ND
MA
INT
AIN
TY
PE
WR
ITE
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
as a
pplie
d to
type
-w
riter
mai
nten
ance
i.e.
type
writ
er b
rush
,op
erat
ing
man
ual,
clea
ning
flui
d, e
tc.
Be
fam
iliar
with
all
mov
ing
part
sT
ype
on b
oth
man
ual a
nd e
lect
ric ty
pew
riter
sC
lean
a ty
pew
riter
DE
CIS
ION
SC
UE
SE
RR
OR
S
Mal
func
tion
of m
achi
neD
eter
min
e at
wha
t poi
nt p
rofe
ssio
nal m
aint
e-na
nce
is n
eces
sary
App
ropr
iate
man
ual
(TA
SK
ST
AT
EM
EN
T)
OP
ER
AT
E A
ND
MA
INT
AIN
TY
PE
WR
ITE
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Man
ty7.
1
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
A f
Rea
ding
Com
preh
ensi
onD
etai
l/inf
eren
ceD
escr
iptio
n of
mec
hani
smD
efin
ition
Ter
min
olog
yIn
stru
ctio
ns
37
(TA
SK
ST
AT
EM
EN
T)
TR
AN
SC
RIB
E F
RO
M A
DIC
TA
TIN
G M
AC
HIN
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrit
erS
tand
ard
offic
e su
pplie
sD
icta
tion
tran
scrib
erO
ther
s as
situ
atio
n in
dica
tes,
i.e.
pat
ient
char
t, di
ctio
narie
s (m
edic
al, W
ebst
er)
Ope
rate
dic
tatin
g m
achi
neS
et u
p an
d ty
pe o
utpu
t as
indi
cate
d fr
omtr
ansc
riber
Pro
ofre
ad c
opy
=w
ww
ritD
EC
ISIO
NS
CU
ES
ER
RO
RS
Det
erm
ine
accu
racy
Vis
ual s
cann
ing
Orig
inal
sou
rce
of d
ata
Inco
mpl
ete
or in
accu
rate
info
rmat
ion
reco
rded
Poo
r fo
rmat
and
/or
gram
mat
ical
err
ors
TA
SK
ST
AT
EM
EN
TT
RA
NS
CR
IBE
FR
OM
A D
ICT
AT
ING
MA
CH
INE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
List
enin
g
Vie
win
g
Writ
ing
Dic
tate
d ta
pe
Pro
ofed
cop
y
Typ
ed c
opy
(or
lette
r)
Com
preh
ensi
on, m
edic
al te
rmin
olog
y, c
on-
cent
ratio
n, lo
gic,
not
e ta
king
, noi
sedi
scrim
inat
ion
Vis
ual a
naly
sis,
mem
ory,
logi
c, d
etai
l /in
fere
nce
Typ
ing,
spe
lling
, gra
mm
ar, l
ette
r/fo
rmat
39
(TA
SK
ST
AT
EM
EN
T)
OP
ER
AT
E C
OP
Y E
QU
IPM
EN
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
as a
pplie
d to
indi
vidu
al e
quip
men
tF
ollo
w o
pera
tiona
l man
ual t
o:se
t up
mac
hine
load
mat
eria
ls to
be
copi
edre
mov
e or
igin
als
and
copi
essh
ut d
own
mac
hine
If flu
id u
sed
in c
opy
mac
hine
, use
car
e in
hand
ling
Sta
in d
amag
e
DE
CIS
ION
SC
UE
SE
RR
OR
Det
erm
ine
wha
t poi
nt to
cal
l pro
fess
iona
lA
ppro
pria
te m
anua
lm
aint
enan
ceB
reak
dow
n of
equ
ipm
ent
49
AT
EM
EN
TO
PE
RA
TE
CO
PY
EQ
UIP
ME
NT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Effe
ct o
f hea
ting
and
cool
ing
on s
tate
of m
atte
r (c
hang
e of
mat
ter
from
one
form
to a
noth
er)
Effe
cts
of h
eat a
nd/o
r lig
ht o
n so
me
copy
pap
er
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
n th
enu
mbe
r lin
e (s
eque
ntia
l ord
erin
g)G
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n, a
nd/o
r ac
cura
cyw
ith r
espe
ct to
rel
ativ
e er
ror,
tole
ranc
e, a
nd s
igni
fican
t dig
its(m
easu
ring
in o
ther
than
line
ar, s
quar
e, a
nd c
ubic
)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Rea
ding
Vie
win
g
Man
ual
Dia
ls, g
auge
s, fi
nish
ed c
opy
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
escr
iptio
nof
mec
hani
sm, d
efin
ition
, ter
min
olog
y,tis
truc
tions
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
n to
the
who
le),
logi
c (o
rder
ing
of th
ough
tsan
d pe
rcep
tions
), d
etai
l and
infe
renc
e, c
olor
disc
rimin
atio
n, a
nd r
ecog
nitio
n of
sym
bols
,co
des,
em
blem
s
--,
41
(TA
SK
ST
AT
EM
EN
T)
CO
MP
OS
E A
ND
TY
PE
A B
US
INE
SS
LE
TT
ER
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrit
erS
tand
ard
offic
e su
pplie
sD
ictio
nary
Oth
ers
as in
dica
ted,
i.e.
orde
r bo
oks
tele
phon
e bo
oks
appr
opria
te d
irect
ory
Set
up
and
type
lette
r as
situ
atio
n in
dica
tes
Pro
ofre
ad c
opy
Add
ress
env
elop
e co
rrec
tly
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
prop
er p
hras
eolo
gyD
eter
min
e pr
oper
per
form
ance
inte
rval
Mus
t be
clea
r, c
onci
se, a
nd a
ccur
ate
51
(TA
SK
ST
AT
EM
EN
T)
CO
MP
OS
E A
ND
TY
PE
A B
US
INE
SS
LE
TT
ER
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on w
ith w
hole
num
bers
Add
ition
and
sub
trac
tion
of d
ecim
al fr
actio
nsM
ultip
licat
ion
and
divi
sion
of d
ecim
al fr
actio
ns
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
List
enin
g
Vie
win
g
Com
pose
lette
r
Inst
ruct
ions
from
phy
sici
an
Pro
ofed
cop
y
Spe
lling
, bus
ines
s le
tters
(fo
rmat
/con
tent
),te
rmin
olog
y/ge
nera
l voc
abul
ary,
cla
rity
ofex
pres
sion
,and
logi
c
Con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s), w
ord
defin
ition
, and
not
eta
king
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
nto
the
who
le),
mem
ory
(sho
rt a
nd lo
ngte
rm r
eten
tion)
, and
det
ail a
nd in
fere
nce
43S2
(TA
SK
ST
AT
EM
EN
T)
TY
PE
A C
ON
SU
LTA
TIO
N L
ET
TE
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrit
erS
tand
ard
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e su
pplie
sP
atie
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hart
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tiona
ries
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up
and
type
lette
r as
situ
atio
n in
dica
ted
Pro
ofre
ad c
opy
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ress
env
elop
e co
rrec
tly
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CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
prop
er fo
rmat
and
info
rmat
ion
Phy
sici
an's
not
es, o
rigin
al s
ourc
e of
dat
aD
eter
min
e ac
cura
cy o
f inf
orm
atio
nIn
com
plet
e or
inac
cura
te in
form
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n gi
ven
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(TA
SK
ST
AT
EM
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T)
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PE
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ON
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LTA
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ET
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R
SC
IEN
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MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
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n an
d di
visi
on w
ith w
hole
num
bers
Add
ition
and
sub
trac
tion
of d
ecim
al fr
actio
nsM
ultip
licat
ion
and
divi
sion
of d
ecim
al fr
actio
ns
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Writ
ing
Vie
win
g
Ora
l com
mun
icat
ion
with
phy
sici
an
Com
pose
lette
r
Pro
ofed
cop
y
Con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s), w
ord
defin
ition
, and
not
eta
king
Spe
lling
, bus
ines
s le
t.. r
s (f
orm
at/c
onte
nt),
term
inol
ogy/
gene
ral v
ocab
ular
y, c
lirity
of
expr
essi
on, a
nd lo
gic
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
nto
the
who
le),
mem
ory
(sho
rt a
nd lo
ngte
rm r
eten
tion)
, and
det
ail a
nd in
fere
nce
4554
(TA
SK
ST
AT
EM
EN
T)
CO
MP
OS
E A
ND
TY
PE
A R
EC
ALL
LE
TT
ER
TO
PA
TIE
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
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ZA
RD
Typ
ewrit
erS
tand
ard
offic
e su
pply
Dic
tiona
ryP
atie
nt c
hart
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up
and
type
lette
r as
sit.
.-qt
iun
indi
cate
san
d at
pro
per
inte
rval
acc
ordi
ng to
phy
sici
an*
polic
yP
roof
read
cop
yA
ddre
ss e
nvel
ope
corr
ectly
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
prop
er p
hras
eolo
gyP
hysi
cian
s' p
olic
yD
eter
min
e pr
oper
inte
rval
.
55
TA
SK
ST
AT
EM
EN
T)
CO
MP
OS
E A
ND
TY
PE
A R
EC
ALL
LE
TT
ER
TO
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TIE
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IEN
CE
MA
TH
NU
MB
ER
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ST
EM
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ition
and
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trac
tion
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hole
num
bers
Mul
tiplic
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d di
visi
on w
ith w
hole
num
bers
Add
ition
and
sub
trac
tion
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ecim
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actio
nsM
ultip
licat
ion
and
divi
sior
of d
ecim
al fr
actio
ns
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Vie
win
g
Com
pose
lette
r
Pro
ofed
cop
y
Spe
lling
Bus
ines
s le
tters
(fo
rmat
/con
tent
)T
erm
inol
ogy/
gene
ral v
ocab
ular
yC
larit
y of
exp
ress
ion
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c
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ual a
naly
sis
(see
ing
the
part
s in
rel
atio
n to
the
who
le)
Mem
ory
(sho
rt a
nd lo
ng te
rm r
eten
tion)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Det
ail a
nd in
fere
nce
47
t-;
(TA
SK
ST
AT
EM
EN
T)
CO
MP
OS
E A
ND
TY
PE
CO
LLE
CT
ION
LE
TT
ER
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrit
erS
tand
ard
offic
e su
pplie
sD
ictio
nary
Acc
ount
car
dP
atie
nt's
car
d
Set
up
and
type
lette
r as
situ
atio
n in
dica
tes
Pro
ofre
ad c
opy
Add
ress
env
elop
e co
rrec
tly
DE
CIS
ION
SC
UE
S&
RO
R$
Inac
cura
cy c
an le
ad to
unf
avor
able
pat
ient
rela
tions
Inco
rrec
t add
ress
or
amou
nt
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erm
ine
prop
er p
hras
eolo
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orm
atD
eter
min
e pr
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tim
e at
whi
ch to
per
form
Tac
t
proc
edur
e
S7
TA
SK
ST
AT
EM
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T)
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MP
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E A
ND
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LLE
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TT
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IEN
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TH
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ER
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ith w
hole
num
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ition
and
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ecim
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actio
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ultip
licat
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and
divi
sion
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ecim
al fr
actio
ns
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Vie
win
g
Com
pose
lette
r to
guar
anto
r
Pro
ofed
cop
y
Spe
lling
Bus
ines
s le
tters
(for
mat
/con
tent
)C
larit
y of
exp
ress
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c
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
nto
the
who
le)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Det
ail a
nd in
fere
nce
49
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E W
OR
KM
EN
'S C
OM
PE
NS
AT
ION
FO
RM
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
IIIIM
IPIN P
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrit
erS
tand
ard
offic
e su
pply
For
ms
supp
lied
by W
orkm
en's
Com
pens
atio
nP
atie
nt's
cha
rtP
atie
nt's
fina
ncia
l rec
ord
NIN
IMIN
IMIN
NIL
Obt
ain
writ
ten
auth
oriz
atio
n fr
om p
atie
ntIn
terp
ret
phys
icia
n's
note
s fr
om c
hart
List
pro
cedu
res
accu
rate
cas
e nu
mbe
r, d
is-
abili
ty, a
nd p
rofe
ssio
nal f
eeN
ote
on p
atie
nt's
rec
ord
(cop
y if
poss
ible
)
DE
CIS
ION
S
Det
erm
ine
whi
ch fo
rm is
app
ropr
iate
for
circ
umst
ance
s
CU
ES
For
mat
, typ
e of
com
pens
atio
n re
ques
ted
ER
RO
RS
Inco
mpl
ete
or in
accu
rate
info
rmat
ion
No
com
pens
atio
n aw
arde
d
Nq
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E W
OR
KM
EN
'SC
OM
PE
NS
AT
ION
FO
R M
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on w
ithw
hole
num
bers
Red
uctio
n of
frac
tions
Add
ition
and
sub
trac
tion
of p
rope
ran
d im
prop
er fr
actio
nsM
ultip
licat
ion
and
divi
sion
of p
rope
ran
d im
prop
er fr
actio
ns
Cha
ngin
g m
ixed
num
bers
to im
prop
erfr
actio
nsA
dditi
on a
nd s
ubtr
actio
n of
dec
imal
frac
tions
Mul
tiplic
atio
n an
d di
visi
on o
f dec
imal
frac
tions
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Rea
ding
Writ
ing
Phy
sici
an's
inst
ruct
ions
Not
es o
f phy
sici
an
To
com
mis
sion
rec
ordi
ng d
ata
Com
preh
ensi
on, m
edic
al te
rmin
olog
y,co
ncen
trat
ion,
logi
c (o
rder
ing
ofth
ough
ts
and
idea
s), a
nd n
ote
taki
ng
Com
preh
ensi
on, d
etai
l/inf
eren
ce,
info
rmat
iona
l
repo
rts,
term
inol
ogy,
and
inst
ruct
ions
Spe
lling
, cla
ssifi
catio
n, d
escr
iptio
n,te
rmin
olog
yge
nera
l voc
abul
ary,
cla
rity
ofex
pres
sion
,
and
logi
c.
514-
;
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E C
OM
ME
RC
IAL
HE
ALT
H F
OR
MS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
rS A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Typ
ewrit
erS
tand
ard
offic
e su
pply
For
ms
from
par
ticul
ar c
ompa
ny in
volv
edP
atie
nt's
cha
rtP
atie
nt's
fina
ncia
l rec
ord
Inte
rpre
tph
ysic
ian'
s no
tes
from
cha
rtLi
st p
roce
dure
, acc
urat
e ca
se n
umbe
r, a
nd fe
eN
ote
on p
atie
nt's
rec
ord
(cop
y if
poss
ible
)O
btai
n w
ritte
n au
thor
izat
ion
for
rele
ase
ofin
form
atio
n
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
assi
gnm
ent o
f ben
efits
Det
erm
ine
amou
nt o
f det
ail t
o tie
incl
uded
Phy
sici
an's
pre
fere
nce
Unu
sual
leng
th o
f tim
e ta
ken
to c
ompl
ete
proc
edur
e,i.e
.de
brid
emen
t of w
ound
s,bu
rns,
etc
.
Inco
mpl
ete
or in
accu
rate
info
rmat
ion
Pat
ient
rec
eive
s lo
wer
ben
efits
than
wou
ldha
ve r
ecei
ved
if su
ffici
ent i
nfor
mat
ion
give
n
C-1
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E C
OM
ME
RC
IAL
HE
ALT
H F
OR
MS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rea
ding
Req
uest
for
auth
oriz
atio
n
Lette
rs to
insu
ranc
e co
mpa
ny
Phy
sici
an's
inst
ruct
ions
Spe
lling
, bus
ines
s le
tters
(fo
rmat
/con
tent
),cl
arity
of e
xpre
ssio
n, a
nd lo
gic
Cla
ssifi
catio
n, a
nd te
rmin
olog
y/ge
nera
l voc
a-bu
lary
, and
rec
ord
data
Com
preh
ensi
on, m
edic
al te
rmin
olog
y,de
tail/
infe
renc
e, a
nd d
efin
ition
i;:?.
."
53
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E M
ED
ICA
RE
PA
RT
B F
OR
MS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrio
Sta
ndar
d of
fice
supp
lies
For
ms
supp
lied
by M
edic
are
Pat
ient
's c
hart
Pat
ient
's fi
nanc
ial r
ecor
d
Inte
rpre
tph
ysic
ian'
sno
tes
from
cha
rtLi
st p
roce
dure
, acc
urat
e ca
se n
o,m
ver,
and
fee
Not
e on
pat
ient
's r
ecor
d (c
opy
if po
ssib
le)
DE
CIS
ION
SC
UE
SE
RR
OR
S
pete
rmin
e as
sign
men
t of b
enef
itsP
hysi
cian
's p
refe
renc
e
(TA
SK
ST
AT
EM
EN
T)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Writ
ing
Rea
ding
Req
uest
for
auth
oriz
atio
n
Lette
rs to
insu
ranc
e co
mpa
ny
Phy
sici
an's
inst
ruct
ions
Spe
llirg
, bus
ines
s le
tters
(fo
rmat
/con
tent
),cl
arity
of e
xpre
ssio
n, a
nd lo
gic
Rec
ord
data
, cla
ssifi
catio
n, a
nd te
rmin
olog
y/ge
nera
l voc
abul
ary
Com
preh
ensi
on, m
edic
al te
rmin
olog
y, d
etai
l/in
fere
nce,
and
def
initi
on
55
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E P
UB
LIC
AS
SIS
TA
NC
E B
ILLI
NG
FO
RM
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Typ
ewrit
erS
tand
ard
offic
e su
pply
For
ms
supp
lied
by in
divi
dual
age
ncy
Pat
ient
's c
hart
Pat
ient
's fi
nanc
ial r
ecor
dN
ote:
follo
w g
uide
line
s of
indi
vidu
al s
tate
s
Inte
rpre
tph
ysic
ian'
s no
tes
trom
cha
rtLi
st p
roce
dure
, acc
urat
e ca
se n
umbe
r, a
nd fe
eN
ote
on p
atie
nt's
rec
ord
(cop
y is
pos
sibl
e)
DE
CIS
ION
S
Det
erm
ine
assi
gnm
ent o
f ben
efits
CU
ES
Phy
sici
an's
pre
fere
nce
ER
RO
RS
GS
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E P
UB
LIC
AS
SIS
TA
NC
E B
ILLI
NG
FO
RM
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rea
ding
Spe
akin
g
To
patie
nts
and
agen
cies
Lette
rs a
nd fo
rms
bille
d by
pat
ient
's a
nd
agen
cies
By
phon
e or
in p
erso
n w
ith p
atie
nt's
and
agen
cies
Spe
lling
, des
crip
tion,
bus
ines
s le
tters
(fo
rmat
/
cont
ent)
, ter
min
olog
y/ge
nera
l voc
abul
ary,
clar
ity o
f exp
ress
ion,
and
logi
c
Com
preh
ensi
on, d
etai
l/inf
eren
ce, i
nfor
mat
iona
lre
port
s, d
efin
ition
, and
term
inol
ogy
Ter
min
olog
y/ge
nera
l voc
abul
ary,
enu
ncia
tion,
clar
ity o
f exp
ress
ion,
and
logi
ctil
fic;
57
(TA
SK
ST
AT
EM
EN
T)
INV
EN
TO
RY
OF
FIC
E S
UP
PLI
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Sto
ck b
ook
or c
ards
Cou
nt s
uppl
ies
Rec
ord
supp
lies
Rea
rran
ge s
uppl
ies
in p
rope
r or
der
Pro
per
use
of a
vaila
ble
stor
age
faci
litie
sD
amag
e to
sup
plie
sT
raum
a to
per
sonn
el
DE
CIS
ION
SC
UE
S
Gui
delin
es o
n am
ount
of r
eser
ve s
tock
ER
RO
RS
Run
sho
rt o
f sup
plie
sD
eter
min
e po
int a
t whi
ch to
reo
rder
(TA
SK
ST
AT
EM
EN
T)
INV
EN
TO
RY
OF
FIC
E S
UP
PLI
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on o
f who
le n
umbe
rsS
eque
ntia
l ord
erin
g
CO
MM
UN
ICA
TIO
NS
Writ
ing
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Rec
ord
inve
ntor
y
i
Cla
ssifi
catio
nD
enot
ativ
e/co
nnot
ativ
e w
ords
Logi
c
59
(TA
SK
ST
AT
EM
EN
T)
OR
DE
R A
ND
RE
CE
IVE
OF
FIC
E S
UP
PLI
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Sta
ndar
d of
fice
supp
lies
Sto
ck b
ook
or c
ards
Rec
ord
of s
uppl
ies
and
cost
s of
sup
plie
sT
elep
hone
1....
-IP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pla
ce o
rder
s ap
prop
riate
ly a
nd a
ccur
atel
yIn
vent
ory
and
reco
rd o
n in
vent
ory
shee
t or
card
s
Sto
re in
pro
per
area
DE
CIS
ION
S
Det
erm
ine
at w
hat p
oint
sup
plie
s w
ill b
e de
-pl
eted
Det
erm
ine
phys
ical
nee
ds o
f art
icle
s to
be
stor
ed
PU
ES
Rat
e of
use
Ref
riger
atio
n ne
cess
ary
for
som
e m
edic
atio
ns
pRR
OR
S
Run
sho
rt o
f sup
plie
sB
reak
dow
n of
dru
g-m
ust b
e di
scar
ded
(TA
SK
ST
AT
EM
EN
T)
°RO
E: A
ND
RE
CE
IVE
OF
FIC
E S
UP
PLI
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on o
f who
le n
umbe
rs
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Writ
ing
Spe
akin
g
Cor
resp
ond
with
sup
plie
sR
ecor
d tr
ansa
ctio
ns
Ver
b& in
tera
ctio
n w
ith e
mpl
oyer
Tel
epho
ne o
rder
Spe
lling
, cla
ssifi
catio
n, a
nd d
escr
iptio
nC
lass
ifica
tions
, and
mem
o fo
rmat
Bus
ines
s le
tters
(fo
rmat
/con
tent
), te
rmin
olog
y/ge
nera
l voc
abul
ary,
cla
rity
of e
xpre
ssio
n,an
d lo
gic.
Ter
min
olog
y/ge
nera
l voc
abul
ary,
app
ropr
iate
dict
ion,
cla
rity
of e
xpre
ssio
n, d
enot
ativ
e%co
nnot
ativ
e w
ords
, and
logi
c
61
Dut
y B
Com
plet
ing
Bus
ines
s O
ffice
Dut
ies
1O
pera
te a
nd m
aint
ain
an a
ddin
g m
achi
neF
ill o
ut a
nd p
roce
ss a
day
she
et3
Com
plet
e a
char
ge s
lip4
Com
plet
e an
acc
ount
car
d5
Pre
pare
sta
tem
ents
6P
repa
re in
form
atio
n fo
r a
com
mer
cial
bill
ing
agen
cy7
Inve
stig
ate
reti
rued
mai
l8
Acc
ept p
aym
ent a
nd p
ost l
edge
r ca
rds
9C
ompl
ete
a ba
nk d
epos
it sl
ip10
Han
dle
cred
it ar
rang
emen
ts w
ith p
atie
nt11
Con
tact
del
ique
nt p
atie
nt12
Ext
ract
bill
ing
info
rmat
ion
from
doc
tor's
not
es13
Obt
ain
and
reco
rd p
atie
nt b
illin
g in
form
atio
n fo
r ho
spita
l vis
itsby
phy
sici
an14
Est
ablis
h an
d co
ntro
l pet
ty c
ash
fund
15P
repa
re a
nd m
aint
ain
empl
oyee
s' p
ayro
ll re
cord
s16
Com
plet
e em
ploy
ee r
elat
ed ta
x fo
rms
17D
isbu
rse
prof
essi
onal
exp
ense
s18
Rec
onci
le a
che
ckbo
ok w
ith b
ank
stat
emen
t mon
thly
19C
ompl
ete
mon
thly
dis
burs
emen
t she
et a
nd/o
r le
dger
20C
ompl
ete
sum
mar
y sh
eets
of e
arni
ng a
nd in
com
e21
Ass
embl
e in
form
atio
n fo
r ac
coun
tant
for
tax
retu
rns
63
(TA
SK
ST
AT
EM
EN
T)
OP
ER
AT
E A
ND
MA
INT
AIN
AN
AD
DIN
G M
AC
HIN
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Add
ing
mac
hine
Bru
sh fo
r ke
y cl
eani
ngA
ddin
g m
achi
ne ta
pe
Be
fam
iliar
with
all
mov
ing
part
sO
pera
te a
s in
dica
ted
in in
stru
ctio
n m
anua
lC
lean
key
s as
nee
dea
Put
in n
ew r
oll o
f pap
er
DE
CIS
ION
SC
UE
S
Ligh
t prin
t
ER
RO
RS
Det
erm
ine
whe
n to
cle
an k
eys
Qua
lity
OT
prin
t out
(TA
SK
ST
AT
EM
EN
T)
OP
ER
AT
E A
ND
MA
INT
AIN
AN
AD
DIN
G M
AC
HIN
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PI E
SS
KI L
LS/C
ON
CE
PT
S
6,4
^I
Rea
ding
Ope
ratio
n m
anua
lC
ompr
ehen
sion
Det
ail/i
nfer
ence
Info
rmat
iona
l rep
orts
Des
crip
tion
of m
echa
nism
Def
initi
onT
erm
inol
ogy
Pro
cess
rep
ortin
stru
ctio
ns
65
'TA
SK
ST
AT
EM
EN
T)
FIL
L O
UT
AN
D P
RO
CE
SS
A D
AY
SH
EE
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wra
ing
mat
eria
lsD
ay s
heet
as s
peci
fied
by p
hysi
cian
Acc
ount
car
dsC
ash
cont
rol s
heet
(if
indi
cate
d by
offi
cepo
licy)
DE
CIS
ION
S
Det
erm
ine
accu
racy
of t
otal
Rec
ord
proc
edur
es p
erfo
rmed
Rec
ord
char
ges
and
cred
its fo
r sa
me
(offi
cepo
licy
may
indi
cate
all
char
ges
liste
d by
phy
-si
cian
)T
otal
all
debi
ts a
nd c
redi
ts d
aily
Bal
ance
she
et w
ith c
ash
and
chec
ks r
ecei
ved
Not
e an
y no
n-pa
ymen
t cre
dits
Cal
cula
te p
rofe
ssio
nal d
isco
unt i
f any
Doe
s no
t bal
ance
CU
ES
ER
RO
RS
Mon
thly
-qua
rter
ly a
nd/o
r ye
arly
will
refle
cter
rors
and
cau
se p
robl
ems
7z1
(TA
SK
ST
AT
EM
EN
T)
FIL
L O
UT
AN
D P
RO
CE
SS
A D
AY
SH
EE
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on w
ith w
hole
num
bers
Red
uctio
n of
frac
tions
Add
ition
and
sub
trac
tion
of p
rope
r an
d im
prop
er fr
actio
nsM
ultip
licat
ion
and
divi
sion
of p
rope
r an
d im
prop
er fr
actio
nsC
hang
ing
mix
ed n
umbe
rs to
impr
oper
frac
tions
Add
ition
and
sub
trac
tion
of d
ecim
al fr
actio
nsM
ultip
licat
ion
and
divi
sion
of d
ecim
al fr
actio
nsR
ound
ing
off d
ecim
als
and
who
le n
umbe
rsC
hang
ing
perc
ents
to fr
actio
ns a
nd fr
actio
ns to
per
cent
sF
indi
ng a
per
cent
of a
num
ber
and
wha
t per
cent
one
num
ber
is o
fan
othe
r
CO
MM
UN
ICA
T IO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Writ
ing
Tra
nsfe
r of
info
rmat
ion
rega
rdin
g ch
arge
s to
patie
nt's
ledg
er c
ards
Spe
lling
Cla
ssifi
catio
nD
et,z
riptio
nT
erm
inol
ogy/
gene
ral v
ocat
'ula
ryC
larit
y of
exp
ress
ion
Den
otat
ive/
conn
otat
ive
wor
dsLo
gic
671"
st/%
.
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
CH
AR
GE
SLI
P
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Writ
ing
mat
eria
lsC
harg
e sl
ips
Rec
ord
all p
roce
dure
s pe
rfor
med
and
fee
for
each
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inco
mpl
ete
or in
accu
rate
info
rmat
ion
Inco
rrec
t bill
ing
Det
erm
ine
accu
racy
of r
ecor
ded
info
rmat
ion
Orig
inal
sou
rce
of d
ata
VC
,
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
CH
AR
GE
SLI
P
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
rrac
tion
of w
hole
num
bers
Giv
en a
cod
ing
syst
em, r
ecog
nize
and
iden
tify
each
uni
t inv
olve
dby
ass
igni
ng n
eces
sary
sym
bols
, num
eric
al o
r lit
eral
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Writ
ing
Rea
ding
Rec
ord
med
ical
term
inol
ogy
Cha
rt
Spe
lling
, cla
ssifi
catio
n, d
escr
iptio
n, c
larit
y of
expr
essi
on, d
enot
ativ
e/co
nnot
ativ
e w
ords
,lo
gic
Com
preh
ensi
on, d
etai
l/inf
eren
ce, i
nfor
mat
iona
lre
port
s, p
rogr
ess
repo
rts,
phy
sica
l exp
eri-
men
tatio
n re
port
s, d
efin
ition
, and
term
in-
olog
y
_. _
....
69
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
N A
CC
OU
NT
CA
RD
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lyA
ccou
nt c
ard
Reg
istr
atio
n fo
rmT
ypew
riter
Typ
e he
adin
g in
form
atio
n fr
om r
egis
trat
ion
form
Rec
ord
prof
essi
onal
ser
vice
s, fe
es, a
nd c
redi
tsas
they
occ
urD
oubl
e ch
eck
all f
ee a
nd c
redi
t ent
ries
Mai
ntai
n a
runn
ing
bala
nce
due
File
alp
habe
tical
ly
Not
e: ty
pe o
f acc
ount
car
d va
ries
with
indi
vi-
dual
phy
sici
an
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
accu
racy
of r
ecor
ded
info
rmat
ion
Reg
istr
atio
n fo
rmIn
corr
ect b
illin
g
v7S
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
N A
CC
OU
NT
CA
RD
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on w
ith w
hole
num
bers
Red
uctio
n of
frac
tions
Add
ition
and
sub
trac
tion
of p
rope
r an
d im
prop
er fr
actio
nsM
ultip
licat
ion
and
divi
sion
of p
rope
r an
d im
prop
er fr
actio
nsC
hang
ing
mix
ed n
umbe
rs to
impr
oper
frac
tions
Add
ition
and
sub
trac
tion
of d
ecim
al fr
actio
nsM
ultip
licat
ion
and
divi
sion
of d
ecim
al fr
actio
nsR
ound
ing
off d
ecim
als
and
who
le n
umbe
rsC
hang
ing
perc
ents
to fr
actio
ns a
nd fr
actio
ns to
per
cent
sF
indi
ng a
per
cent
of a
num
ber
and
wha
t per
cent
one
num
ber
is o
fan
othe
r
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Writ
ing
Reg
istr
atio
n fo
rm
Rec
ordi
ng in
form
atio
n on
car
ds
Com
preh
ensi
on, m
edic
al te
rmin
olog
y, d
etai
l/in
fere
nce,
and
def
initi
on
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, d
escr
iptio
n,te
rmin
olog
y/ge
nera
l voc
abul
ary,
cla
rity
ofex
pres
sion
, den
otat
ive/
conn
otat
ive
wor
ds,
and
logi
c
P2q
71
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
TA
TE
ME
NT
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Tra
nsm
it in
form
atio
n fr
om p
atie
nt's
fina
ncia
lT
ypew
riter
and
/or
copy
mac
hine
reco
rd to
type
d st
atem
ent
Pat
ient
's fi
nanc
ial r
ecor
dsM
ake
colle
ctio
n no
tices
as
situ
atio
n in
dica
tes
Sta
tem
ents
Rea
dy fo
r m
ailin
gi.e
., fo
ld, s
eal,
stam
p, if
Env
elop
esm
anua
l pro
cess
is u
sed
Sta
mps
Oth
er e
quip
men
t as
utili
zed
be in
divi
dual
offic
e
Not
e: P
hysi
cian
s m
ay u
tiliz
e w
indo
wen
velo
pes
Phy
sici
ans
may
use
sys
tem
whi
ch w
ould
in-
clud
e m
akin
g of
sta
tem
ent w
hen
post
ing
com
plet
ed
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
accu
racy
of f
igur
esF
inan
cial
rec
ord
Inco
rrec
t bill
ing
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
TA
TE
ME
NT
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rea
ding
To
patie
nt
Acc
ount
car
d
Spe
lling
, des
crip
tion,
term
inol
ogy/
gene
ral
voca
bula
ry, b
usin
ess
lette
rs (
form
at/c
onte
nt)
clar
ity o
f exp
ress
ion,
and
logi
c
Com
preh
ensi
on, m
edic
al te
rmin
olog
y, d
etai
l/in
fere
nce,
info
rmat
iona
l rep
orts
, and
def
ini-
tion
ern-
--73
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E IN
FO
RM
AT
ION
FO
R A
CO
MM
ER
CIA
L B
ILLI
NG
AG
EN
CY
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Sta
ndar
d of
fice
supp
lies
Typ
ewrit
erop
tiona
lC
harg
e sl
ips
For
ms
prov
ided
by
com
mer
cial
bill
ing
agen
cyut
ilize
d
DE
CIS
ION
S
Det
erm
ine
accu
racy
of i
nfor
mat
ion
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Rec
ord
patie
nt c
harg
es a
nd r
ecei
pts
on fo
rmpr
ovid
edN
ote:
Mus
t be
accu
rate
in r
ecor
ding
all
info
r-m
atio
n i.e
., pa
tient
's n
ame,
pat
ient
's a
d-dr
ess,
dat
e of
ser
vice
, typ
e of
ser
vice
, and
char
ge fo
r se
rvic
eD
eliv
er to
com
mer
cial
bill
ing
agen
cy a
t spe
cifi-
time
inte
rval
Pat
ient
's r
ecor
ds
CU
ES
SA
FE
TY
HA
ZA
RD
ER
RO
RS
Inco
rrec
t bill
ing
S2
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E IN
FO
RM
AT
ION
FO
R A
CO
MM
ER
CIA
L B
ILLI
NG
AG
EN
CY
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rec
ord
patie
nt in
form
atio
n an
d m
edic
alte
rmin
olog
yC
orre
spon
denc
e w
ith a
genc
yP
enm
ansh
ipS
pelli
ngC
lass
ifica
tion
Des
crip
tion
Bus
ines
s le
tters
(fo
rmat
/con
tent
)C
larit
y of
exp
ress
ion
Logi
c
75
(TA
SK
ST
AT
EM
EN
T)
INV
ES
TIG
AT
E R
ET
UR
NE
D M
AIL
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Com
pare
add
ress
with
pat
ient
's r
ecor
dP
atie
nt's
rec
ord
Inqu
ire o
f pat
ient
's e
mpl
oyer
for
new
add
ress
Tel
epho
neIn
quire
of i
ndiv
idua
l who
ref
erre
d pa
tient
for
new
add
ress
Inqu
ire o
f cre
dit b
urea
u fo
r re
cent
rec
ord
ofpu
rcha
ses
If si
mpl
e er
ror
in in
itial
writ
ing,
re-
addr
ess
and
mai
l im
med
iate
ly
DE
CIS
ION
S
Det
erm
ine
sour
ce o
f err
orR
ecor
d,
CU
ES
ER
RO
RS
Ret
urne
d ag
ain
SI
TA
SK
ST
AT
EM
EN
T)
INV
ES
TIG
AT
E R
ET
UR
NE
D M
AIL
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Writ
ing
Spe
akin
g
Req
uest
s fo
r in
form
atio
n
Tel
epho
ne fo
r in
form
atio
n
Spe
lling
Bus
ines
s le
tters
(fo
rmat
/con
tent
)C
larit
y of
exp
ress
ion
Logi
c
App
ropr
iate
dic
tion
Cla
rity
of e
xpre
ssio
nLo
gic
77
!TA
SK
ST
AT
EM
EN
T)
AC
CE
PT
PA
YM
EN
T A
ND
PO
ST
LE
DG
ER
CA
RD
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Writ
ing
mat
eria
lsW
rite
a re
ceip
t for
all
cash
pay
men
ts a
s ta
ken
Com
plet
ed d
ay s
heet
Sta
mp
chec
ks w
ith d
epos
it en
dors
emen
t at t
heP
atie
nt's
fina
ncia
l rec
ords
time
of r
ecei
ptC
ash
rece
ipt b
ook
Add
cos
t and
che
cks
and
reco
ncile
with
day
Add
ing
mac
hine
shee
t tot
als
Dep
artm
ent e
ndor
sem
ent s
tam
p (o
ptio
nal)
Pos
t pro
cedu
res,
deb
its, a
nd c
redi
ts to
pat
ient
'sle
dger
car
dT
otal
new
ly e
nter
ed d
ebits
and
cre
dits
on
patie
nt's
ledg
er c
ards
, and
rec
onci
le fi
gure
sw
ith d
ay s
heet
tota
ls (
not b
alan
ce)
DE
CIS
ION
SC
UE
SE
RR
OR
;
Det
erm
ine
if ch
eck
is p
rope
rly e
ndor
sed
Sta
mpe
d"f
or d
epos
it on
ly"
Det
erm
ine
accu
racy
of p
ostin
gO
rigin
al s
ourc
e of
dat
a
e(T
AS
K S
TA
TE
ME
NT
)A
CC
EP
T P
AY
ME
NT
AN
D P
OS
T L
ED
GE
R C
AR
DS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Spe
akin
g
Rec
ord
figur
es
Pat
ient
mak
ing
paym
ent m
ade
in p
erso
n
Spe
lling
Cla
ssifi
catio
nU
sage
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
79
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
BA
NK
DE
PO
SIT
SLI
P
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ban
k de
posi
t slip
sR
ecou
nt c
ost a
nd r
econ
cile
with
rec
eipt
boo
kC
arbo
n pa
per
List
, by
paye
e, a
ll ch
ecks
and
am
ount
ther
eof
Typ
ewrit
eron
slip
Add
ing
mac
hine
Add
che
cks
liste
d an
d en
ter
tota
l on
depo
sit
slip
Ent
er to
tal c
ost i
n de
posi
t slip
; add
cas
h an
dch
ecks
, and
then
tota
l: en
ter
final
tota
l on
slip
Rec
onci
le to
tal w
ith d
ay s
heet
Mak
e a
com
plet
e ca
rbon
cop
y of
dep
osit
slip
DE
CIS
ION
SC
UE
S
Det
erm
ine
if al
l che
cks
Ere
end
orse
d (if
not
Sta
mpe
d or
sig
ned
prop
erly
don
e at
tim
e of
rec
eipt
)
ER
RO
RS
Can
not d
epos
it ch
ecks
"111
1111
1111
1111
1111
MM
IV SS
TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
BA
NK
DE
PO
SIT
SLI
P
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rea
ding
Rec
ordi
ng in
form
atio
n
Acc
ount
s
Pen
man
ship
Spe
lli, g
Cla
ssifi
catio
nLo
gic
Com
preh
ensi
onD
etai
l/inf
eren
ce
f ""k
Co.
(4
81
(TA
SK
ST
AT
EM
EN
T)
HA
ND
LE C
RE
DIT
AR
RA
NG
EM
EN
TS
WIT
H P
AT
IEN
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Acc
ount
car
dF
ee s
ched
ulr.
. (fo
r re
fere
nce)
Det
erm
ine
serv
ices
for
whi
ch p
atie
nt w
ill b
e or
has
been
cha
rged
Det
erm
ine
sche
dule
of p
aym
ents
agr
eeab
le w
ithpa
tient
Obt
ain
sign
ed n
ote
(if th
is is
offi
ce p
olic
y)N
ote:
Nee
d fo
r co
llect
ion
proc
edur
es c
an b
eav
oide
d in
mos
t cas
es if
pat
ient
is a
war
e of
desi
re o
f offi
ce to
faci
!itat
e pa
ymen
t thr
ough
agre
eabl
e m
eans
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
HA
ND
LE C
RE
DIT
AR
P.A
NG
EM
EN
TS
WIT
H P
AT
IEN
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
gra
ciou
snes
s, a
ndim
agin
atio
nM
aint
ain
capa
city
to fo
ster
trus
tM
aint
ain
capa
city
to fo
ster
con
fiden
tialit
yM
aint
ain
capa
city
to fo
ster
coo
pera
tion
Mai
ntai
n kA
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Exh
ibit
capa
city
to a
cert
ain
best
ser
vice
for
the
part
icul
ar n
eeds
of
patie
nt
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on w
ith w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Writ
ing
Spe
akin
g
EX
AM
PLE
S
Rec
ord
cred
it in
form
atio
n
Pat
ient
and
phy
sici
an's
neg
ocia
tions
of p
ay-
men
t
SK
ILLS
/CO
NC
EP
TS
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nLo
gic
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
83
(TA
SK
ST
AT
EM
EN
T)
CO
NT
AC
T D
ELI
NQ
UE
NT
PA
TIE
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Pat
ient
fina
ncia
l rec
ord
Tel
epho
neT
ypew
riter
Tal
k to
del
inqu
ent p
atie
nt's
wl,o
vis
it of
fice
Cal
l pat
ient
's w
ho c
an b
e co
ntac
ted
by te
le-
phon
eP
atie
nt s
houl
d be
con
tact
ed p
erso
nally
whe
nac
coun
t bec
omes
del
inqu
ent
Writ
e to
pat
ient
s w
ho c
anno
t be
reac
hed
Mot
ivat
e pa
tient
to p
ay d
elin
quen
t bill
and
still
pre
serv
e se
lf-es
teem
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
met
hod
of c
onta
ctA
vaila
bilit
y of
pat
ient
Non
-pay
men
t of b
ill
e92
s
(TA
SK
ST
AT
EM
EN
T)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Und
erst
and
need
for
patie
nt to
pre
serv
e se
lf-es
teem
Exh
ibit
qual
ities
of t
act,
pois
e, c
onsi
dera
tion,
gra
ciou
snes
s, a
ndim
agin
atio
nM
aint
ain
capa
city
to fo
ster
trus
tM
aint
ain
capa
city
to fo
ster
con
fiden
tialit
yM
aint
ain
capa
city
to fo
ster
coo
pera
tion
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Exh
ibit
capa
city
to a
cert
ain
best
ser
vice
for
the
part
icul
ar n
eeds
of
patie
nt
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
a:si
ng
Writ
ing
Per
sona
l and
tele
phon
e no
tice
of d
elin
quen
cy
Com
pose
not
ice
of d
elin
quen
cy
App
ropr
iate
dic
tion,
enu
ncia
tion,
cla
rity
ofex
pres
sion
, den
otat
ive/
conn
otat
ive
wor
ds,
and
logi
c
Spe
lling
, des
crip
tion,
bus
ines
s le
tters
(fo
rmat
/co
nten
t), c
larit
y of
exp
ress
ion,
and
logi
c
85
(TA
SK
ST
AT
EM
EN
T)
EX
TR
AC
T B
ILLI
NG
INF
OR
MA
TIO
N F
RO
M D
OC
TO
R'S
NO
TE
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Pat
ient
's c
hart
Pat
ient
's fi
nanc
ial r
ecor
dD
ay s
heet
or
prac
tice
ledg
er
Che
ck fo
r sp
ecia
l inf
orm
atio
n re
gard
ing
billi
ng:
i.e. i
njur
y m
ay b
e w
ork
rela
ted
or b
asis
for
lega
l sui
t; th
ird p
erso
n m
ay b
e re
spon
sibl
efo
r bi
ll; p
hysi
cian
may
indi
cate
no
char
ge;
prof
essi
onal
dis
coun
t
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inco
rrec
t bill
ing
Det
erm
ine
amou
nt o
f bill
ing
Phy
sici
an's
not
es
.
4
(TA
SK
ST
AT
EM
EN
T)
EX
TR
AC
T B
ILLI
NG
INF
OR
MA
TIO
N F
RO
M D
OC
TO
R'S
NO
TE
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Writ
ing
Pat
ient
's n
otes
Fin
anci
al r
ecor
d
Inte
rpre
t med
ical
term
inol
ogy,
com
preh
ensi
on,
deta
il/in
fere
nce,
def
initi
on, t
erm
inol
ogy,
and
proc
ess
repo
rtin
stru
ctio
ns
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, a
nd lo
gic
87flo
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN A
ND
RE
CO
RD
PA
TIE
NT
BIL
LIN
G IN
FO
RM
AT
ION
FO
R H
OS
PIT
AL
VIS
ITS
BY
PH
YS
ICIA
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
MP
ER
FO
RM
AN
CE
KN
OW
LED
GE
Sta
ndar
d of
fice
supp
lies
Hos
pita
l pat
ient
list
Pat
ient
's fi
nanc
ial r
ecor
d
SA
FE
TY
HA
ZA
RD
Che
ck w
ith p
hysi
cian
dai
ly r
egar
ding
hos
pita
lse
rvic
es; i
.e.,
hosp
ital v
isits
, con
sulta
tions
,an
d su
rger
y
DE
CIS
ION
S
Det
erm
ine
accu
racy
of i
nfor
mat
ion
CU
ES
Con
tact
on
daily
bas
isIn
corr
ect b
illin
g
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN A
ND
RE
CO
RD
PA
TIE
NT
BIL
LIN
G IN
FO
RM
AT
ION
FO
R H
OS
PIT
AL
VIS
ITS
BY
PH
YS
ICIA
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Spe
akin
g
List
enin
g
Pat
ient
's r
ecor
d
Con
sult
phys
icia
n
Inte
rpre
t med
ical
term
inol
ogy
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
-ol
ogy/
gene
ral v
ocab
ular
y, d
enot
ativ
e/co
nnot
ativ
e w
ords
, and
logi
c
Ter
min
olog
y/ge
nera
l voc
abul
ary,
enu
ncia
tion,
clar
ity o
f exp
ress
ion,
and
logi
c
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s), a
nd w
ord
defin
ition
89
(TA
SK
ST
AT
EM
EN
T)
ES
TA
BLI
SH
AN
D C
ON
TR
OL
PE
TT
Y C
AS
H F
UN
D
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Writ
ing
mat
eria
lsC
ash
from
pro
fess
iona
l acc
ount
star
ting
amou
nt v
arie
d w
ith in
divi
dual
phy
sici
anS
epar
ate
cont
aine
r fo
r ca
shpr
efer
rabl
y a
cash
box
Cas
h le
dger
type
and
com
plex
ity v
arie
sw
ith p
hysi
cian
's w
ishe
s
DE
CIS
ION
S
Det
erm
ine
flow
of c
ash
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Rec
ord
star
ting
amou
ntA
ccur
atel
y re
cord
all
debi
ts p
rom
ptly
, and
have
writ
ten
rece
ipts
for
sam
eM
aint
ain
a ru
nnin
g ba
lanc
eS
uppl
emen
t fun
ds a
s ne
eded
and
add
to r
un-
ning
bal
ance
Not
e: c
orre
ct c
ontr
olof
cas
h ca
n be
rit b
em
aint
aine
d w
hen
only
one
indi
vidu
al is
invo
:,eed
CU
ES
Orig
inal
and
sup
plem
enta
l fun
ds s
houl
d be
issu
ed a
s ca
sh c
heck
s fr
om p
rofe
ssio
nal
acco
unt t
o m
aint
ain
good
con
trol
SA
FE
TY
HA
ZA
RD
ER
RO
RS
Inco
mpl
ete
or in
corr
ect r
ecor
ds
9R
TA
SK
ST
AT
EM
EN
T)
ES
TA
BLI
SH
AN
D C
ON
TR
OL
PE
TT
Y C
AS
H F
UN
D
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
Writ
ing
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rec
ord
info
rmat
ion
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nLo
gic
91
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
MA
INT
AIN
EM
PLO
YE
ES
'PA
YR
OLL
RE
CO
RD
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Sta
ndar
d of
fice
supp
lies
Em
ploy
ees
with
oldi
ng e
xem
ptio
n ce
rtifi
cate
Pay
roll
(edg
er (
pre-
prin
ted
optio
nal)
App
licab
le ta
x bo
okle
ts is
sued
by
fede
ral,
stat
e, a
nd c
ity a
genc
ies
(may
var
y w
ithin
divi
dual
sta
te a
nd/o
r ci
ty)
DE
CIS
ION
S
Det
erm
ine
corr
ectn
ess
of fi
gure
s an
d to
tals
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Hav
e em
ploy
er c
ompl
ete
and
sign
em
ploy
ees
with
oldi
ng e
xem
ptio
n ce
rtifi
cate
If no
t pre
-prin
ted
ledg
er, m
ake
colu
mn
head
inas
indi
cate
d (i.
e., p
ay p
erio
d, g
ross
, fed
eral
inco
me
tax,
soc
ial s
ecur
ity, s
tate
, city
, in-
sura
nce,
etc
., ne
t sal
ary)
Hea
ding
of e
ach
shee
t sho
uld
cont
ain
all
allo
wed
ben
efits
, i.e
., tic
k le
ave,
vac
atio
n,sa
lary
, dat
e of
am
ount
of a
ny in
crea
ses,
etc
.M
aint
ain
indi
vidu
al s
tbae
ts fo
r ea
ch e
mpl
oyer
Mak
e to
tals
mon
thly
, qua
rter
ly, a
nd y
early
Bal
ance
she
ets
CU
ES
IE
RR
OR
S
Inco
rrec
t moo
ns a
nd ta
x fo
rm
I (In
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
MA
INT
AIN
EM
PLO
YE
ES
'PA
YR
OLL
RE
CO
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on w
ith w
hole
num
bers
Fin
ding
a p
erce
nt o
f a n
umbe
r an
d w
hat p
erce
nt o
ne n
umbe
r is
of
anot
her
Rea
d an
d in
terp
ret c
hart
s, ta
bles
, and
/or
grap
hsM
easu
re o
f tim
e an
d sp
eed
(exa
mpl
e: ti
me
seco
nds,
min
utes
, etc
.;sp
eed
feet
per
min
ute,
R.P
.M.,
etc.
)
CO
MM
UN
ICA
TIO
NS
0101
,111
MM
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Phy
sici
an w
ith e
mpl
oyee
With
em
ploy
ee, r
ecor
ding
info
rmat
ion
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, d
enot
ativ
e/co
nnot
ativ
e w
ords
, log
ic, a
nd p
oise
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, c
larit
y of
expr
essi
on, a
nd lo
gic
1 01
93
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E E
MP
LOY
EE
RE
LAT
ED
TA
X F
OR
MS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Sta
ndar
d of
fice
supp
lies
Pay
roll
reco
rds
Typ
ewrit
erA
ddin
g m
achi
neA
pplic
able
tax
form
s i.e
., W
-2, q
uart
erly
empl
oyer
's fo
rms,
and
yea
rly e
mpl
oyer
'sfo
rms
Sta
te a
nd c
ity fo
rms
vary
with
geo
grap
hica
llo
catio
n
DE
CIS
ION
S
Det
erm
ine
accu
racy
of f
igur
es
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Com
plet
e fo
rms
as in
dica
ted
Acc
urat
ely
follo
w in
stru
ctio
ns in
seq
uenc
e to
elim
inat
e er
rors
Dou
ble
chec
k al
l fig
ures
Mak
e ca
rbon
cop
ies
of a
ll fo
rms
and
file
appr
o-pr
iate
lyW
rite
appl
icab
le c
heck
Com
plet
e an
d m
ail b
efor
e de
adlin
es
CU
ES
Pay
roll
reco
rds,
W-2
form
s, c
ompu
tatio
n ta
pe
SA
FE
TY
HA
ZA
RD
ER
RO
R$
Inco
rrec
t tax
form
s
1 (1
2
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E E
MP
LOY
EE
RE
LAT
ED
TA
X F
OR
MS
I
.
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Rea
d an
d in
terp
ret c
hart
s, ta
bles
, and
/or
grap
hsA
dditi
on a
nd s
ubtr
actio
n of
who
le n
umbe
rsM
ultip
licat
ion
and
divi
sion
with
who
le n
umbe
rsF
indi
ng a
per
cent
of a
num
ber
and
wha
t per
cent
one
num
ber
is o
fan
othe
r
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
To
agen
cy in
volv
ed
Rec
ordi
ng in
form
atio
n
Spe
lling
Bus
ines
s le
tters
(fo
rmat
/con
tent
)T
erm
inol
ogy/
gene
ral v
ocab
ular
y)C
larit
y of
exp
ress
ion
Cla
ssifi
catio
nD
enot
ativ
e/co
nnot
ativ
e w
ords
Logi
c
951
03
(TA
SK
ST
AT
EM
EN
T)
DIS
BU
RS
E P
RO
FE
SS
ION
AL
EX
PE
NS
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Det
erm
ine
amou
nt fo
r ch
tsc.
kIn
voic
es a
ppro
ved
by p
hysi
cian
Re-
chec
k co
rrec
tnes
s of
invo
ice
Ledg
er o
f sta
ndar
d of
fice
expe
nses
, i.e
.,re
nt (
if ap
plic
able
to o
ffice
), s
alar
y of
Dou
ble
chec
k fig
ures
bef
ore
issu
ing
chec
kT
ype
date
, pay
ee, a
nd a
mou
nt in
pro
per
plac
eem
ploy
ees
Rec
ord
chec
k nu
mbe
r an
d da
te o
n in
voic
eC
heck
boo
kE
nter
dat
e, p
ayee
, am
ount
and
rea
son
for
Add
ing
mac
hine
writ
ing
chec
k on
stu
bT
ypew
riter
(op
tiona
l)S
ubtr
act a
mou
nt fr
om c
heck
boo
k ba
lanc
eC
heck
-writ
er (
optio
nal)
Rea
dy fo
r m
ailin
gen
velo
pe, s
tam
p, e
tc.
File
invo
ice
in p
aid
file
DE
CIS
ION
SC
UE
Sf R
RO
RS
'Det
erm
ine
corr
ectn
ess
of in
form
atio
nIn
voic
e, o
ffice
ledg
erO
ver
or u
nder
pay
men
t
-I 0
4
(TA
SK
ST
AT
EM
EN
T)
DIS
BU
RS
E P
RO
FE
SS
ION
AL
EX
PE
NS
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
[if p
erce
nt d
isco
unt i
sof
fere
d ]
Fin
ding
a p
erce
nt o
f a n
umbe
r an
d w
hat p
erce
nt o
ne n
umbe
r is
of
anot
her
[for
prom
pt p
aym
ent ]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Writ
ing
Invo
ices
Che
cks,
env
elop
es
Com
preh
ensi
onD
etai
l/inf
eren
ceT
erm
inol
ogy
Pen
man
ship
Spe
lling
1 O
s
S7
(TA
SK
ST
AT
EM
EN
T)
RE
CO
NC
ILE
A C
HE
CK
BO
OK
WIT
H B
AN
K S
TA
TE
ME
NT
MO
NT
HLY
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Writ
ing
mat
eria
lsR
ecor
d ch
eckb
ook
bala
nce
at s
tart
of
mon
thC
heck
book
stu
bsA
dd r
ecei
pts
Car
bon
copy
of d
epos
it sl
ips
Subt
ract
che
cks
wri
tten
and
bank
char
ges
Ban
k st
atem
ent
Sub
-tot
alfo
r co
rrec
t che
ckbo
ok b
alan
ce a
t end
Can
celle
d ch
ecks
of m
onth
Add
ing
mac
hine
Tot
al c
heck
s ou
tsta
ndin
gA
dd to
sub
-tot
alT
otal
for
corr
ect b
ank
bala
nce
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
accu
racy
of f
igur
esP
ossi
ble
bank
err
orN
on-r
econ
cile
d ac
coun
tC
heck
book
Indi
vidu
al to
tals
will
rec
onci
le
(TA
SK
ST
AT
EM
EN
T)
RE
CO
NC
ILE
A C
HE
CK
BO
OK
WIT
H B
AN
K S
TA
TE
ME
NT
MO
NT
HLY
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
1'1P
Writ
ing
Rec
ordi
ng in
form
atio
nP
enm
ansh
ipS
pelli
ngC
lass
ifica
tion
Ter
min
olog
y/ge
nera
l voc
abul
ary
Logi
c
99
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E M
ON
TH
LY D
ISB
UR
SE
ME
NT
SH
EE
T A
ND
/OR
LE
DG
ER
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Che
ckbo
okD
isbu
rsem
ent s
heet
(m
ay v
ary
in o
ffice
s)A
ddin
g m
achi
neT
ypew
riter
(op
tiona
l)
Rec
ord
all p
aym
ents
mad
e by
che
ck o
r ca
shfo
r of
fice
expe
nses
Rec
ord
all p
aym
ents
mad
e by
che
ck o
r ca
shfo
r ot
her
than
pra
ctic
e: i.
e., c
ontr
ibut
ion
toch
arity
, int
eres
t on
a lo
anR
ecor
d al
l dis
burs
emen
ts fr
om p
revi
ous
mon
thdi
sbur
sem
ent s
heet
Rec
ord
disb
urse
men
ts to
dat
e
DE
CIS
ION
SC
UE
S
Rec
eipt
s, c
heck
s, d
isbu
rsem
ent s
heet
ER
RO
RS
Inco
rrec
t rec
ords
Det
erm
ine
accu
racy
of i
nfor
mat
ion
1
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E M
ON
TH
LY D
ISB
UR
SE
ME
NT
SH
EE
T A
ND
/OR
LE
DG
ER
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rec
ord
info
rmat
ion
Pen
man
!.
Spe
lling
Cla
ssifi
catio
Ter
min
olc.
.ene
ral v
ocab
ular
yLo
gic
101
1ff9
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E S
UM
MA
RY
SH
EE
:3 O
F E
AR
NIN
GS
AN
D IN
CO
ME
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Sta
ndar
d of
fice
supp
lies
Dai
ly e
arni
ngs
: eco
rds
Mon
thly
sum
mar
y sh
eets
Add
ing
mac
hine
Typ
ewrit
er (
optio
nal)
DE
CIS
ION
S
Det
erm
ine
accu
racy
of i
nfor
mat
ion
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Rec
ord
tota
ls o
f pat
ient
's e
arni
ngs,
and
inco
me
daily
Rec
ord
tota
ls o
f ser
vice
s ot
her
than
pra
ctic
ein
com
e: i.
e., s
alar
y fo
r te
achi
ng, i
nter
est
and
divi
dend
s fr
om in
vest
men
tsR
ecor
d to
tals
from
pre
viou
s m
onth
sum
mar
ysh
eets
Rec
ord
earn
ings
and
inco
me
to d
ate
CU
ES
Rec
ords
, orig
inal
sou
rce
of d
ata
SA
FE
TY
HA
Z R
D
Inco
rrec
t rec
ords
ER
RO
RS
-210
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E S
UM
MA
RY
SH
EE
TS
OF
EA
RN
ING
S A
ND
INC
OM
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rec
ord
info
rmat
ion
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
_ ,
103
(TA
SK
ST
AT
EM
EN
T)
AS
SE
MB
LE IN
FO
RM
AT
ION
FO
R A
CC
OU
NT
AN
T F
OR
TA
X R
ET
UR
NS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sum
mar
y sh
eets
of i
ncom
eS
umm
ary
shee
ts o
f dis
burs
emen
tsO
ther
rec
ords
as
requ
este
d by
acc
ount
ant
DE
CIS
ION
S
Ass
embl
e in
form
atio
nD
eliv
er to
acc
ount
ant
Det
erm
ine
accu
racy
of i
nfor
mat
ion
CUES
Dat
es o
n in
form
atio
n
gRR
OR
S
Inco
mpl
ete
info
rmat
ion
for
tax
retu
rns
112
(TA
SK
ST
AT
EM
EN
T)
AS
SE
MB
LE IN
FO
RM
AT
ION
FO
R A
CC
OU
NA
NT
FO
R T
AX
RE
TI'R
NS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
!CA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
EX
AM
PLE
S
Con
vers
ing
with
acc
ount
ant
SK
I LLS
/CO
NC
EP
TS
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
105
i
Dut
y C
Pre
parin
g an
d S
teril
izin
g In
stru
men
ts a
nd S
uppl
ies
1Li
ft w
ith tr
ansf
er fo
rcep
s2
Ste
riliz
e w
ith b
oilin
g w
ater
3S
teril
ize
with
che
mic
als
4C
lean
che
mic
al s
teril
izin
g eq
uipm
ent
5C
lean
aut
ocla
ve6
Pre
pare
and
aut
ocla
ve g
auze
spo
nges
7F
old
and
auto
clav
e to
wel
s8
Was
h an
d w
rap
surg
ical
glo
ves
9A
utoc
lave
sur
gica
l glo
ves
10P
repa
re a
nd w
rap
inst
rum
ents
11A
utoc
lave
inst
rum
ents
12P
repa
re a
nd w
rap
glas
s sy
ringe
s an
d ne
edle
s13
Aut
ocla
ve s
yrin
ges
and
need
les 10
7L
.tA
". A
S0
,
(TA
SK
ST
AT
EM
EN
T)
LIF
T W
ITH
TR
AN
SF
ER
FO
RC
EP
S
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Tra
nsfe
r fo
rcep
sM
ater
ial t
o be
lifte
d (v
arie
s w
ith in
divi
dual
need
s)S
teril
e re
cept
acle
for
obje
ct
Rem
ove
exce
ss fl
uid
if tr
ansf
er fo
rcep
s in
chem
ical
ste
riliz
erLi
ft ob
ject
to b
e m
oved
Pla
ce o
bjec
t on
ster
ile s
urfa
ce
Car
e m
ust b
e ta
ken
to p
reve
nt c
onta
min
atio
nof
forc
eps
or o
bjec
t bei
ng tr
ansf
erre
dP
rofic
ienc
y in
bila
tera
l use
nec
essa
ryC
onta
min
atio
n
DE
CIS
ION
SE
RR
OR
S
,
-11
5.
,,
(TA
SK
ST
AT
EM
EN
T)
LIF
T W
ITH
TR
AN
SF
ER
FO
RC
EP
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
psis
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
K IL
LS/C
ON
CE
PT
S
109
(TA
SK
ST
AT
EM
EN
T)
ST
ER
ILIZ
E W
ITH
BO
ILIN
G W
AT
ER
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
Ste
riliz
erW
ater
(pr
efer
ably
dis
tille
d w
ater
)M
ater
ial t
o be
ste
riliz
ed: e
.g.
glas
swar
e,en
amel
war
e, b
lunt
inst
rum
ents
, sta
inle
ssst
eel o
bjec
ts, s
oft-
rubb
er g
oods
Ste
rile
forc
eps
Tim
er
4111
1111
1.S
AF
ET
YH
AZ
AR
D
Cle
an m
ater
ial t
o be
ste
riliz
edIm
mer
se o
bjec
ts c
ompl
etel
y fo
r ne
cess
ary
leng
thof
tim
e (c
alcu
late
tim
e af
ter
wat
er b
egin
s to
boil)
Rem
ove
with
ste
rile
forc
eps
Car
e of
ele
ctric
cor
dE
lect
ric s
hock
Car
e in
use
of b
oilin
g w
ater
Bur
nIn
com
plet
e ex
posu
re: i
.e.,
com
plet
ely
unde
rw
ater
, and
air
pock
ets
Con
tam
inat
ed o
bjec
tC
are
in c
lean
ing
Cro
ss c
onta
min
atio
n
DE
CIS
ION
S
Det
erm
ine
if ai
r is
trap
ped
in c
onta
iner
Det
erm
ine
whe
n to
beg
in ti
min
gO
bser
vatio
nO
bser
vatio
n
CU
ES
gRR
OR
S
Inco
mpl
ete
expo
sure
Inco
mpl
ete
ster
iliza
tion
1i r
(TA
SK
ST
AT
EM
EN
T)
ST
ER
ILIZ
E W
ITH
BO
ILIN
G W
AT
ER
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
psis
Effe
cts
of w
et h
eat
Mea
sure
of t
ime
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SV
iew
ing
Gau
ges
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
n to
the
who
le)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Det
ail a
nd in
fere
nce
Rec
ogni
tion
of s
ymbo
ls, c
odes
, and
em
blem
s
-,1
...1
IL.1
111
(TA
SK
ST
AT
EM
EN
T)
ST
ER
ILIZ
E W
ITH
CH
EM
ICA
LS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Con
tain
er fo
r co
ld s
teril
izat
ion
Che
mic
al s
teril
izer
: e.g
., se
vent
y to
nin
ety
perc
ent i
sopr
opyl
alc
ohbl
, for
mal
dehy
deal
cbho
l sol
utio
n, tw
o pe
rcen
t phe
nalic
germ
icid
e cl
eans
er, a
nd ly
sol
Ste
ril fo
rcep
s (f
or r
emov
al)
Inst
rum
ents
or
mat
eria
l to
be s
teril
ized
e.g.
,sha
rp in
stru
men
ts, h
ard-
rubb
er g
oods
,sy
nthe
tics
that
are
not
ther
mos
tabl
e, a
ndle
nsed
inst
rum
ents
Ant
i-rus
t age
nt
DE
CIS
ION
S
Det
erm
ine
prop
er p
ropo
rtio
ns o
f sol
utio
nD
eter
min
e pr
oper
am
ount
of t
ime
for
ster
i-liz
atio
n pr
oces
s
Cle
an m
ater
ial t
o be
ste
riliz
edD
ry A
tate
rial t
o be
ste
riliz
edP
repa
re s
olut
ion;
follo
w d
irect
ions
for
use
ofso
lutio
n w
ith u
tmos
t acc
urac
yIm
mer
se o
bjec
ts c
ompl
etel
y fo
r ne
cess
ary
leof
tam
eR
emov
e w
ith s
teril
e fo
rcep
s
Rin
se in
stru
men
ts in
fres
h is
opro
pyl a
lcoh
ol,
or d
istil
led
win
e* b
efor
e be
ing
used
Che
mic
al g
erm
icid
es o
ften
are
toxi
c
CU
ES
Dire
ctio
ns fo
r us
e of
sol
utio
n
FR
RO
R$
Uns
teril
e in
stru
men
ts
'
119
(TA
SK
ST
AT
EM
EN
T)
ST
ER
ILIZ
E W
ITH
CH
EM
ICA
LF,
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
psis
Che
mic
al a
ctio
n of
dis
infe
ctan
ts
Mea
sure
of t
ime
Liqu
id a
nd d
ry m
easu
res
Fin
ding
a p
erce
nt o
f a n
umbe
r an
d w
hat
perc
ent o
ne n
umbe
r is
of a
noth
er
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Dire
ctio
nsC
ompr
ehen
sion
Det
ail/i
nfer
ence
Def
initi
onT
erm
inol
ogy
Pro
cess
rep
ort
inst
ruct
ions
113
(TA
SK
ST
AT
EM
EN
T)
CLE
AN
CH
EM
ICA
L S
TE
RIL
IZIN
G E
QU
IPM
EN
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Che
mic
al s
teril
izer
con
tain
erC
old
wat
ervi
nega
r or
spe
cial
ste
riliz
ercl
eane
rA
lcoh
ol o
r et
her
Che
mic
al s
teril
izer
e.g
., se
vent
y to
nin
ety
perc
ent i
sopr
opyl
alc
ohol
, for
mal
dehy
deal
coho
l sol
utio
n, tw
o pe
rcen
t phe
lolic
germ
icid
e cl
eans
er, a
nd ly
sol
Cle
an m
ater
ial
Em
pty
chem
cial
sol
utio
nC
lean
with
app
ropr
iate
cle
aner
Ref
ill w
ith c
hem
ical
sol
utio
n
DE
CIS
ION
S
Det
erm
ine
need
for
clea
ning
CU
ES
Use
and
dire
ctio
ns p
rovi
ded
by in
divi
dual
offic
e
ER
RO
RS
Loss
of e
ffici
ency
in e
quip
men
t
121
(TA
SK
ST
AT
EM
EN
T)
CLE
AN
CH
EM
ICA
L S
TE
RIL
IZIN
G E
QU
IPM
EN
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
psis
Che
mic
al a
ctio
n of
dis
infe
ctan
ts
Mea
sure
of t
ime
Liqu
id a
nd d
ry m
easu
reF
indi
ng a
per
cent
of a
num
ber
and
wha
t per
cent
one
num
ber
is o
fan
othe
r
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS /C
ON
CE
PT
S
Rea
ding
List
enin
g
Dire
ctio
ns
Inst
ruct
ions
Com
preh
ensi
onD
etai
l/inf
eren
ceD
efin
ition
Ter
min
olog
yP
roce
ss r
epor
tin
stru
ctio
ns
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s), w
ord
defin
ition
, not
e ta
king
115
(TA
SK
ST
AT
EM
EN
T)
CLE
AN
AU
TO
CLA
VE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aut
ocla
ve c
lean
ser
(che
ck m
anuf
actu
rers
inst
ruct
ions
)M
ild d
eter
gent
Dis
tille
d w
ater
Aut
ocla
veC
lean
mat
eria
l
Dra
in a
utoc
lave
Cle
an w
ith a
ppro
pria
te c
lean
erR
efill
with
dis
tille
d w
ater
DE
CIS
ION
SC
UE
SE
RR
OR
S
Loss
of e
ffici
ency
in e
quip
men
t.
Det
erm
ine
need
for
clea
ning
Use
and
dire
ctio
ns p
rovi
ded
by in
div;
Jual
offic
e
(TA
SK
ST
AT
EM
EN
T)
CLE
AN
AU
TO
CLA
VE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
psis
Liqu
id a
nd d
ry m
easu
res
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
1E
XA
MP
LES
SK
I LLS
/CO
NC
EP
TS
Rea
ding
List
enin
g
Dire
ctio
ns
Inst
ruct
ions
Com
preh
ensi
onD
etai
l/inf
eren
ceD
efin
ition
Ter
min
olog
yP
roce
ss r
epor
tin
stru
ctio
ns
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s), w
ord
defin
ition
, and
not
e ta
king
117
124
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
AU
TO
CLA
VE
GA
UZ
E S
PO
NG
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aut
ocla
veD
istil
led
wat
erA
ppro
pria
te m
ater
ials
for
wra
ppin
g, e
.g.,
doub
le la
yer
mus
lin, a
ppro
ved
perm
eabl
est
erili
zer
pape
r, a
nd p
ress
ure
sens
itive
tape
Non
-sol
uble
writ
ing
inst
rum
ent
Gau
ze s
pong
esD
ress
ing
can
Ste
riliz
atio
n in
dica
tors
, e.g
., pe
llets
in g
lass
tube
s, p
aper
tabs
, and
str
ips
I
Wra
p an
d se
cure
pac
ket
Iden
tify
cont
ents
and
dat
eP
lace
dre
ssin
g ca
n on
with
lid
open
Do
not o
verlo
ad s
teril
izer
Ope
rate
aut
ocla
veC
aref
ully
mon
itor
time
and
tem
pera
ture
Che
ck in
dica
tor
for
desi
red
reac
tion
Rem
ove
and
stor
e pr
oper
ly in
cle
an a
rea
whe
n pa
cket
s ar
e dr
y
Car
e in
ope
ratin
g do
or a
t com
plet
ion
ofpr
oced
ure
Bum
from
ste
amA
llow
pac
kets
to d
ry in
ste
riliz
erW
et w
rapp
ing
will
allo
w c
onta
min
atio
nC
heck
indi
cato
r fo
r de
sire
d re
actio
nIn
com
plet
e st
erili
zatio
nC
aref
ul m
onito
ring
of ti
me
and
tem
pera
ture
Inco
mpl
ete
ster
iliza
tion
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
proc
edur
e to
be
used
Nee
ds o
f ind
ivid
ual o
ffice
(m
ay w
rap
gauz
ean
d in
stru
men
ts in
cer
tain
inst
ance
s)U
nste
rile
mat
eria
l
-12
5
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
AU
TO
CLA
VE
GA
UZ
E S
PO
NG
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ste
am u
nder
pre
ssur
eA
seps
isE
ffect
s of
moi
st h
eat o
n sp
ecifi
cally
pre
pare
d dy
es
Mea
sure
tim
eM
easu
re te
mpe
ratu
reG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isic
n, a
nd/o
rac
cura
cy w
ith r
espe
ct o
f rel
ativ
e er
ror
tole
ranc
e an
d si
gnifi
cant
digi
ts (
mea
surin
g in
othe
r th
an li
near
, squ
are,
and
cub
ic)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Vie
win
g
Iden
tify
cont
ents
Gau
ges
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
y
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
nto
the
who
le)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Det
ail a
nd in
fere
nce
Rec
ogni
tion
of s
ymbo
ls, c
odes
, and
em
blem
sS
teril
izat
ion
indi
cato
rs
i 2G
119
(TA
SK
ST
AT
EM
EN
T)
FO
LD A
ND
AU
TO
CLA
VE
TO
WE
LS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aut
ocla
veD
istil
led
wat
erA
ppro
pria
te m
ater
ials
for
wra
ppin
g, e
.g.,
doub
le la
yer
mus
lin, a
ppro
ved
perm
eabl
est
erili
zer
pape
r, a
nd p
ress
ure
sens
itive
tape
Non
solu
ble
writ
ing
inst
rum
ent
Tow
els
Ste
riliz
atio
n in
dica
tors
, e.g
., pe
llets
in g
lass
tube
, pap
er ta
bs, a
nd s
trip
s
Fol
d to
wel
s an
d se
cure
pac
ket
Iden
tify
cont
ents
and
dat
eD
o no
t ove
rload
ste
riliz
erO
pera
te a
utoc
lave
Car
eful
ly m
onito
r tim
e an
d te
mpe
ratu
reC
heck
indi
cato
r fo
r de
sire
d re
actio
nR
emov
e an
d st
ore
prop
erly
in c
lean
are
a w
hen
pack
ets
are
dry
Car
e in
ope
ning
doo
r at
com
plet
ion
of p
ro-
cedu
reB
um fr
om s
team
Allo
w p
acke
ts to
dry
in s
teril
izer
Wet
wra
ppin
g w
ill a
llow
con
tam
inat
ion
Car
eful
mon
itorin
g of
tim
e an
d te
mpe
ratu
reIn
com
plet
e st
erili
zatio
nC
heck
indi
cato
r fo
r de
sire
d re
actio
nIn
com
plet
e st
erili
zatio
n
DE
CIS
ION
S
Det
erm
ine
proc
edur
e to
be
used
CU
ES
Nee
ds o
f offi
ce (
may
wra
p in
stru
men
ts a
ndto
wel
s to
geth
er in
cer
tain
inst
ance
s)
ER
RO
RS
Uns
teril
e m
ater
ial
Inef
ficie
ncy
whe
n im
prop
erly
com
plet
ed
(TA
SK
ST
AT
EM
EN
T)
FO
LD A
ND
AU
TO
CLA
VE
TO
WE
LS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ste
am u
nder
pre
ssur
eA
seps
isE
ffect
s of
moi
st h
eat o
n sp
ecifi
cally
pre
pare
d dy
es
Mea
sure
of t
ime
Mea
sure
of t
empe
ratu
reG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n, a
nd/o
rac
cura
cy w
ith r
espe
ct to
rel
ativ
e er
ror,
tole
ranc
e, a
nd s
igni
fican
tdi
gits
(m
easu
ring
inot
her
than
line
ar, s
quar
e, a
nd c
ubic
)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Vie
win
g
Iden
tify
cont
ents
Gau
ges
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, a
ndte
rmin
olog
y/ge
nera
l voc
abul
ary
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
nto
the
who
le),
logi
c (o
rder
ing
of th
ough
tsan
d pe
rcep
tions
), d
etai
l and
infe
renc
e, a
ndre
cogn
ition
of s
ymbo
ls, c
odes
, and
em
blem
san
d st
erili
zatio
n in
dica
tors
.
121
i1:
-,--
.Fi
(TA
SK
ST
AT
EM
EN
T)
WA
SH
AN
D W
RA
P S
UR
GIC
AL
GLO
VE
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wat
er (
cold
and
war
m)
Glo
ves
(cle
an a
nd c
onta
min
ated
)D
eter
gent
(lo
w-s
udsi
ng a
lkal
ine)
Larg
e ba
sins
or
doub
le s
ink
Dry
ing
equi
pmen
t, e.
g.to
wel
s, li
ne fo
r ai
rdr
ying
Gau
zeN
onirr
itatin
g st
arch
pre
para
tion
App
ropr
iate
wra
ppin
g m
ater
ial,
e.g.
mus
lingl
ove
enve
lope
s, m
uslin
wra
p (d
oubl
e la
yer)
,di
spos
able
app
rove
d pe
rmea
ble
ster
ilize
rpa
per,
aut
ocla
ve ta
pe (
pres
sure
sens
itive
tape
), n
on-s
olub
le w
ritin
g in
stru
men
tS
teril
izat
ion
indi
cato
rs, e
.g. p
elle
ts in
gla
ss tu
be,
per
tabs
, and
str
ips
DE
CIS
ION
S
Det
erm
ine
if an
y te
ars
or h
oles
pre
sent
Pre
pare
det
erge
ntW
ash
and
rinse
glo
ves
Tur
n gl
oves
in c
lean
ing
and
agai
n in
rin
sing
for
prop
er w
ashi
ngIn
spec
t for
any
tear
s or
hol
es in
glo
ves
Dry
and
pow
der
glov
esW
rap
glov
esP
lace
gau
ze in
pal
m to
allo
w fr
ee c
ircul
atio
nof
ste
amD
ate
pack
ages
pro
perly
Iden
tify
cont
ents
and
dat
e
Wea
r gl
oves
whi
le p
erfo
rmin
g ta
skC
onta
min
atio
n of
ope
rato
r
CU
ES
Esc
ape
of a
ir w
hen
chec
king
ER
RO
RS
Glo
ve te
ars
whe
n do
nnin
g-co
ntam
inat
ion
by w
eare
r
(TA
SK
ST
AT
EM
EN
T)
WA
SH
AN
D W
RA
P S
UR
GIC
AL
GLO
VE
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
psis
Liqu
id a
nd d
ry m
easu
res
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Iden
tify
cont
ents
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
y
..i4:
-. ir
k
123
(TA
SK
ST
AT
EM
EN
T)
AU
TO
CLA
VE
SU
RG
ICA
L G
LOV
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aut
ocla
veIn
spec
t res
ervo
ir be
fore
eac
h us
eC
are
in o
peni
ng d
oor
follo
win
g us
bW
rapp
ed a
nd p
rope
rly la
bele
d gl
oves
Load
pro
perly
wra
pped
and
labe
led
glov
esB
urn
from
ste
amD
istil
led
wat
erlo
osel
y in
ver
tical
pos
ition
Allo
w p
acka
ges
to d
ry in
aut
ocla
veP
lace
wra
pped
glo
ves
on e
dge
for
free
circ
ula-
Wet
wra
ppin
g w
ill a
llow
con
tam
inat
ion
tion
of s
team
Che
ck in
dica
tor
for
desi
red
reac
tion
Do
not o
verlo
ad s
teril
izer
Inco
mpl
ete
ster
iliza
tion
Ope
rate
aut
ocla
veM
onito
r tim
e an
d te
mpe
ratu
reR
emov
e an
d st
ore
prop
erly
in c
lean
are
a w
hen
pack
ages
are
dry
Che
ck in
dica
tor
for
desi
red
reac
tion
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
prop
er ti
me
and
tem
pera
ture
Aut
ocla
ve g
auge
sC
onta
min
ated
or
dam
aged
glo
ves
TA
SK
ST
AT
EM
EN
T)
AU
TO
CLA
VE
SU
RG
ICA
L G
LOV
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ste
am u
nder
pre
ssur
eA
seps
esE
ffect
s of
moi
st h
eat o
n sp
ecifi
cally
pre
pare
d dy
es
Mea
sure
of t
ime
Mea
sure
of t
empe
ratu
reG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n, a
nd/o
rac
cura
cy w
ith r
espe
ct to
rela
tive
erro
r, to
lera
nce,
and
sig
nific
ant
digi
ts(m
easu
ring
inot
her
than
line
ar, s
quar
e, a
nd c
ubic
)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Rea
ding
Writ
ing
Gau
ges
and
labe
ls
Labe
ls o
n pa
ckag
es
Com
oreh
ensi
onD
etai
l/inf
eren
ceD
efin
ition
Ter
min
olog
y
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
y
125
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
WR
AP
INS
TR
UM
EN
TS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wat
er (
cold
and
war
m)
Inst
rum
ents
(w
ill v
ary
to s
uit n
eeds
of o
ffice
)B
lood
sol
vent
or
low
-sud
sing
det
erge
ntC
lean
glo
ves
Larg
e ba
sins
or
doub
le s
ink
Bru
shA
ppro
pria
te w
rapp
ing
mat
eria
l, eg
. dou
ble
laye
r m
uslin
, app
rove
d pe
rmea
ble
ster
ilize
rpa
per,
indi
vidu
al in
stru
men
t sel
f-se
alin
g ba
gs,
pres
sure
-sen
sitiv
e ta
pe, n
on-s
olub
le w
ritin
gin
stru
men
tS
teril
izat
ion
indi
cato
rs, e
g. p
elle
ts in
gla
sstu
be,p
aper
tabs
, and
str
ips
Pre
pare
det
erge
ntO
pen
all h
inge
d in
stru
men
ts',
Was
h an
d rin
se a
ll in
stru
mnt
s, b
rush
ing
thor
ough
ly a
ll se
rrat
ed ja
ws,
and
hin
ged
area
sW
rf-p
inst
rum
ents
firm
eno
ugh
to h
andl
e, b
utlo
ose
enou
gh to
per
mit
circ
ulat
ion
of s
team
Iden
tify
cont
ents
and
dat
e
Wea
r gl
oves
whi
le p
erfo
rmin
g ta
skC
onta
min
atio
n to
ass
ista
ntC
aref
ully
han
dle
shar
p in
stru
men
ts to
pre
vent
dulli
ng o
f edg
esD
ullin
g of
inst
rum
ents
and
/or
inju
ry to
assi
stan
t
DE
CIS
ION
S
Det
erm
ine
whi
ch ty
pes
of in
stru
men
ts to
wra
p to
geth
er
CU
ES
Nee
ds o
f offi
ce, a
nd p
roce
dure
invo
lved
Lack
of e
ffici
ency
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
WR
AP
INS
TR
UM
EN
TS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Liqu
id a
nd d
ry m
easu
res
J
CO
MM
UN
ICA
TIO
NS
Writ
ing
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Iden
tify
cont
ents
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
y
127
1:14
(TA
SK
ST
AT
EM
EN
T)
AU
TO
CLA
VE
INS
TR
UM
EN
TS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aut
ocla
veW
rapp
ed a
nd p
rope
rly la
bele
d in
stru
men
tsD
istil
led
wat
er
[
Rep
leni
sh w
ater
in a
utoc
lave
as
need
edLo
ad p
rope
rly w
rapp
ed a
nd la
bele
d in
stru
men
tsin
ver
tical
pos
ition
Pla
ce p
acke
ts o
n ed
ge fo
r fr
ee c
ircul
atio
n of
stea
mD
o no
t ove
rload
ste
riliz
erO
pera
te a
utoc
lave
Mon
itor
time
and
tem
pera
ture
Insp
ect i
ndic
ator
for
desi
red
reac
tion
Car
e in
ope
ning
doo
r at
com
plet
ion
ofpr
oced
ure
Bur
n fr
om s
team
Allo
w p
acke
ts to
dry
in a
utoc
lave
Wet
wra
ppin
g w
ill a
llow
con
tam
inat
ion
Che
ck in
dica
tor
for
desi
red
reac
tion
Inco
mpl
ete
ster
iliza
tion
.
DE
CIS
ION
SC
UE
Sga
BIL
BS
Inco
mpl
ete
ster
iliza
tion
Det
erm
ine
prop
er ti
me
and
tem
pera
ture
Aut
ocla
ve g
auge
s
(TA
SK
ST
AT
EM
EN
T)
AU
TO
CLA
VE
INS
TR
UM
EN
TS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ste
am u
nder
pre
ssur
eA
seps
isE
ffect
s of
moi
st h
eat o
n sp
ecifi
cally
pre
pare
d dy
es
Mea
sure
men
t of t
ime
Mea
sure
men
t of t
empe
ratu
reG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n, a
s ac
cura
cy,
rela
tive
erro
r, a
nd s
igni
fican
t dig
its (
mea
surin
g ot
her
than
linea
r, s
quar
e, a
nd c
ubic
)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Vie
win
g
Pac
kage
labe
ls
Gau
ges,
ste
riliz
atio
n in
dica
tors
Com
preh
ensi
onD
etai
l/inf
eren
ceD
efin
ition
Ter
min
olog
y
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
n to
the
who
le)
Mem
ory
(sho
rt a
nd lo
ng te
rm r
eten
tion)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Rec
ogni
tion
of s
ymbo
ls, c
odes
, and
em
blem
s
129
t
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
WR
AP
GLA
SS
SY
RIN
GE
S A
ND
NE
ED
LES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wat
er (
cold
and
war
m)
Syr
inge
s an
d ne
edle
sB
lood
sol
vent
or
low
-sud
sing
non
-itch
ing
de-
terg
ent
Eth
er-a
lcoh
ol o
r be
nzen
e as
indi
cate
dLa
rge
basi
ns t.
r do
uble
sin
kB
rush
Cot
ton
appl
i-ato
rsS
ty le
tO
il st
one
as in
dica
ted
Dis
tille
d w
ater
or
dem
iner
aliz
ed w
ater
if n
eede
dS
yrin
ge o
pene
r as
indi
cate
dA
ppro
pria
te w
rapp
ing
mat
eria
l, eg
. dou
ble
laye
r m
uslin
, app
rove
d pe
rmea
ble
ster
ilize
rpa
per,
indi
vidu
al s
yrin
ge b
ags,
gla
ss tu
bes
or d
ispo
sabl
e pa
per
form
s, p
ress
ure
sens
itive
tape
. ste
rr:z
eran
d co
tton
balls
or g
auze
Non
-sol
uble
writ
ing
inst
rum
ent
Ste
riliz
atio
n in
dica
tors
Pre
pare
det
erge
ntW
ash
and
rinse
syr
inge
s an
d ne
edle
s, th
orou
ghly
clea
ning
nee
dles
; be
sure
moi
stur
e in
cam
-m
ule
whe
n au
tocl
aved
Mat
ch b
arre
l and
plu
nger
Enc
lose
syr
inge
s an
d ne
edle
s in
app
ropr
iate
wra
p or
con
tain
er fi
rmly
eno
ugh
to h
andl
ebu
t loo
se e
noug
h fo
r st
eam
to c
ircul
ate
Iden
tify
cont
ents
and
dat
e pa
ckag
e
Car
e in
han
dlin
g ne
edle
sT
raum
a or
pos
sibl
e ,n
fect
ion
to a
ssis
tant
Ext
rem
e ca
re in
cle
anin
g ne
edle
sH
epat
itis
Atte
ntio
n to
nee
dle
impe
rfec
tions
Dis
com
fort
and
/or
trau
ma
to p
atie
nt
DE
CIS
ION
S
Det
erm
ine
need
les
and
syrin
ges
to b
e w
rapp
edto
geth
er
CU
ES
Siz
e an
d ne
eds
of o
ffice
FR
RO
R$
Loss
of e
ffici
ency
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
WR
AP
GLA
SS
SY
RIN
GE
S A
ND
NE
ED
LES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
geM
easu
res
of le
ngth
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
nth
em
PE
RF
OR
MA
NC
E M
OD
ES
Writ
ing
CO
MM
UN
ICA
TIO
NS
EX
AM
PLE
S
Iden
tify
cont
ents
SK
I LLS
/CO
NC
EP
TS
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
y
131
(TA
SK
ST
AT
EM
EN
T)
AU
TO
CLA
VE
SY
RIN
GE
S A
ND
NE
ED
LES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aut
ocla
veW
rapp
ed a
nd p
rope
rly la
bele
d pa
cket
s or
cont
aine
rs o
f syr
inge
s an
d ne
edle
sD
istil
led
wat
er
Load
pro
perly
wra
pped
and
labe
led
syrin
ges
and
need
les
in h
oriz
onta
l pos
ition
Pla
ce s
yrin
ges
and
need
les
in h
oriz
onta
l pos
ition
for
free
circ
ulat
ion
of s
team
; not
e: m
oist
ure
mus
t be
in c
amm
ula
of n
eedl
e to
ste
riliz
eD
o no
t ove
rload
ste
riliz
erO
pera
te a
utoc
lave
Car
eful
ly m
onito
r tim
e an
d te
mpe
ratu
reR
emov
e an
d st
ore
prop
erly
in c
lean
are
a w
hen
pack
ets
dry
Car
e in
ope
ning
doo
r at
com
plet
ion
of p
ro-
cedu
reB
urn
from
ste
amD
ry n
eedl
es p
lace
d in
ste
riliz
erN
on-s
teril
e ne
edle
sA
llow
pac
kets
to d
ry in
ste
riliz
erW
et w
rapp
ing
will
allo
w c
onta
min
atio
nC
aref
ul m
onito
ring
of ti
me
and
tem
pera
tur)
Inco
mpl
ete
ster
iliza
tion
Car
e in
load
ing
ster
ilize
r
DE
CIS
ION
S
Det
erm
ine
prop
er ti
me
and
tem
pera
ture
Det
erm
ine
amou
nt o
f loa
dA
utoc
lave
gau
ges
Inst
ruct
ions
CU
ES
ER
RO
RS
Con
tam
inat
ed in
stru
men
tsT
oo fu
llinc
ompl
ete
ster
iliza
tion
M .
-
(TA
SK
ST
AT
EM
EN
T)
AU
TO
CLA
VE
SY
RIN
GE
S A
ND
NE
ED
LES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ste
am u
nder
pre
ssur
eA
seps
isE
ffect
s of
moi
st h
eat o
n sp
ecifi
cally
prep
ared
dye
s
Mea
sure
men
t of t
ime
Mea
sure
men
t of t
empe
ratu
reG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n, a
nd/o
rac
cura
cy w
ith r
espe
ct to
rel
ativ
e er
ror,
tole
ranc
e, a
nd s
igni
-fic
ant d
igits
(m
easu
ring
inot
her
than
line
ar, s
quar
e or
cub
ic)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Vie
win
g
Pac
kage
labe
ls
Gau
ges,
ste
riliz
atio
n in
dica
tors
Com
preh
ensi
onD
etai
l/inf
eren
ceD
efin
ition
Ter
min
olog
y
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
n to
the
who
le)
Mem
ory
(sho
rt a
nd lo
ng te
rm r
eten
tion)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Rec
ogni
tion
of s
ymbo
ls, c
odes
, and
em
blem
s
1-41
-44
133
Dut
y D
Ass
istin
g w
ith C
linic
al P
roce
dure
s
1D
eter
min
e an
d ch
art h
eigh
t2
Det
erm
ine
and
char
t wei
ght
3T
ake
and
char
t a te
mpe
ratu
re4
Tak
e an
d ch
art a
pul
se5
Cou
nt a
nd c
hart
res
pira
tion
6T
ake
and
char
t blo
od p
ress
ure
7D
eter
min
e co
lor
visi
on w
ith Is
hiha
ra c
hart
s8
Mea
sure
pat
ient
's v
isio
n w
ith S
nel l
en c
hart
and
rec
ord
9A
pply
a c
ircu
ar b
anda
ge10
App
ly a
fing
er s
plin
t11
App
ly a
figu
re-o
f-ei
ght b
anda
ge12
App
ly a
rec
urre
nt-t
urn
band
age
13A
pply
a s
pira
l tur
n or
rev
erse
flip
ban
dage
14A
pply
ela
stic
ban
dage
15A
pply
an
arm
spl
int
16A
pply
an
arm
slin
g17
App
ly b
utte
rfly
ban
dage
18A
pply
tubu
lar
band
age
19A
pply
ste
rile
adhe
sive
dre
ssin
g20
App
ly a
ste
rile
dres
sing
21R
emov
e a
cont
amin
ated
dre
ssin
g22
App
ly a
pre
ssur
e ba
ndag
e to
a b
urn
23P
ositi
on a
nd d
rape
pat
ient
for
Tre
ndel
enbu
rg24
Pos
ition
and
dra
pe p
atie
nt fo
r K
nee
Che
st25
Pos
ition
and
dra
pe p
atie
nt fo
r S
emi-F
owle
rs26
Pos
ition
and
dra
pe fo
r S
ims
and
Late
ral
27P
ositi
on a
nd d
rape
for
Lith
otom
y po
sitio
n
135
28P
repa
re a
gen
eral
phy
sica
l exa
min
atio
n29
Pre
pare
a r
ecta
l tra
y30
Ass
ist w
ith r
ecta
l exa
min
atio
n31
Set
up
an e
ar, n
ose,
and
thro
at tr
ay32
Pre
pare
gyn
ecol
ogic
al tr
ay w
ith P
ap s
mea
r se
t-up
33A
ssis
t with
pel
vic
exam
inat
ion
and
Pap
test
34A
ssis
t pat
ient
from
whe
elch
air
to e
xam
inin
g ta
ble
35R
estr
ain
an in
fant
or
child
36A
ssis
t with
eye
inst
illat
ion
37A
ssis
t with
eye
irrig
atio
n38
Ass
ist w
ith e
ar in
still
atio
n39
Ass
ist w
ith e
ar ir
rigat
ion
40A
ssis
t a fa
intin
g pa
tient
41T
reat
pat
ient
for
shoc
k42
Adm
inis
ter
first
aid
for
diab
etic
com
a43
Adm
inis
ter
first
aid
for
insu
lin s
hock
44A
dmin
iste
r fir
st a
id fo
r po
ison
ing
by m
outh
45A
dmin
iste
r fir
st a
id fo
r se
izur
es46
Adm
inis
ter
first
aid
for
burn
pat
ient
s (h
eat a
nd e
lect
rical
)47
Adm
inis
ter
first
aid
for
chem
ical
bur
n pa
tient
s48
Adm
inis
ter
first
aid
for
stro
ke v
ictim
s49
Adm
inis
ter
first
aid
for
anim
al b
ites
50C
ontr
ol b
leed
ing
with
dire
ct p
ress
ure
51C
ontr
ol b
leed
ing
by p
ress
ure
to s
uppl
ying
ves
sel
52A
pply
tour
niqu
et fo
r he
mor
rhag
e53
Ass
ist p
hysi
cian
with
sus
pect
ed c
oron
ary
or m
yoca
rdia
l inf
arct
ion
vict
im54
Giv
e m
outh
to m
outh
res
usci
tatio
n55
Giv
e ba
ck p
ress
ure-
arm
lift
resu
scita
tion
56A
pply
ext
erna
l car
diac
scr
ub57
Com
plet
e a
surg
ical
scr
ub58
Don
ste
rile
glov
es59
Ass
ist i
n pu
tting
on
ster
ile g
love
s60
Pre
pare
ski
n fo
r su
rger
y
137
t--.
G4-%
4-
61S
et u
p fo
r ge
nera
l sur
gery
62A
ssis
t with
min
or s
urge
ry63
Ass
ist i
n ob
tain
ing
biop
sy64
Ass
ist w
ith s
utur
e re
mov
al65
Ass
ist w
ith e
lect
rosu
rger
y66
Ass
ist p
hysi
cian
in p
erfo
rmin
g sc
ratc
h te
st67
Ass
ist p
hysi
cian
in p
erfo
rmin
g pa
tch
test
68A
dmin
iste
r or
al m
edic
atio
n69
With
draw
sol
utio
ns fo
r in
ject
ion
70P
repa
re n
eedl
e-ca
rtrid
ge u
nit i
njec
tion
71A
dmin
iste
r su
bcut
aneo
us in
ject
ion
72A
dmin
iste
r in
trad
erm
al in
ject
ion
73A
dmin
iste
r in
tram
uscu
lar
inje
ctio
n74
Ass
ist w
ith c
ast a
pplic
atio
n75
Ass
ist w
ith r
emov
al o
f cas
t76
Inst
ruct
pat
ient
on
use
and
care
of c
rutc
hes
77E
xpla
in s
peci
al d
iet t
o pa
tient
78In
stru
ct p
atie
nts
rega
rdin
g pr
oper
pre
para
tion
for
diag
notic
test
s79
Ass
ist i
n us
e of
osc
illom
eter
80P
erfo
rm h
earin
g ac
uity
test
s81
Ass
ist w
ith d
iath
erm
y tr
eatm
ent
82A
ssis
t with
hea
t lam
p tr
eatm
ent (
infr
ared
)83
Ass
ist w
ith u
ltra
soun
d tr
eatm
ent
84A
dmin
iste
r ox
ygen
ti p
atie
nt85
Adm
inis
ter
Inte
rmitt
ent P
ositi
ve P
ress
ure
Inha
latio
n T
hera
py86
Util
ize
publ
icat
ions
pro
vidi
ng li
st o
f app
rove
d dr
ugs
87In
terp
ret p
resc
riptio
ns88
Cha
rt p
resc
riptio
ns89
Pre
pare
and
rep
leni
sh s
uppl
ies
in p
hysi
cian
's b
ag90
Org
aniz
e an
d m
aint
ain
exam
inat
ion
room
s91
Rec
eive
and
org
aniz
e m
edic
atio
n sa
mpl
es92
Inve
ntor
y m
edic
atio
n an
d m
edic
al s
uppl
ies
1L3
139
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
AN
D C
HA
RT
HE
IGH
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
-4..
SA
FE
TY
HA
ZA
RD
Sca
le w
ith m
easu
ring
rod
',
Mea
sure
hei
ght
Cal
cula
te a
nd c
hart
Ass
ist p
atie
nt o
n an
d of
f of s
cale
Ris
k of
pat
ient
falli
ngre
sulta
nt tr
aum
aA
ccur
acy
and
relia
bilit
y of
res
ults
crit
ical
DE
CIS
ION
SC
UE
SE
RR
OR
S
Rec
ord
inco
rrec
t inf
orm
atio
nD
eter
min
e co
rrec
t hei
ght
Mea
surin
g ro
d to
uche
s to
p of
hea
d
I A
ll
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
AN
D C
HA
RT
HE
IGH
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of p
ituita
ry, a
dren
al, p
arat
hyro
id a
ndth
yroi
d gl
ands
Pat
holo
gy o
f pitu
itary
, adr
enal
, par
athy
roid
, and
thyr
oid
glan
ds
Mea
sure
s of
leng
thD
ivis
ion
conv
ersi
on o
f inc
hes
to fe
etM
easu
re w
ith th
e M
etric
ant
i Eng
lish
syst
em a
nd c
onve
rt b
etw
een
them
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
ILLS
/CO
NC
EP
TS
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Rec
ord
on c
hart
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
141
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
AN
D C
HA
RT
WE
IGH
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Phy
sici
an's
sca
leC
heck
bal
ance
acc
urac
y of
wal
eW
eigh
pat
ient
Cha
rt
Ass
ist p
atie
nt o
n an
d of
f sca
leR
isk
of p
atie
nt's
falli
ngA
ccur
acy
and
relia
bilit
y of
res
ults
crit
ical
DE
CIS
ION
SC
UE
S
Bal
ance
d co
rrec
tly
gRR
OR
S
Rec
ord
inco
rrec
t inf
orm
atio
nD
eter
min
e co
rrec
t wei
ght
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
AN
D C
HA
RT
WE
IGH
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of p
ituita
ry a
nd th
yroi
d gl
ands
Pat
holo
gy o
f pitu
itary
and
thyr
oid
glan
dsB
alan
ce o
f wei
ghts
Mea
sure
s of
wei
ght
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
nth
em
CO
MM
UN
ICA
TIO
NS
..--
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
..1...
. P+
4
143
(TA
SK
ST
AT
EM
EN
T)
TA
KE
AN
D C
HA
RT
A T
EM
PE
RA
TU
RE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
The
rmom
eter
Cot
ton
balls
or
spon
ges
Alc
ohol
Soa
p an
d w
ater
Wat
ch w
ith s
econ
d ha
ndLu
bric
ant,
if re
ctal
Pos
ition
pat
ient
Sha
ke th
erm
omet
er d
own
Com
plet
e pr
oced
ure
Cha
rt
Cau
tion
patie
nt a
gain
st b
iting
ther
mom
eter
Lace
ratio
npo
ison
ing
from
mer
cury
Mai
ntai
n gr
asp
of th
erm
omet
er w
hen
taki
nga
rect
al te
mpe
ratu
reT
raum
a to
rec
tal m
ucou
s m
embr
ane
Acc
urac
y an
d re
liabi
lity
of r
esul
ts c
ritic
al
DE
CIS
ION
SC
UE
S
Con
ditio
n, a
ge o
f pat
ient
ER
RO
R$
Dis
com
fort
to p
atie
nt, i
ncor
rect
rea
ding
sD
eter
min
e ty
pe o
f the
rmom
eter
Det
erm
ine
met
hod
of p
roce
dure
(TA
SK
ST
AT
EM
EN
T)
E A
ND
CH
AR
T A
TE
MP
ER
AT
UR
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of n
ervo
us s
yste
mhy
poth
alam
usR
elat
ed p
atho
logy
Tra
nsfe
r of
hea
t fro
m o
ne b
ody
to a
noth
er: e
.g.,
ther
mal
exp
ansi
onof
mer
cury
due
to h
eat
Effe
cts
of fr
ictio
n on
wor
k pr
oces
ses
and
prod
uct q
ualit
y[ l
ubric
ate
rect
al th
erm
omet
er to
red
uce
fric
tion]
Mea
sure
of t
ime
Mea
sure
of t
empe
ratu
reC
onve
rsio
n of
Far
enhe
it to
Cen
tigra
devi
ce v
ersa
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
149
145
(TA
SK
ST
AT
EM
EN
T)
TA
KE
AN
D C
HA
RT
A P
ULS
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wat
ch w
ith a
sec
ond
hand
Loca
te a
ppro
pria
te a
rter
yA
pple
pro
per
digi
tal p
ress
ure
on a
rter
yN
ote
rhyt
hm a
nd fo
rce
of p
ulse
Cou
nt a
nd n
ote
time
Cal
cula
te a
nd c
hart
find
ings
Acc
urac
y an
d re
liabi
lity
of r
esul
ts c
ritic
al
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inco
rrec
t rea
ding
sP
atie
nt c
ompl
icat
ions
.
Det
erm
ine
nece
ssity
of r
eche
ckin
g ra
te o
nal
tern
ate
arte
ryD
eter
min
e ne
cess
ity o
f im
med
iate
not
ifica
tion
to p
hysi
cian
of v
aria
tion
from
nor
mal
Am
ount
of v
aria
tion
Tac
hyca
rdia
or
seve
re b
rady
card
ia a
nd/o
rirr
egul
ariti
es
(TA
SK
ST
AT
EM
EN
T)
TA
KE
AN
D C
HA
RT
A P
ULS
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of v
ascu
lar
syst
emP
atho
logy
of v
ascu
lar
syst
emA
nato
my
and
phys
iolo
gy o
f aut
onom
ic n
ervo
us s
yste
mLi
quid
und
er p
ress
ure
bloo
d ac
ts a
s a
hydr
aulic
sys
tem
with
hear
t as
pum
p
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
n th
enu
mbe
r lin
e (s
eque
ntia
l ord
erin
g)M
ultip
licat
ion
of w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Writ
ing
Vie
win
g
Cha
rt in
form
atio
n
Wat
ch
Pen
Inan
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
Vis
ual a
naly
sis
(see
ing
the
part
s in
rel
atio
nto
the
who
le)
Logi
c (o
rder
ing
of th
ough
ts a
nd p
erce
ptio
ns)
Rec
ogni
tion
of s
ymbo
ls, c
odes
, and
em
blem
s
147
1 N
1
(TA
SK
ST
AT
EM
EN
T)
CO
UN
T A
ND
CH
AR
T R
ES
P!R
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wat
ch w
ith s
eIon
d ha
ndC
ount
res
pira
tion
at ti
me
puls
e is
take
n (d
o no
tro
utin
ely
take
imm
edia
tely
afte
r ex
erci
seor
whi
le p
atie
nt is
exc
ited
)C
ontin
ue s
tead
y pr
essu
re o
n w
rist w
hile
com
-pl
etin
g pr
oced
ure
to r
educ
e pa
tient
aw
aren
est
of s
ame
Not
e qu
ality
of r
espi
ratio
nC
alcu
late
and
cha
rt fi
ndin
gs
Acc
urac
y an
d re
liabi
lity
of r
esul
ts c
ritic
al
DE
CIS
ION
SC
UE
S
Am
ount
of v
aria
tion
ER
RO
RS
Det
erm
ine
nece
ssity
of i
mm
edia
teno
tific
atio
n to
phy
sici
an o
f var
iatio
nof
nor
mal
(TA
SK
ST
AT
EM
EN
Ti
CO
UN
T A
ND
CH
AR
T R
ES
PIR
AT
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of m
uscu
lar
syst
emef
fect
s of
exe
rcis
eA
uton
omic
ner
vous
sys
tem
hypo
thal
amus
, effe
cts
of e
xcite
men
t, pa
in,
drug
s, e
tc. ,
trau
ma
to b
rain
Pat
holo
gy o
f res
pira
tory
sys
tem
, par
ticul
arly
the
lung
s, a
nd b
ronc
hiR
eact
ion
to e
nviro
nmen
tal t
empe
ratu
re
Mul
tiplic
atio
n of
who
le n
umbe
rsG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n, a
nd/o
r ac
cura
cy,
with
res
pect
to r
elat
ive
erro
r, to
lera
nce,
and
sug
nific
ant d
igits
(mea
surin
g in
othe
r th
an li
near
, squ
are,
and
cub
ic)
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
n th
e nu
mbe
rlin
e (s
eque
ntia
l ord
erin
g)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Not
e: L
ack
of v
erba
l com
mun
icat
ion
durin
gpr
oced
ure
is c
ritic
al
Writ
ing
EX
AM
PLE
S
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
153
149
(TA
SK
ST
AT
EM
EN
T)
TA
KE
AN
D C
HA
RT
BLO
OD
PR
ES
SU
RE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sph
ygm
oman
omet
erP
ositi
on p
atie
ntP
rope
r de
flatio
n of
cuf
f
Ste
thos
cope
Lubr
icat
e br
achi
al a
rter
yIm
paire
d ci
rcul
atio
n an
d pa
tient
dis
com
fort
Cot
ton
swab
and
alc
ohol
Com
plet
e pr
oced
ure
Acc
urac
y an
d re
liabi
lity
of r
esul
ts c
ritic
alC
ondu
ct p
relim
inar
y in
terp
reta
tion
of th
eda
ta a
nd p
roce
ed w
ith b
ilate
ral r
eadi
ngs
if in
dica
ted
Cha
rt r
eadi
ng
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
degr
ee o
f pat
ient
anx
iety
Voi
ce, m
ovem
ents
, out
war
d ap
pear
ance
,E
leva
ted
findi
ngs
due
to s
tres
s
Det
erm
ine
nece
ssity
of i
mm
edia
te n
otifi
catio
nam
ount
of v
aria
tion
Inac
cura
te r
eadi
ng
to p
hysi
cian
of v
aria
tions
from
nor
mal
Pat
ient
is c
omfo
rtab
le, b
ut p
ulse
bea
t is
Det
erm
ine
prop
er r
ate
of d
esce
nt o
f Hg.
two
to fo
ur m
m/H
g.co
lum
n
i it.1
Sa
(TA
SK
ST
AT
EM
EN
T)
TA
KE
AN
D C
HA
RT
BLO
OD
PR
ES
SU
RE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of v
esse
ls a
nd h
eart
, i.e
., fo
rce
of th
e he
artb
eat,
resi
stan
ceon
art
eria
l sys
tem
, ela
stic
ity o
f art
erie
s, a
nd v
olum
e of
the
bloo
dA
nero
id s
phyg
mom
anom
eter
mec
hani
cal p
rinci
ple
Mer
cury
-gra
vity
sph
ygm
oman
omet
erhy
drau
lic p
rinci
ple
Liqu
id u
nder
pre
ssur
e
Exp
ress
num
bers
as
com
mon
frac
tions
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion,
and
ior
accu
racy
with
res
pect
to r
elat
ive
erro
r, to
lera
nce,
and
sig
nific
ant d
igits
(mea
surin
gin
othe
r th
an li
near
, squ
are,
and
cub
ic)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
1
151
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
CO
LOR
VIS
ION
WIT
H IS
HIH
AR
A C
HA
RT
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ishi
hara
boo
k of
cha
rts
Exp
lain
pro
cedu
reH
ave
patie
nt r
ead
cbto
r pl
ates
Inte
rpre
t cha
rt w
ith p
atie
nt fi
ndin
gs
Acc
urac
y an
d re
liabi
lity
of r
esul
ts c
ritic
al
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inac
cura
te r
eadi
ng fr
om c
hart
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
CO
LOR
VIS
ION
WIT
H IS
HIH
AR
A C
HA
RT
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of e
ye a
s re
late
s to
col
or v
isio
nC
olor
theo
ry o
f rad
iatio
nD
iffer
ence
s in
abs
orpt
ion
and
radi
atio
n of
ener
gy b
etw
een
dark
,rou
gh ,
surf
aces
and
ligh
t, sm
ooth
, pol
ishe
d su
rfac
es [a
bsor
ptio
n of
ligh
ten
ergy
as
it re
late
s to
sig
ht in
hum
ans]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
K IL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt r
esul
ts
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
.
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
153
(TA
SK
ST
AT
EM
EN
T)
ME
AS
UR
E P
AT
IEN
T'S
VIS
ION
WIT
H S
NE
LLE
N C
HA
RT
AN
D R
EC
OR
D
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Sne
llen
char
tV
isio
n oc
clud
oi
DE
CIS
ION
S
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Sta
nd p
atie
nt tw
enty
feet
from
cha
rtD
eter
min
e vi
sion
in e
ach
eye
sepa
rate
lyC
heck
vis
ion
with
and
with
out c
orre
ctiv
ele
nses
Det
erm
ine
visi
on in
bot
h ey
es
CU
ES
SA
FE
TY
HA
ZA
RD
Acc
urac
y an
d re
liabi
lity
of r
esul
ts c
ritic
al
ER
RO
RS
Inac
cura
te r
eadi
ng
(TA
SK
ST
AT
EM
EN
T)
ME
AS
UR
E P
AT
IEN
T'S
VIS
ION
WIT
H S
NE
LLE
N C
HA
RT
AN
D R
EC
OR
D
SC
1 E
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Ana
tom
y an
d ph
ysio
logy
of e
ye a
s re
late
s to
vis
ion
Pat
holo
gy o
f eye
Opt
ical
lens
theo
ry
Exp
ress
a A
urnZ
ler
as a
com
mon
frac
tion
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
i Fig
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
155
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A C
IRC
ULA
R B
AN
DA
GE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Gau
zeT
ape
Sci
ssor
s
App
ly s
teril
e dr
essi
ng w
ith a
sept
ic te
chni
que
App
ly g
auze
Sec
ure
Pro
per
tens
ion
Impa
ired
circ
ulat
ion
Car
e in
use
of s
ciss
ors
Tra
uma
DE
CIS
ION
SC
UE
SE
RR
OR
$
Det
erm
ine
band
age
type
nee
ded
Bod
y pl
ane,
uni
form
wid
th
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A C
IRC
ULA
R B
AN
DA
GE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
ge [s
ciss
ors
a to
ol]
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
n el
astic
bod
y[fo
rce
can
redu
ce o
peni
ng o
f ves
sels
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
L
-
1G-1
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
157
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A F
ING
ER
SP
LIN
T
TO
OLS
, EO
UIP
ME
Nr,
MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Spl
int m
ater
ial
Gau
ze a
nd/o
r ta
peS
ciss
ors
Sel
ect p
rope
r sp
lint t
ype
Tai
lor
splin
tA
pply
spl
int
Sec
ure
Met
al s
plin
t, pa
d pr
oxim
al e
ndLa
cera
tions
Car
e in
use
of s
ciss
ors
Tra
uma
DE
CIS
ION
SC
UE
Sg
R R
0 R
S
Det
erm
ine
prop
er te
nsio
n to
per
mit
good
Col
or o
f ski
n, p
ossi
ble
swel
ling
circ
ulat
ion
but i
mm
obili
ze p
art
Impa
ired
circ
ulat
ion
t.1
62
(TA
SK
ST
AT
EM
EN
T)
PP
Y A
F
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of s
kele
tal a
nd m
uscu
lar
syst
em o
f han
dP
atho
logy
of s
kele
tal s
yste
m o
f han
dP
hysi
olog
y of
circ
ulat
ory
syst
em to
han
dS
impl
e m
achi
nes
used
to g
ain
mec
har
:;:al
adv
anta
ge (
scis
sors
as
anin
stru
men
t]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ion
to p
atie
nt
Cha
rt p
roce
dure
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
159
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A F
IGU
RE
-OF
-EIG
HT
BA
ND
AG
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Gau
ze o
r el
astic
ban
dage
Tap
eA
pply
ban
dage
mat
eria
l by
basi
cally
app
lyin
gtw
o sp
iral l
oops
of b
anda
ge, o
ne u
p an
don
e do
wn,
cro
ssin
g ea
ch o
ther
Sec
ure
Pro
per
tens
ion
Impa
ired
circ
ulat
ion
DE
CIS
ION
SC
UE
S
Bod
y pl
ane-
angu
lar,
usu
ally
, i.e
. joi
nts
ER
RO
RS
.
ft---
-i 6
4
Det
erm
ine
need
for
figur
e-of
-eig
ht ty
peba
ndag
e
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A F
IGU
RE
-OF
-EIG
HT
BA
ND
AG
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of s
kele
tal a
nd m
uscu
lar
syst
em o
f ext
rem
ities
Pat
holo
gy o
f ext
rem
ities
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
r el
astic
bod
y[fo
rce
can
redu
ce o
peni
ng o
f ves
sels
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
s
SK
ILLS
/CO
NC
EP
TS
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nV
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A R
EC
UR
RE
NT
TU
RN
BA
ND
AG
E.
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Gau
zeT
ape
Sci
ssor
s
App
ly s
teril
e dr
essi
ngA
pply
gau
ze b
y w
indi
ng b
ack
and
fort
hov
er a
par
tH
old
in p
ositi
on w
ith c
ircu'
T tu
rns
ofba
ndag
eS
ecur
e
Pro
per
tens
ion
Impa
ired
circ
ulat
ion
Car
e in
use
of s
ciss
ors
Tra
uma
411.
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
need
for
recu
rren
t typ
e ba
ndag
eB
ody
plan
e, i.
e. s
calp
, fin
ger,
stu
mp
of li
mb
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A R
EC
UR
RE
NT
TU
RN
BA
ND
AG
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
ge [s
ciss
ors
as a
sim
ple
inst
rum
ent]
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
n el
astic
bod
y[fo
rce
can
redu
ce o
peni
ng o
f ves
sels
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
163
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A S
PIR
AL
TU
RN
OR
RE
VE
RS
E F
LIP
BA
ND
AG
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Gau
zeT
ape
Sci
ssor
s
App
ly s
teril
e dr
essi
ngA
pply
gau
zeS
ecur
e
Pro
per
tens
ion
Impa
ired
circ
ulat
ion
Car
e in
use
of s
ciss
ors
Tra
uma
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
need
for
spira
l tur
n ba
ndag
e
Det
erm
ine
if op
en s
pira
l '.-
urns
or
clos
edsp
iral t
urns
is n
eede
dD
eter
min
e if
reve
rse
flip
tech
niqu
e is
appl
icab
le
Bod
y pl
ane,
i.e.
a p
art o
f the
bod
y th
atva
ries
in w
idth
If ob
ject
ive
is o
nly
to h
old
a dr
essi
ng in
plac
e te
mpo
raril
y,sp
iral i
s us
edT
aper
ing
of li
mb
CA
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A S
PIR
AL
TU
RN
OR
RE
VE
RS
E F
LIP
BA
ND
AG
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
ge [
scis
sors
are
asi
mpl
e m
achi
ne]
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
n el
astic
bod
y [ f
orce
can
redu
ce o
peni
ng o
f ves
sels
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
s
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
and
pois
e
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic,
and
term
inol
ogy/
gene
ral f
orm
at
.1 C
cA
165
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
AN
ELA
ST
IC B
AN
DA
GE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ela
stic
ban
dage
Pos
ition
pat
ient
App
ly b
anda
ge s
moo
thly
as
wrin
kles
can
be
unco
mfo
rtab
le fo
r th
e pa
tient
Use
pro
per
tens
ion
Impa
ired
circ
ulat
ion
.
DE
CIS
ION
SC
UE
SE
RR
OR
S
Dis
com
fort
to p
atie
nt, i
mpa
ired
circ
ulat
ion
Det
erm
ine
wid
th o
f ban
dage
Bod
y pa
rt to
be
band
aged
Det
erm
ine
band
agin
g te
chni
que
to b
eB
ody
plan
eut
ilize
d
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
AN
ELA
ST
IC B
AN
DA
GE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of c
ircul
ator
y sy
stem
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
n el
astic
bod
y [ f
orce
can
redu
ce o
peni
ng o
f ves
sels
)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
K I
LLS
/CO
NC
EF
'TS
List
enin
g
Spe
akin
g
Writ
ing
Rea
ding
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Inst
ruct
ions
from
phy
sici
an
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idfla
s), w
ord
defin
ition
, and
not
e ta
king
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
and
pois
e
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
olog
y/ge
nera
l voc
abul
ary,
and
logi
c
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,te
rmin
olog
y, a
nd p
roce
ss r
epor
t (in
stru
ctio
ns)
167
1 71
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
AN
AR
M S
PLI
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Spl
int m
ater
ial
Gau
ze, e
last
ic b
anda
ge, o
r V
elcr
o st
rips
acco
rdin
g to
spl
int t
ype
bein
g ut
ilize
dS
ling
mat
eria
l, as
nee
ded
Mol
d sp
lint,
if ap
plic
able
App
ly s
plin
tS
ecur
eP
ositi
onlim
bfo
r sl
ing,
if o
rder
edA
pply
slin
g
Pro
per
tens
ion
Impa
ired
circ
ulat
ion
DE
CIS
ION
SC
UE
SE
RR
OR
S
"*".
1
0
1111
1
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
AN
AR
M S
PLI
NT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of s
kele
tal a
nd m
uscu
lar
syst
em o
f arm
Pat
holo
gy o
f prm
s
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nLo
gic
Ter
min
olog
y/ge
nera
l voc
abul
ary
169
173
(TA
SK
ST
. .'T
EM
EN
T)
AP
PLY
AN
AR
M S
LIN
G
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Tria
ngul
ar b
anda
geS
afet
y pi
nsP
ositi
on a
rmA
pply
tria
ngul
ar b
anda
geS
ecur
e
Pos
ition
kno
t aw
ay fr
om s
pina
l col
umn
Saf
ety
in u
se o
f sha
rp p
inP
unct
ure
wou
nd
DE
CIS
ION
SC
UE
SE
RR
OR
$
Ede
ma,
dis
com
fort
A P
".1li
Det
erm
ine
angl
e of
arm
Han
d hi
gher
than
elb
ow, u
sual
lyD
eter
min
e po
sitio
n of
kno
t
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
AN
AR
M S
LIN
G
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of s
kele
tal a
nd m
uscu
lar
syst
em o
f arm
sR
elat
ed p
atho
logy
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
171
175
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
BU
TT
ER
FLY
BA
ND
AG
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
But
terf
ly b
anda
ges
Med
icat
ion
if in
dica
ted
N
App
ly c
lean
ban
dage
to d
ry s
urfa
ceA
pply
num
ber
of b
anda
ges
need
ed to
sec
ure
skin
for
best
res
ults
in h
ealin
g pr
oces
s
Do
not c
onta
min
ate
band
age
Wou
nd in
fect
ion
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
need
for
band
age
Det
erm
ine
prop
er a
pplic
atio
nW
ound
are
a se
para
tes
and
skin
nee
ds to
be
brou
ght t
oget
her
and/
or in
are
a w
here
alo
t of s
tres
s is
pre
sent
Sep
arat
ion
of s
kin
at w
ound
site
with
re-
sulta
nt s
low
er h
ealin
g an
d sc
ar fo
rmat
ion
116
e(T
AS
K S
TA
TE
ME
NT
)A
PP
LY B
UT
TE
RF
LY B
AN
DA
GE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
n el
astic
bod
y[fo
rce
can
redu
ce o
peni
ng o
f ves
sels
]_
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Writ
ing
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, lo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
-ol
ogy/
gene
ral v
ocab
ular
y, lo
gic
di7'
7
173
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
TU
BU
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BA
ND
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E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sea
mle
ss tu
bula
r ro
lls o
f gau
zeW
ire a
pplic
ator
Tap
e
Sel
ect p
rope
r si
ze fo
r ar
ea to
be
band
aged
: i.e
.fin
ger,
arm
, hea
d, le
g, h
and
Fol
low
exa
ct in
stru
ctio
ns s
uppl
ied
by m
anu-
fact
urer
Sec
ure
Ban
dage
s ca
n be
aut
ocla
ved
if ne
ed d
icta
tes
ster
ile te
chni
que
nece
ssar
yIn
fect
ion-
DE
CIS
ION
SC
UE
SE
RR
OR
S
r,..
1
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
TU
BU
LAR
i,A
ND
AG
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Re!
atio
nshi
p oc
forc
e to
dis
tort
ion
in a
n el
astic
bod
y[fo
rce
can
redu
ce o
peni
ng o
f ves
sels
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
List
enin
g
Spe
akin
g
Writ
ing
:Istr
uctio
ns fr
om m
anuf
actu
rer
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,te
rmin
olog
y, a
nd p
roce
ss r
epor
t ins
truc
tions
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
ges
-tu
res,
and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
olog
yge
nera
l voc
abul
ary,
and
logi
c
I
175
i79
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
ST
ER
ILE
AD
HE
SIV
E D
RE
SS
ING
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
.44
Ste
rile
adhe
sive
dre
ssin
gA
pply
ste
rile
adhe
sive
dre
ssin
g to
cle
ar, d
ryD
o no
t con
tam
inat
eM
edic
atio
n if
indi
cate
dsu
rfac
eS
epsi
sN
o ta
pe a
llerg
y -
skin
irrit
atio
n
DE
CIS
ION
SC
UE
SE
RR
OR
S
i RO
TA
SK
ST
AT
EM
EN
T)
AP
PLY
ST
ER
ILE
AD
HE
SIV
E D
RE
SS
ING
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Rel
atio
nshi
p of
forc
e to
dis
tort
ion
in a
n el
astic
bod
y[fo
rce
can
redu
ce o
peni
ng o
f ves
sel]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Cha
rt p
roce
dure
sP
enm
ansh
ipS
pelli
ngC
lass
ifica
tion
Ter
min
olog
y/ge
nera
l voc
abul
ary
Logi
c
1 R
I
177
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A S
TE
RIL
E D
RE
SS
ING
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
.;FC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Dre
ssin
g m
ater
ials
(st
erile
)P
icku
p fo
rcep
sD
ress
ing
forc
eps
Adh
esiv
e ta
peS
teril
e sc
isso
rsB
anda
ge s
ciss
ors
Med
icat
ions
as o
rder
edS
teril
e ap
plic
ator
sS
urgi
cal g
love
sT
ray
Ste
rile
tow
elB
asin
or
appr
opria
te r
ecep
tacl
e, if
dre
ssin
g is
bein
g ch
ange
d
DE
CIS
ION
S
Det
erm
ine
Det
erm
ine
appr
opria
te w
inda
ge
Pre
pare
pat
ient
, i.e
. pos
ition
, rem
ove
old
.ires
sing
s; if
app
licab
le, p
repa
re s
iteH
ave
phys
icia
n ex
amin
e th
e w
ound
bef
ore
dres
sing
is a
pplie
dA
pply
ste
rile
dres
sing
as
orde
red
by p
hysi
cian
App
ly a
n ap
prop
riate
ban
dage
Cro
ss-c
onta
min
atio
n ca
n oc
cur
unle
ss a
s-ep
sis
is m
aint
aine
d at
all
times
Sep
sis
Use
pro
per
tens
ion
whe
n ap
plyi
ng b
anda
geIm
paire
d ci
rcul
atio
nC
are
in u
se o
f sci
ssor
sT
raum
a
CU
ES
Siz
e, s
hape
, loc
atio
n of
wou
nd, d
irect
ions
of
phys
icia
nI m
proo
er h
ealin
g
ER
RO
RS
.14
"41
011
0
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A S
TE
RIL
E D
RE
SS
ING
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
asep
sis
Rel
ated
pat
holo
gyR
elat
ions
hip
of fo
rce
to d
isto
rtio
n in
an
elas
tic b
ody
[forc
e ca
n re
duce
ope
ning
of v
esse
l ]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Writ
ing
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Aud
itory
dis
crim
inat
ion,
con
cent
rato
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
ges
-tu
res,
and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
olog
yge
nera
l voc
abul
ary,
and
logi
c
179
isa
(TA
SK
ST
AT
EM
EN
T)
RE
MO
VE
A C
ON
TA
MIN
AT
ED
DR
ES
SIN
G
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ben
zin
or o
ther
spe
cial
rem
over
sS
mal
l bas
inC
otto
n sw
abs
For
ceps
Glo
ves
Pap
er b
ag o
r ai
rtig
ht c
ardb
oard
con
tain
er
Ass
embl
e ne
eded
inst
rum
ents
and
mat
eria
lsD
on g
love
sR
emov
e ta
pe a
s qu
ickl
y as
pos
sibl
eP
ull s
kin
away
from
tape
- n
ot ta
peaw
ayfr
om s
kin
Rem
ove
tape
tow
ard
wou
ndP
lace
con
tam
inat
ed d
ress
ing
inpr
oper
rece
ptac
le
Ase
ptic
tech
niqu
eC
ross
-con
tam
inat
ion
seps
is
DE
CIS
ION
SC
UE
SE
RR
OR
$
f',
(TA
SK
ST
AT
EM
EN
T)
RE
MO
VE
A C
ON
TA
MIN
AT
ED
DR
ES
SIN
G
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
ptic
tech
niqu
eS
impl
e m
achi
nes
used
to g
ain
mec
hani
cal a
dvan
tage
[use
of s
impl
e in
stru
men
ts ]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Inst
ruct
ions
trom
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
181
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A P
RE
SS
UR
E B
AN
DA
GE
TO
A B
UR
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
Ste
rile
dres
sing
mat
eria
l, e.
g. p
lain
gau
ze,
impr
egna
ted
gauz
e, T
eaa
dres
sing
as
orde
red
:.:y
phys
icia
n, g
auze
wad
ding
mat
eria
l,dr
essi
ng fo
rcep
s, p
icku
p fo
rcep
s, s
teril
esc
isso
rs, m
edic
atio
nsas
dire
cted
, ste
rile
appl
icat
ors
and/
or to
ngue
bla
des,
sur
gica
lgl
oves
, ela
stic
ban
dage
appr
opria
te w
idth
Bas
in o
r ap
prop
riate
rec
epta
cla
if dr
essi
ng is
bein
g ch
ange
d
DE
CIS
ION
S
Det
erm
ine
prop
er te
nsio
n
4111
111I
SA
FE
TY
HA
ZA
RD
Pre
pare
pat
ient
, i.e
. pos
ition
, rem
ove
old
dres
sing
s an
d pr
epar
e si
teH
ave
phys
icia
n ex
amin
e th
e w
ound
bef
ore
dres
sing
app
lied
App
ly s
teril
e dr
essi
ng a
s or
dere
d by
phy
sici
anA
pply
gau
ze w
addi
ng m
ater
ial
App
ly e
last
ic b
anda
ge CU
ES
Cro
ss-c
onta
min
atio
n ca
n oc
cur
unle
ss a
seps
isis
mai
ntai
ned
at a
ll tim
esS
epsi
sU
se p
rope
r te
nsio
n w
hen
appl
ying
ban
dage
Impa
ired
circ
ulat
ion
Car
e in
use
of s
ciss
ors
Tra
uma
ER
RO
RS
,1
Sr,
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
A P
RE
SS
UR
E B
AN
DA
GE
TO
A B
UR
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
asep
sis
Typ
es o
f bur
nsD
egre
es o
f bur
nsT
hera
peut
ic p
robl
ems
invo
lved
with
bur
nsR
elat
ions
hip
of fo
rce
to d
isto
rtio
n in
an
elas
tic b
ody
Ase
ptic
tech
niqu
eU
se o
f sim
ple
inst
rum
ents
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Writ
ing
inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atill
nt
Cha
rt in
form
atio
n
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
olog
gene
ral v
ocab
ular
y, a
nd lo
gic
183
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R T
RE
ND
ELE
NB
UR
Gill
1011
1111
111W
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Uni
vers
al e
xam
inin
g ta
ble
(Ritt
er)
App
ropr
iate
tabl
e co
ver
Dra
pe
Inst
ruct
pat
ient
reg
ardi
ng p
repa
ratio
nP
ositi
on a
nd d
rape
Pro
tect
aga
inst
falls
from
tabl
eP
oten
tial t
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R T
RE
ND
ELE
NB
UR
G
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
gin
stru
ctio
ns to
pat
ient
Indi
cate
pat
ient
rea
dine
ss to
phy
sici
anE
nunc
iatio
nC
larit
y of
exp
ress
ion
Logi
cG
estu
res
Poi
se.
18E
,1R
9
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R K
NE
E C
HE
ST
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Exa
min
ing
tabl
e w
ith a
ppro
pria
te c
over
Dra
peIn
stru
ct p
atie
nt r
egar
ding
pre
para
tion
Pos
ition
and
dra
peP
rote
ct a
gain
st fa
lls fr
om ta
ble
(pat
ient
can
expe
rienc
e ve
rtig
o in
this
pos
ition
)P
oten
tial t
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
Al
oC
le-l
i ,;
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R K
NE
E C
HE
ST
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
akin
gIn
stru
ctio
ns to
pat
ient
Indi
cate
pat
ienL
rea
dine
ss to
phy
sici
anE
nunc
iatio
nC
larit
y of
exp
ress
ion
Logi
cG
estu
res
Poi
se
187
191
7
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R S
EM
IFO
WLE
RS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Exa
min
ing
tabl
e w
ith a
ppro
pria
te c
over
Dra
peP
illow
Dis
posa
ble
tow
el
Inst
ruct
, pat
ient
reg
ardi
ng p
repa
ratio
nP
ositi
on a
nd d
rape
Pro
tect
aga
inst
falls
from
tabl
eP
oten
tial t
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R S
EM
I--F
OW
LER
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
gIn
stru
ctio
ns to
pat
ient
Indi
cate
pat
ient
rea
dine
ss to
phy
sici
anE
nunc
iatio
nC
larit
y of
exp
ress
ion
Logi
cG
estu
res
Poi
se
193
189
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R S
IMS
AN
D L
AT
ER
AL
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Exa
min
ing
tabl
e w
ith a
ppro
pria
te c
over
Dra
peP
illow
Dis
posa
ble
tow
el
Inst
ruct
pat
ient
reg
ardi
ng p
repa
ratio
nP
ositi
on a
nd d
rape
Pro
tect
aga
inst
falls
from
tabl
eP
oten
tial t
raum
a
DE
CIS
ION
SC
UE
S
Inst
ruct
ions
to p
atie
ntIn
dica
te p
atie
nt r
eadi
ness
to p
hysi
cian
ER
RO
RS
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Spe
akin
g
V 1
9 4
,
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
PA
TIE
NT
FO
R S
IMS
AN
LAT
ER
AL
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
gIn
stru
ctio
ns to
pat
ient
Indi
cate
pat
ient
rea
dine
ss to
phy
sici
anE
nunc
iatio
nC
larit
y of
exp
ress
ion
Logi
cG
estu
res
Poi
se
191
I 95
(TA
SK
ST
AT
EM
EN
T)
PO
SIT
ION
AN
D D
RA
PE
FO
R L
ITH
OT
OM
Y P
OS
ITIO
N11
1111
1. TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
1S
AF
ET
YH
AZ
AR
D
Exa
min
atio
n ta
ble
with
stir
rups
and
app
ropr
i-at
e co
ver
Dra
peP
illow
Dis
posa
ble
tow
el
Inst
ruct
pat
ient
reg
ardi
ng p
repa
ratio
nP
ositi
on a
nd d
rape
Pro
tect
aga
inst
falls
from
tabl
eP
oten
tial t
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
. ....
. ....
_S
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
, (47
Spe
akin
gIn
dica
te p
atie
nt r
eadi
ness
to p
hysi
cian
Ver
bal i
nter
actio
n w
ith p
atie
ntE
nunc
iatio
nC
larit
y of
exp
ress
ion
Logi
cG
estu
res
Poi
se
193
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
GE
NE
RA
L P
HY
SIC
AL
EX
AM
INA
TIO
N T
RA
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Han
d to
wel
Iden
tify
item
s us
edC
lean
lines
s of
inst
rum
ents
and
/or
ster
iliza
tion
Ton
gue
depr
esso
rsA
ssem
ble
criti
cal
Per
cuss
ion
ham
mer
neur
olog
ical
Cro
ss in
fect
ions
Nas
al s
pecu
lum
Ear
spe
culu
mO
ptha
lrnos
cope
Oto
scop
eS
phyg
mom
anom
eter
Ste
thos
cope
Tap
e m
easu
reA
lcoh
olC
otto
nR
ecep
tacl
e fo
r co
ntam
inat
ed s
uppl
ies
Tun
ing
fork
Tra
y w
ith to
wel
Sup
plie
s an
d eq
uipm
ent w
ill v
ary
with
in-
divi
dual
phy
sici
ans
DE
CIS
ION
SC
UE
SE
BB
S2aS
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
GE
NE
RA
L P
HY
SIC
AL
EX
AM
INA
TIO
NT
RA
Y
SC
IEN
CE
MA
TH
- N
UM
BE
R S
YS
TE
MS
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
195
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E R
EC
TA
L T
RA
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Rub
ber
rect
al g
love
(no
t ste
rile)
Det
erm
ine
item
s ne
eded
Ase
ptic
tech
niqu
eLu
bric
ant
Ass
embl
eC
onta
min
atio
nP
roct
osco
pe o
r S
igm
oido
scop
e as
ord
ered
by
phys
icia
nC
otto
n ba
llsC
otto
n tip
ped
appl
icat
ors
appr
opria
tele
ngth
Tra
yT
owel
Dis
posa
ble
enem
a as
ord
ered
by
phys
icia
n
Spe
cial
equ
ipm
ent a
nd s
uppl
ies
asor
dere
dby
phy
sici
an
DE
CIS
ION
SS
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E R
EC
TA
L T
RA
Y
SC
IEN
CE
MA
TH
- N
UM
BE
R S
YS
TE
MS
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
197
201
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
RE
CT
AL
EX
AM
INA
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Rec
tal t
ray
Inst
ruct
, pre
pare
, and
pos
ition
pat
ient
Obs
erve
pat
ient
clo
sely
so
he d
oes
not f
all
Rub
ber
rect
al g
love
(no
t ste
riie)
Asc
erta
in if
pat
ient
has
use
d pr
epar
ator
yof
f tab
leLu
bric
ant
enem
asP
oten
tial t
raum
aP
roct
osco
pe o
r S
igm
oido
scop
e as
ord
ered
Ass
ist p
hysi
cian
Use
spe
cial
pre
caut
ions
whe
n ge
tting
pat
ient
by p
hysi
cian
Ass
ist p
atie
nt in
sitt
ing
upup
afte
r ex
amin
atio
nC
otto
n ba
llsD
izzi
ness
and
/or
fain
ting
and
subs
eque
ntC
otto
n tip
ped
appl
icat
ors
appr
opria
tele
ngth
trau
ma
Tra
yT
owel
Dis
posa
ble
enem
a as
ord
ered
by
phys
icia
nD
rape
Tab
leE
xam
inin
g lig
htS
tool
Oth
er e
quip
men
t and
sup
plie
s as
ord
ered
by
phys
icia
n
DE
CIS
ION
SC
UE
SE
RR
OU
202
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
RE
CT
AL
EX
AM
INA
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of l
ower
gas
tro-
inte
stin
al tr
act
Pat
holo
gy o
f low
er g
astr
o-in
test
inal
trac
t
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Tou
chin
g
Ver
bal i
nstr
uctio
ns fr
om p
hysi
cian
Inst
ruct
ions
to p
atie
nt
Tac
tile
com
mun
icat
ion
with
pat
ient
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
Enu
ncia
tion,
dar
ity o
f exp
ress
ion,
logi
c,ge
stur
es, a
nd p
oise
Com
fort
,2:
h.1
mov
emen
t
?(1
3
199
(TA
SK
ST
AT
EM
EN
T)
SE
T U
P A
N E
AR
, NO
SE
, AN
D T
HR
OA
T T
RA
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Spe
cula
nasa
l and
ear
Oto
scop
eO
phth
alm
osco
peF
orce
ps a
s in
dica
ted
Cot
ton-
tippe
d ap
plic
ator
sS
lides
and
cul
ture
tube
s if
indi
cate
dG
oose
neck
lam
p w
ith r
efle
ctor
Hea
d m
irror
Bas
in fo
r w
aste
Syr
inge
with
can
nula
Med
icat
ions
Lary
ngea
l mirr
orA
lcoh
ol la
mp
or h
ot w
ater
if la
ryng
eal m
irror
used
Tra
yT
owel
Oth
er e
quip
men
t and
sup
plie
s as
ord
ered
by
phys
icia
n
Det
erm
ine
mat
eria
ls n
eede
dA
ssem
ble
mat
eria
l and
inst
rum
ents
DE
CIS
ION
SO
ME
RR
OR
S
2(14
(TA
SK
ST
AT
EM
EN
T)
SE
T U
P A
N E
AR
, NO
SE
, AN
D T
HR
OA
T T
RA
Y
SC
IEN
CE
MA
TH
- N
UM
BE
R S
YS
TE
MS
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
201
205
-:1
,,j1?
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E G
YN
EC
OLO
GIC
AL
TR
AY
WIT
H P
AP
SM
EA
R S
ET
UP
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
I %A
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Vag
inal
spe
culu
mD
eter
min
e m
ater
ials
nee
ded
Ute
rine
forc
eps
Ass
embl
e
Ste
rile
glov
es a
nd/o
r di
spos
able
glo
ves
Lubr
ican
tC
lean
slid
esC
otto
n sw
abs
Cot
ton
Cer
vica
l spa
tula
Asp
irato
r w
ith b
ulb
Sal
ine
with
dro
oper
Fix
ativ
e fo
r P
ad s
mea
rT
ray
with
tow
elO
ther
spe
cial
equ
ipm
ent a
s or
dere
dP
enci
l
Labo
rato
ry P
ap r
epor
t for
m
DE
CIS
ION
SC
UE
SE
RR
OR
S.
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E G
YN
EC
OLO
GIC
AL
TR
AY
WIT
H P
AP
SM
EA
R S
ET
-UP
SC
IEN
CE
MA
TH
- N
UM
BE
R S
YS
TE
MS
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
-,,..
..20
3
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
PE
LVIC
EX
AM
INA
TIO
N A
ND
PA
P T
ES
T
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pel
vic
exam
inat
ion
tray
with
Pap
sm
ear
set-
upE
xam
inin
g ta
ble
with
stir
rups
Sto
olE
xam
inin
g la
mp
Dra
pe
Set
-up
exam
inin
g ro
omIn
stru
ct a
nd p
ositi
on p
atie
ntA
ssis
t phy
sici
anA
ssis
t pat
ient
in s
ittin
g up
Cle
an-u
p an
d pr
epar
efo
r la
bora
tory
Writ
e pa
tient
's n
ame
on P
ap s
lide
imm
edia
tely
,fo
r po
sitiv
e id
entif
icat
ion
Pro
tect
pat
ient
from
falli
ng o
ff ta
ble
Pot
entia
l tra
uma
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inab
ility
to p
alpa
te u
teru
sLe
gal s
uit
Det
erm
ine
if pa
tient
em
ptie
d bl
adde
rD
eter
min
e po
ssib
le m
edic
al le
gal i
mpl
icat
ions
Pat
ient
's in
form
atio
nO
ffice
pol
icie
s
708
TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
PE
LVIC
EX
AM
INA
TIO
N A
ND
PA
P T
ES
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of f
emal
e re
prod
uctiv
e sy
stem
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
akin
g
Tou
chin
g
List
enin
g
Writ
ing
Inst
ruct
ions
to p
atie
nt
Tac
tile
com
mun
icat
ion
with
pat
ient
Inst
ruct
ions
from
phy
sici
an
His
tory
form
for
labo
rato
ry
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Com
fort
, and
mov
emen
t
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
olog
y/ge
nera
l voc
abul
ary,
and
logi
c
205
209
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
AT
IEN
T F
RO
M W
HE
ELC
HA
IR T
O E
XA
MIN
ING
TA
BLE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Whe
elch
air
Pat
ient
Sec
ure
whe
elch
air
Ass
ist p
atie
ntP
rope
r bo
dy m
echa
nics
for
liftin
gP
oten
tial b
ack
inju
ry o
r he
rnia
Pro
tect
pat
ient
from
falli
ng o
r tw
istin
gT
raum
a to
pat
ient
DE
CIS
ION
SC
UE
SE
FIR
OR
$
Pt1
0
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
AT
IEN
T F
RO
M W
HE
ELC
HA
IR T
O E
XA
MIN
ING
TA
BLE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bod
y m
echa
nics
Mot
ion
resu
lting
from
two
or m
ore
forc
es a
ctin
g on
a p
oint
in a
bod
y[u
nder
stan
ding
of b
alan
ce a
nd m
otio
n is
impo
rtan
tI
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Inst
ruct
ions
to p
atie
nt
Rec
eive
s ve
rbal
info
rmat
ion
from
pat
ient
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Aud
itory
dis
crim
inat
ion
reco
gniz
e op
inio
nsC
once
ntra
tion
Logi
c (o
rder
ing
of th
ough
ts a
nd id
eas)
207
(TA
SK
ST
AT
EM
EN
T)
RE
ST
RA
IN A
N IN
FA
NT
OR
CH
ILD
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Res
trai
ning
mat
eria
l (sh
eet)
Imm
obili
ze b
ody
part
sex
cept
for
affe
cted
part
by
wra
ppin
g w
ith s
heet
or
othe
rre
stra
inin
g m
ater
ial
ilold
and
rea
ssur
e ch
ild
Do
not u
se u
ndue
forc
eT
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
i.r21
2
(TA
SK
ST
AT
EM
EN
T)
RE
ST
RA
IN A
N IN
FA
NT
OR
CH
ILD
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bas
ic c
hild
psy
chol
ogy
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
gV
erba
l div
ersi
on o
f pat
ient
, if
poss
ible
Impl
ying
Den
otat
ive/
conn
otat
ive
wor
dsLo
gic
Ges
ture
sF
acia
l and
bod
y fe
atur
esP
oise
Usa
geP
ersu
asio
n
209
21 3
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EY
E IN
ST
ILLA
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Med
icat
ion
as p
resc
ribed
If liq
uid,
eye
dro
pper
Gau
ze s
pong
eS
teril
e ey
e pa
d, if
indi
cate
dT
ape,
if in
dica
ted
Pos
ition
pat
ient
(su
pine
or
sitti
ng u
p)A
ssis
t phy
sici
anor
pro
ceed
as
dire
cted
Ter
min
ate
proc
edur
e ea
rly if
2us
pect
ed r
e-ac
tion
occu
rs w
hen
phys
icia
n is
not
inro
omIm
med
iate
irrig
atio
n
Use
ase
ptic
tech
niqu
eSe
psis
Avo
id c
onta
ct w
ithey
e su
rfac
eT
raum
a
DE
CIS
ION
SC
UE
SA
rsoo
nsm
ars
ER
RO
RS
Det
erm
ine
whe
n to
sum
mon
phy
sici
anR
eact
ion
sym
ptom
sD
amag
e to
eye
Dis
com
fort
to p
atie
nt 714
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EY
E IN
ST
ILLA
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of a
nter
ior
port
ion
of e
yeP
atho
logy
of e
yeR
elat
ed p
harm
acol
ogy
Flu
ids
unde
r pr
essu
re[fl
uid
disc
harg
ed r
apid
ly c
an d
amag
e ey
e]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Writ
ing
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmin
olog
y)ge
nera
l voc
abul
ary,
and
logi
c
211
215
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EY
E IR
RIG
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sol
utio
n, a
s or
dere
dE
ye d
ropp
er a
nd/o
r ey
e cu
pE
mes
is b
asin
Gau
ze s
pong
e
Pos
ition
pat
ient
in s
upin
e us
ually
Ass
ist p
hysi
cian
or
proc
eed
as d
irect
edU
se a
sept
ic te
chni
que
Sep
sis
Avo
id c
onta
ct w
ith e
ye s
urfa
ceT
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
......
"r
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EY
E IR
RIG
AT
ION
SC
IEN
CE
1
MA
TH
NU
MB
ER
SY
ST
EM
S
I
Ana
tom
y an
d ph
ysio
logy
of e
yeP
atho
logy
of e
yeR
elat
ed te
rmin
olog
y
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Writ
ing
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
----
--94
-7--
621
3
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EA
R IN
ST
ILLA
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Med
icat
ion
as p
resc
ribed
If liq
uid,
dro
pper
If oi
ntm
ent,
cotto
n sw
abC
otto
n
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Pos
ition
pat
ient
with
hea
d to
sid
eA
ssis
t phy
sici
an
IS
AF
ET
YH
AZ
AR
D
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EA
R IN
ST
ILLA
TIO
N
iS
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Ana
tom
y an
d ph
ysio
logy
of e
arP
atho
logy
of e
arR
elat
ed p
harm
acol
ogy
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
SK
I LLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, fe
rmi -
nolo
gy/g
ener
al v
ocab
war
y, a
nd lo
gic
215
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EA
R IR
RIG
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Ear
syr
inge
Ear
or
emes
is b
asin
Tow
els
Pla
stic
dra
pe fo
r pa
tient
Con
tain
er w
ith lu
kew
arm
wat
erC
otto
n sw
abs
Oto
scop
e
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Pos
ition
in s
ittin
g po
sitio
n an
d dr
ape
patie
ntA
ssis
t phy
sici
anP
rote
ct a
gain
st v
ertig
oD
izzi
ness
and
/or
falli
ng w
ith p
ossi
ble
resu
ltant
trau
ma
DE
CIS
ION
S
Det
erm
ine
corr
ect w
ater
tem
pera
ture
CU
ES
Too
coo
l, to
o w
arm
ER
RO
R$
Ver
tigo
occu
rs, p
ossi
ble
tissu
e da
mag
e
220
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
EA
R IR
RIG
AT
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of e
arP
atho
logy
of e
arW
ater
pre
ssur
eF
luid
s un
der
pres
sure
[may
dam
age
ear]
Tra
nsfe
r of
hea
t fro
m o
ne b
ody
to a
noth
er [t
rans
fer
of h
eat o
r co
olto
ear
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
SK
I LLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
217
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T A
FA
INT
ING
PA
TIE
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
Am
mon
ia a
mpu
leP
ositi
on p
atie
nt w
ith h
ead
low
er th
an h
eart
Loos
en c
loth
ing
Giv
e us
ual f
irst a
id m
easu
res
Cal
l doc
tor
DE
CIS
ION
S
Det
erm
ine
nece
ssity
for
prev
entiv
em
easu
res,
whe
n po
ssib
leD
eter
min
e po
ssib
ility
of s
hock
acc
ordi
ng to
circ
umst
ance
s
CU
ES
Loss
of s
kin
colo
rC
lam
my
skin
Diz
zine
ss-
Wea
knes
sT
raum
a
SA
FE
TY
HA
ZA
RD
Pro
tect
hea
d pr
imar
ilyot
her
body
par
ts a
spo
ssib
le if
pat
ient
is fa
lling
Tra
uma
If pa
tient
not
bre
athi
ng p
rope
rly, c
heck
airw
aS
uffo
catio
n (t
ongu
e bl
ocki
ng a
irway
)
ER
RO
RS
Pat
ient
trau
ma
222
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T A
FA
INT
ING
PA
TIE
NT
fS
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Ana
tom
y an
d ph
ysio
logy
of n
ervo
us s
yste
m, i
.e.,
cent
ral
nerv
ous
syst
em v
ersu
s au
tono
mic
ner
vous
sys
tem
Phy
siol
ogy
of c
ircul
ator
y an
d re
spira
tory
sys
tem
as r
elat
es to
oxy
gena
-tio
n of
blo
od a
nd c
ells
Flu
ids
unde
r pr
essu
re[b
lood
is fl
uid
unde
r pr
essu
re a
nd c
onfo
rms
to r
ules
of h
ydra
ulic
s ]
PE
RF
OR
MA
NC
E M
OD
ES
CO
MM
UN
ICA
TIO
NS
EX
AM
PLE
S
Ver
bal r
eass
uran
ce to
pat
ient
Cha
rt in
form
atio
n
219
SK
I LLS
/CO
NC
EP
TS
Impl
ying
Enu
ncia
tion
Logi
cG
estu
res
Fac
ial a
nd b
ody
feat
ures
Poi
seP
ersu
asio
n
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
Q.2
3
(TA
SK
ST
AT
EM
EN
T)
TR
EA
T P
AT
IEN
T F
OR
SH
OC
K
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Bla
nket
Mat
eria
l to
elev
ate
feet
Spi
rits
of a
mm
onia
Em
esis
bas
in, i
f ind
icat
edM
edic
atio
ns a
s or
dere
d by
phy
sici
anS
phyg
nom
anom
eter
Ste
thos
cope
Wat
ch w
ith s
econ
d ha
ndO
xyge
n ta
nk a
nd m
ask,
if in
dica
ted
(Mos
t offi
ces
will
hav
e an
em
erge
ncy
equi
pmen
t tra
y)
Pos
ition
pat
ient
in s
upin
e un
less
dys
pnea
pres
ent
Sum
mon
phy
sici
anLo
osen
clo
thin
gP
rese
rve
body
hea
tM
easu
re v
ital s
igns
Ass
ist p
hysi
cian
as
indi
cate
d
Pre
vent
inju
ry d
ue to
falli
ngT
raum
aIf
oxyg
en is
use
d, m
ake
sure
ther
e is
no
smok
ing,
func
tioni
ng e
lect
rical
mac
hine
,or
any
oth
er fi
re in
the
imm
edia
te a
rea
Fire
and
/or
expl
osio
n
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
unde
rlyin
g ca
use,
if p
ossi
ble,
and
give
app
ropr
iate
firs
t aid
Det
erm
ine
if dy
spne
a is
pre
sent
, adm
inis
ter
oxyg
en
Det
erm
ine
advi
sabi
lity
of le
avin
g pa
tient
tosu
mm
on p
hysi
cian
, ver
sus
stay
ing
with
patie
nt a
nd c
allin
g lo
udly
for
help
Inju
ries,
vic
tim c
ompl
aint
s cy
anos
is, v
ictim
sym
ptom
s se
verit
y of
con
ditio
nS
hock
bec
omes
mor
e se
vere
224
(TA
SK
ST
AT
EM
EN
T)
TR
EA
T P
AT
IEN
T F
OR
SH
OC
K
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Etio
logy
of s
hock
Mea
sure
s of
tem
pera
ture
Loca
te b
y ap
prox
imat
ion,
rat
iona
l num
bers
and
inte
gers
on
the
num
ber
line
(seq
uent
ial o
rder
ing)
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion,
and
/or
accu
racy
with
res
pect
to r
elat
ive
erro
r, to
lera
nce,
and
sig
nific
ant d
igits
(mea
sbrin
g in
othe
r th
an li
near
, squ
are,
and
cub
ic)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
List
enin
g
Writ
ing
EX
AM
PLE
S
Rea
ssur
ance
of p
atie
ntIn
stru
ctio
ns to
pat
ient
Inst
ruct
ions
from
phy
sici
an
Cha
rt in
form
atio
n
SK
I L L
S/C
ON
CE
PT
S
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, im
plyi
ng,
logi
c, g
estu
res,
faci
al a
nd b
ody
feat
ures
,po
ise,
and
per
suas
ion
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi -
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
221
22!5
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R D
IAB
ET
IC C
OM
A
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Bla
nket
Pat
ient
Mak
e pa
tient
com
fort
able
Get
the
doct
or im
med
iate
ly o
r if
he is
not
avai
labl
e, c
all a
n em
erge
ncy
vehi
cle
Tre
at a
s fo
r sh
ock,
if d
octo
r is
not
ava
ilabl
e
Pro
tect
ppa
tient
: ;Ic
m in
jury
to s
elf
Tra
uma
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
if br
eath
has
sic
keni
ngly
sw
eet
odor
of a
ceto
nepr
imar
y cl
ue to
dia
betic
com
a al
ong
with
his
tory
Obs
erve
and
not
e sy
mpt
oms
and
rela
te to
doct
or-a
lso
dryn
ess
of s
kin
226
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R D
IAB
ET
IC C
OM
A
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of d
iges
tion
and
met
abol
ism
of f
oods
: car
bohy
drat
es,
prot
eins
, and
fats
Phy
siol
ogy
of e
ndoc
rine
syst
em: p
ancr
eas
and
pitu
itary
gla
ndE
tiolo
gy a
nd s
ympt
omol
ogy
of d
iabe
tes
mel
litus
: hyp
ergl
ycem
ia, a
ndac
idos
isE
ffect
s of
insu
linS
impl
e m
achi
nes
used
to g
ain
mec
hani
cal a
dvan
tage
[syr
inge
hol
der
is a
sim
ple
toot
]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an, a
nd/o
r em
erge
ncy
pers
onne
l
Ver
bal i
nter
actio
n w
ith p
atie
nt a
nd/o
rpe
rson
s ac
com
pany
ing
patie
nt
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Impl
ying
, enu
ncia
tion,
logi
c, g
estu
res,
faci
alan
d bo
dy fe
atur
es, a
nd p
oise
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
encr
al v
ocab
ular
y, a
nd lo
gic
223
227
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R IN
SU
LIN
SH
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Car
bohy
drat
e in
wha
teve
r fo
rm r
eadi
ly a
vail-
able
Mak
e pa
tient
com
fort
able
Sum
mon
doc
tor
Adm
inis
ter
carb
ohyd
rate
sub
stan
ce
Pro
tect
pat
ient
from
inju
ry to
sel
fT
raum
a
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
if sy
mpt
oms
and
hist
ory
indi
cate
ad-
If bl
ood
suga
r go
es to
o lo
w, t
he p
atie
nt m
aym
inis
terin
g ca
rboh
ydra
te s
ubst
ance
go in
to c
onvu
lsio
nsS
ympt
oms
pale
, ski
n m
oist
and
cla
mm
y,in
obv
ious
sta
te o
f sho
ck, b
reat
hing
slo
wan
d sh
allo
w, a
lthou
gh p
ulse
is r
apid
`,.2
';',..
..8
I
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R IN
SU
LIN
SH
OC
K
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of d
iges
tion
and
met
abol
ism
of f
oods
: car
bohy
irate
s,pr
otei
ns, a
nd fa
tsP
hysi
olog
y of
end
ocrin
e sy
stem
: pan
crea
s, a
nd p
ituita
ry g
land
Etio
logy
and
sym
ptom
olog
y of
dia
bete
s m
ellit
us: h
ypog
lyce
mia
, and
alki
nosi
s
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an a
nd/o
r th
eem
erge
ncy
pers
onne
l
Ver
bal i
nter
actio
n w
ith p
atie
nt a
nd/o
rpe
rson
s ac
com
pany
ing
patie
nt
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Impl
ying
, enu
ncia
tion,
logi
c, g
estu
res,
faci
alan
d bo
dy fe
atur
es, a
nd p
oise
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
225
229
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R P
OIS
ON
ING
BY
MO
UT
H
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Wat
er fo
r dr
inki
ngN
eutr
aliz
ing
subs
tanc
e if
indi
cate
dE
met
ic if
indi
cate
dE
mes
is b
asin
Dilu
te w
ith w
ater
Det
erm
ine
type
of p
oiso
ning
Cal
l poi
son
cont
rol c
ente
rF
ollo
w in
stru
ctio
ns fo
r ne
utra
lizin
g pa
rtic
ular
pois
onR
esus
cita
tion
of p
atie
nt if
bre
athi
ng d
iffic
ulty
Ref
er p
atie
nt to
poi
son
cont
rol i
f tel
epho
neca
ll re
ceiv
ed s
eeki
ng fi
rst a
id
Pre
vent
vom
iting
if c
aust
ic c
ause
d po
ison
ing
Tra
uma
of m
ucou
s m
embr
ane
Pre
vent
vom
iting
if o
ily o
r ke
rose
ne s
ubst
ance
caus
ed p
oiso
ning
Pse
udop
neum
onia
DE
CIS
ION
SC
UE
SE
RR
OR
$
2:10
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R P
OIS
ON
ING
BY
MO
UT
H
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
W
Pha
rmac
olog
yC
ellu
lar
necr
osis
: i.e
., ac
id b
urn,
alk
alin
e bu
rn, a
nd k
eros
ene
prod
ucts
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
Rea
ding
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an, a
nd/o
r em
erge
ncy
pers
onne
l
Ver
bal i
nter
actio
n w
ith p
atie
nt a
nd/o
rpe
rson
s ac
com
pany
ing
patie
nt
Cha
rt in
form
atio
n
Labe
ls o
f sus
pect
ed p
oiso
n
SK
I LLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Impl
ying
, enu
ncia
tion,
logi
c, g
estu
res,
faci
alan
d bo
dy fe
atur
es, a
nd p
oise
Pen
man
ship
,sp
ellin
g, c
lass
ifica
tion,
term
inol
-og
y/ge
nera
l voc
abul
ary,
and
logi
c
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,te
rmin
olog
y, a
nd in
stru
ctio
ns
231
1,4
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R S
EIZ
UR
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ton
gue
depr
esso
r w
rapp
ed in
gau
zeP
rote
ct p
atie
nts
head
and
face
Rem
ove
any
furn
iture
on
whi
ch p
atie
ntco
uld
inju
re s
elf
Che
ck a
irway
for
poss
ible
. obs
truc
tion
Cle
ar a
irway
imm
edia
tely
Pro
vide
for
priv
acy
of p
atie
ntA
llow
pat
ient
to s
leep
follo
win
g se
izur
e
Pro
tect
pat
ient
from
inju
ryT
raum
aC
lear
airw
ayA
sphy
xiat
ion
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R S
EIZ
UR
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
and
path
olog
y of
bra
in
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
EX
AI4
1PLE
S
Ver
bal r
eass
uran
ce to
pat
ient
SK
ILLS
/CO
NC
EP
TS
Impl
ying
, enu
ncia
tion,
logi
c, g
estu
res,
faci
alan
d bo
dy fe
atur
es, a
nd p
oise
229
2 :1
3
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R B
UR
' PA
TIE
NT
S (
HE
AT
AN
D E
LEC
TR
ICA
L)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ice
or c
old
wat
erB
asin
, if i
ndic
ated
Bla
nket
Ste
rile
tow
els
App
ly ic
e or
col
d w
ater
to a
ffect
ed a
rea
Sum
mon
phy
sici
anT
reat
for
shoc
k
Mai
ntai
n bo
dy h
eat
DO
NO
T A
DD
TO
IT
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R B
UR
N P
AT
IEN
TS
(H
EA
T A
ND
ELE
CT
RIC
AL)
IS
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Cel
lula
r ne
cros
isT
rans
fer
of h
eat f
rom
one
bod
y to
ano
ther
[rem
oval
of h
eat f
rom
bur
n ar
ea]
Insu
latio
n pr
inci
ple
whe
n us
ing
blan
ket t
o ho
ld in
bod
y he
at
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Inst
ruct
ions
to p
atie
nt
Inst
ruct
ions
from
phy
sici
an
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
ges
-tu
res,
and
poi
se
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
231
235
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AIU
FO
R C
HE
MIC
AL
BU
RN
PA
TIE
NT
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Run
ning
wat
erB
asin
to c
atch
wat
erN
eutr
aliz
ing
subs
tanc
eS
teril
e dr
essi
ngB
lank
et
Was
h w
ith c
opio
us a
mou
nts
of w
ater
Neu
tral
ize
subs
tanc
eS
umm
on p
hysi
cian
Tre
at fo
r sh
ock
Sho
ck r
eact
ion
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
type
of n
eutr
aliz
ing
agen
tT
ype
of b
urn
(aci
d/ba
se)
2:16
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R C
HE
MIC
AL
BU
RN
PA
TIE
NT
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Cel
lula
r ne
cros
is
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
List
enin
g
EX
AM
PLE
S
Inst
ruct
ions
and
rea
ssur
ance
to p
atie
nt
Inst
ruct
ions
from
phy
sici
an
SK
ILLS
/CO
NC
EP
TS
Enu
ncia
tion
Con
cent
ratio
nLo
gic
Ges
ture
sP
oise
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
233
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R S
TR
OK
E V
ICT
IMS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Bla
nket
Pro
vide
for
imm
edia
te c
omfo
rt o
fpa
tient
,w
ithou
t mov
ing
patie
ntO
btai
n m
edic
al h
elp
imm
edia
tely
Tur
n vi
ctim
s he
ad to
sid
e if
unco
nsci
ous
Kee
p vi
ctim
s he
ad tu
rned
to s
ide
Cho
king
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R S
TR
OK
E V
ICT
IMS
ISC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Hem
orrh
age
of b
rain
Flu
ids
unde
r pr
essu
re[ b
lood
is fl
uid
unde
r pr
essu
re]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Inst
ruct
ions
to p
atie
nt
Inst
ruct
ions
from
phy
sici
an
Rep
ort o
f ind
ivid
ual a
ccom
pany
ing
patie
nt
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
ges
-tu
res,
and
poi
se
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)D
iscr
imin
atio
n of
fact
s fr
om n
on-f
acts
, con
:ce
ntra
tion,
logi
c (o
rder
ing
of th
ough
ts a
ndid
eas)
, and
not
e ta
king
235
2:19
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R A
NIM
AL
BIT
ES
1T
OO
LS, E
QU
IPM
EN
T, M
AT
ER
IALS
,O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Soa
p an
d w
ater
Bas
inG
auze
For
ceps
Ste
rile
dres
sing
Sut
ure
set-
up (
if in
dica
ted)
Ban
dage
Cle
an w
ound
thor
ough
lyA
pply
ste
rile
dres
sing
unt
il ph
ysic
ian
arriv
esS
ee th
at th
e ca
se is
rep
orte
d to
pro
per
auth
oriti
esR
abie
s
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
FIR
ST
AID
FO
R A
NIM
AL
BIT
ES
SC
IEN
CE
Ant
igen
antib
ody
reac
tion
(Rab
ies)
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
ge[u
se o
f for
ceps
]
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
Writ
ing
List
enin
g
EX
AM
PLE
S
Inst
ruct
ions
to p
atie
nt,
and
repo
rt to
phy
sici
an
Cha
rt p
roce
dure
s
Inst
ruct
ions
from
phy
sici
an
SK
1 L
LS
/CO
NC
EP
TS
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
ges-
ture
s, a
nd p
oise
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic,
and
term
inol
ogy/
gene
ral v
ocab
ular
y
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
237
(TA
SK
ST
AT
EM
EN
T)
CO
NT
RO
L B
LEE
DIN
G W
ITH
DIR
EC
T P
RE
SS
UR
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ste
rile
gauz
e sp
onge
sA
pply
dig
ital p
ress
ure
dire
ctly
ove
r w
ound
,an
d el
evat
e pa
rtT
reat
for
fain
ting
and/
or d
mok
Do
not r
emov
e sp
onge
unt
il ph
ysic
ian
is in
atte
ndan
ce
Hav
e pa
tient
lie
dow
nP
ossi
bilit
y of
fain
ting
DE
CIS
ION
SC
UE
SLI
IBM
IS
V 2
42
(TA
SK
ST
AT
EM
EN
T)
CO
NT
RO
L B
LEE
DIN
G W
ITH
DIR
EC
T P
RE
SS
UR
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of b
lood
: clo
tting
mec
hani
sms,
and
rec
ogni
tion
of a
rter
ial
and
veno
us b
leed
ing
Flu
ids
unde
r pr
essu
re
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
List
enin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
to p
atie
nt,
and
repo
rts
toph
ysic
ian
Inst
ruct
ions
from
phy
sici
an
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
239
243
(TA
SK
ST
AT
EM
EN
T)
CO
NT
RO
L B
LEE
DIN
G B
Y P
RE
SS
UR
E T
O S
UP
PLY
ING
VE
SS
EL
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Use
dire
ct p
ress
ure
if po
ssib
leLo
cate
app
ropr
iate
ves
sel
App
ly P
ress
ure
Ele
vate
ext
rem
ity
DE
CIS
ION
SC
UE
SE
RR
OR
S
I
(TA
SK
ST
AT
EM
EN
T)
CO
NT
RO
L B
LEE
DIN
G B
Y P
RE
SS
UR
E T
O S
UP
PLY
ING
VE
SS
EL
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
ic&
loca
tion
of p
rimar
y ve
ssel
s
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
List
enin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
to p
atie
nt
Inst
ruct
ions
from
phy
sici
an
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
241
245
4
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
TO
UR
NIQ
UE
T F
OR
HE
MO
RR
HA
GE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Tou
rniq
uet m
ater
ial (
sphy
gmom
anom
eter
pre
-fe
rred
due
to w
idth
and
fine
r co
ntro
l of
pres
sure
:
Thi
s pr
oced
ure
wou
ld b
e ut
ilize
d O
NLY
ifa
phys
icia
n is
not
ava
ilabl
e A
ND
exs
angu
i-na
tion
is im
min
ent
Atte
mpt
all
othe
r m
etho
ds fo
r co
ntro
lling
blee
ding
App
ly to
urni
quet
imm
edia
tely
abo
ve b
leed
ing
sour
ceT
reat
for
shoc
k
Aw
aren
ess
that
app
licat
ion
of to
urni
quet
isa
criti
cal d
ecis
ion
Loss
of l
imb
Sen
d fo
r he
lpM
AR
K T
IME
AP
PLI
ED
ON
PA
TIE
NT
SF
OR
EH
EA
DD
O N
OT
LO
OS
EN
ON
CE
AP
PLI
ED
UN
LES
S S
PE
CIF
ICA
LLY
DIR
EC
TE
D B
Y P
HY
SIC
IAN
DE
CIS
ION
S
Det
erm
ine
if da
nger
of e
xsan
guin
atio
n is
imm
inen
tD
eter
min
e th
e am
ount
of p
ress
ure
requ
ired
toco
ntro
l hem
orrh
age
CU
ES
Col
or o
f ski
n, a
nd a
mol
nt o
f ble
edin
gT
issu
e da
mag
e
..-
Efi
lli21
15
.
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
TO
UR
NIQ
UE
T F
OR
HE
MO
RR
HA
GE
SC
IEN
CE
Ana
tom
y an
d ph
ysio
logy
of c
ircul
ator
y sy
stem
: loc
atio
n of
ves
sels
,cl
ottin
g m
echa
nism
, and
toxi
nsM
ovem
ent a
nd m
anne
r de
mon
stra
te d
egre
e of
com
pete
nce
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Writ
ing
List
enin
g
EX
AM
PLE
S
Rea
listic
app
rais
al a
nd r
eass
uran
ce w
here
appr
opria
te to
pat
ient
; rep
ort t
o pr
ofes
sion
-al
ass
ista
nce
Cha
rt in
form
atio
n
Inst
ruc,
.....i
s fr
om s
ubse
quen
t pro
fess
iona
las
sist
ance
SK
I LLS
/CO
NC
EP
TS
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
243
41.1
71.1
.
f
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
HY
SIC
IAN
WIT
H S
US
PE
CT
ED
CO
RO
NA
RY
OR
MY
OC
AR
DIA
L IN
FA
RC
TIO
N V
ICT
IM
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Bla
nket
Ele
ctro
card
iogr
aph
mac
hine
Oxy
gen
and
mas
kM
edic
atio
ns e
s or
dere
d by
phy
sici
anS
phyg
mom
anom
eter
Ste
thos
cope
Em
esis
bas
in, i
f nau
seat
ed
Mak
e pa
tient
com
fort
able
Adm
inis
ter
oxyg
en, i
f ord
ered
Mea
srre
vita
l sig
nsC
ompl
ete
elec
troc
ardi
ogra
m, i
f ord
ered
Ass
ist i
n an
y ot
her
way
req
uire
dIf
phys
icia
n no
t ava
ilabl
e in
offi
ce, s
umm
onpr
ofes
sion
al h
elp
imm
edia
tely
DE
CIS
ION
SC
UE
S
Due
to s
hort
hess
of e
ath
and
pain
, pat
ient
freq
uent
ly m
ore
com
fort
able
sitt
ing
If pa
tient
has
nitr
ogly
cerin
e, p
lace
und
erto
ngue
imm
edia
tely
Whe
n ox
ygen
in u
se, m
ake
sure
ther
e is
no
smok
ing,
func
tioni
ng e
lect
rical
mac
hine
ry,
or o
ther
fire
in im
med
iate
are
aF
ire a
nd/o
r ex
plos
ion
trau
ma
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
HY
SIC
IAN
WIT
H S
US
PE
CT
ED
CO
RO
NA
RY
OR
MY
OC
AR
DIA
L IN
FA
RC
TIO
N V
ICT
IM
SC
I EN
CE
Ana
tom
y an
d ph
ysio
logy
of h
eart
Pat
holo
gy o
f car
diol
ogy
MA
TH
NU
MB
ER
SY
ST
EM
S
Rea
d an
d in
terp
ret c
hart
s, ta
bles
, and
/or
grap
hsLo
cate
by
appr
oxim
atio
n ra
tiona
l num
bers
and
inte
gers
on
the
num
ber
line
(seq
uent
ial o
rder
ing)
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion,
and
/or
accu
racy
,w
ith r
espe
ct to
rel
ativ
e er
ror,
tole
ranc
e, a
nd s
igni
fican
t dig
its.
(mea
surin
gin
othe
r th
an li
near
, squ
are,
and
cub
ic)
Mul
tiplic
atio
nw
nole
num
bers
Exp
ress
num
bers
as
com
mon
frac
tions
Mea
sure
with
the
met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
List
enin
g
Writ
ing
EX
AM
PLE
S
Rea
ssur
ance
of p
atie
nt
Inst
ruct
ions
from
phy
sici
an
Cha
rt p
roce
dure
s
SK
I L L
S/C
ON
CE
PT
S
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
245
(TA
SK
ST
AT
EM
EN
T)
GIV
E M
OU
TH
TO
MO
UT
H R
ES
US
CIT
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Mou
th to
mou
th r
esus
cita
tion
tube
C.:s
ar a
irway
and
kee
p op
en a
t all
times
Pro
ceed
with
res
usci
tatio
nC
ontin
ue u
ntil
patie
nt r
esum
es b
reat
hing
prof
essi
onl h
elp
arriv
es, o
r pa
tient
isob
viou
sly
dead
(A
mer
ican
Red
Cro
ss)
*If a
nyon
e el
se is
is a
rea,
hav
e th
em s
umm
onhe
lpK
eep
airw
ay o
pen
Suf
foct
ion
DE
CIS
ION
SC
UE
SE
RR
OR
S
.
Det
erm
ine
rhyt
hm
Det
erm
ine
met
hod
of r
esus
cita
tion
to b
eut
ilize
d
Adj
ust r
ate
and
volu
me
of a
ir if
smal
l chi
ldor
infa
ntT
ype
of a
ccid
ent t
hat c
ause
d th
e st
oppa
ge o
fbr
eath
ing
(TA
SK
ST
AT
EM
EN
T)
GIV
E M
OU
TH
TO
MO
UT
H R
ES
US
CIT
AT
ION
( IS
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Ana
tom
y an
d ph
ysio
logy
of r
espi
rato
ry s
yste
mG
ases
und
er p
ress
ure
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to a
nyon
e el
se in
are
a
Cha
rt p
roce
dure
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
gest
ures
, and
poi
se
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, te
rmi-
nolo
gy/g
ener
al v
ocab
ular
y, a
nd lo
gic
247
(TA
SK
ST
AT
EM
EN
T)
GIV
E B
AC
K P
RE
SS
UR
EA
RM
LIF
T R
ES
US
CIT
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pos
ition
pat
ient
and
cle
ar a
irway
If an
yone
els
e is
in th
e vi
cini
ty, h
ave
them
Kee
p pa
tient
's c
hin
exte
nded
to k
eep
airw
ay
open
sum
mon
hel
p
Pro
ceed
with
res
usci
tatio
nC
ontin
ue u
ntil
patie
nt r
esum
es b
reat
hing
,ph
ysic
ian
arriv
es, o
r vi
ctim
obv
ious
ly is
dead
(A
mer
ican
Red
Cro
ss)
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
whe
re to
pla
ce p
ress
ure
Pro
per
anat
omic
al p
lace
men
t of o
pera
tors
'ha
nd
Det
erm
ine
met
hod
of r
esus
cita
tion
best
util
ized
Cau
se o
f sto
pped
bre
athi
ng
(TA
SK
ST
AT
EM
EN
T)
r I
GIV
E B
AC
K P
RE
SS
UR
EA
RM
LIF
T R
ES
US
CIT
AT
ION
SC
IEN
CE
Ana
tom
y an
d ph
ysio
logy
of r
espi
rato
ry s
yste
m
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
to a
nyon
e in
the
area
Cha
rt in
form
atio
n
SK
I LLS
/CO
NC
EP
TS
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
249
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
EX
TE
RN
AL
CA
RD
IAC
MA
SS
AG
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SAFE
TY
HA
ZA
RD
DE
CIS
ION
S
Det
erm
ine
actu
al c
ardi
ac a
rres
t bef
ore
inst
iga-
ting
proc
edur
e
Posi
tion
patie
nt o
n fi
rm s
urfa
cePl
ace
hand
s in
cor
rect
ana
tom
ical
pos
ition
Proc
eed
with
hea
rt c
ompr
essi
on a
t rat
e pr
InC
ri-
bed
by A
mer
ican
Hea
rt S
ocie
tyC
ontin
ue u
ntil
help
arr
ives
or
the
hear
t re-
sum
es b
estin
g
Han
ds m
ust n
ot b
e pl
aced
in im
prop
er p
osi-
tion
on s
tern
umFr
actu
re o
f st
ernu
m a
nd/o
r ri
bs a
nd s
ubse
-qu
ent i
nter
nal t
raum
aIf
any
one
she
is in
the
area
, hav
e th
emsu
mm
on h
elp
CU
ES
Pul
se a
t car
otid
art
ery
gRR
OR
$
(TA
SK
ST
AT
EM
EN
T)
AP
PLY
EX
TE
RN
AL
CA
RD
IAC
MA
SS
AG
E
[S
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Ana
tom
ical
loca
tion
of h
eart
, ste
rnum
, rib
s, a
nd li
ver
Flu
id u
nder
pre
ssur
e
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Inst
ruct
ions
to a
nyon
e in
the
area
Cha
rt in
form
atio
n
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sP
oise
Pen
man
ship
Spe
lling
Cla
ssifi
catio
nT
erm
inol
ogy/
gene
ral v
ocab
ular
yLo
gic
251
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
SU
RG
ICA
L S
CR
UB
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sur
gica
l soa
pW
ater
runn
ing
Han
d an
d na
il br
ush
Ste
rile
tow
elT
imer
Rem
ove
jew
elry
Moi
sten
and
use
soa
p an
d fr
ictio
nU
se b
rush
Cle
an u
nder
and
aro
und
nails
Avo
id a
ny c
onta
ct w
ith fa
ucet
sR
inse
Dry
Do
not r
e-co
ntam
inat
e ha
nds
Sep
sis
DE
CIS
ION
SC
UE
S
Scr
ub a
t lea
st fi
fteen
to tw
enty
min
utes
gRR
OR
S
Sep
sis
.2SC
)
TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
SU
RG
ICA
L S
CR
UB
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ase
psis
Bac
terio
logy
bact
eria
, coc
ci, a
nd s
piril
laC
onta
min
atio
n by
tran
smis
sion
Effe
cts
of fr
ictio
n on
wor
k pr
oces
ses
and
prod
uct q
ualit
y
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion,
and
/or
accu
racy
with
res
pect
to r
elat
ive
erro
r, to
lera
nce,
and
sign
ifica
ntdi
gits
(m
easu
ring
in o
ther
than
line
ar, s
quar
e, a
nd c
ubic
)M
easu
res
of ti
me
and
spee
d (e
xam
ple:
tim
e --
sec
onds
, min
utes
, etc
.;sp
eed
feet
per
min
ute,
R.P
.M.,
etc.
)
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
Scr
ub
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Tou
chin
gT
empe
ratu
reT
extu
reM
ovem
ent
253
(TA
SK
ST
AT
EM
EN
T)
DO
N S
TE
RIL
E G
LOV
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
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GE
SA
FE
TY
HA
ZA
RD
Ste
rile
surg
ical
glo
ves
Com
plet
e a
surg
ical
scr
ubD
on g
love
sD
o no
t con
tam
inat
e ou
tsid
e of
glo
ves
Sep
sis
DE
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ION
SC
UE
SgR
RO
R$
(TA
SK
ST
AT
EM
EN
T)
DO
N S
TE
RIL
E G
LOV
ES
SC
IEN
CE
MA
TH
NIII
vIB
ER
SY
ST
EM
S
Ase
psis
ster
ile te
chni
que
Bac
terio
logy
bact
eria
, coc
ci, a
nd s
piril
laC
onta
min
atio
n by
tran
smis
sion
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
-.
255
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T IN
PU
TT
ING
ON
ST
ER
ILE
GLO
VE
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ste
rile
surg
ical
glo
ves
Hol
d gl
oves
in p
rope
r po
sitio
n fo
r in
sert
ion
ofph
ysic
ian'
s ha
nds
Do
not c
onta
min
ate
glov
esS
epsi
&
DE
CIS
ION
SC
UE
FR
RO
R$
Sep
sis
Det
erm
ine
posi
tion
of h
ands
on
phys
icia
n's
glov
es
Ste
rile
stat
us
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T IN
PU
TT
ING
ON
ST
ER
ILE
GLO
VE
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Sep
sis
ster
ile te
chni
que
Bac
terio
logy
bact
eria
, coc
ci, a
nd s
piril
laC
onta
min
atio
n by
tran
smis
sion
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an
SK
ILLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
257
211
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
KIN
FO
R S
UR
GE
RY
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Ant
isep
tican
tibac
teria
l soa
p so
lutio
nS
teril
e ga
uze
spon
ges
Spo
nge
forc
eps
Ant
isep
ticC
otto
n tip
app
licat
ors
Raz
or w
ith b
lade
Sci
ssor
sop
tiona
lS
pong
e bo
wl
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Inst
ruct
and
pos
ition
pat
ient
App
ly s
oap
solu
tion
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ve a
rea,
if o
rder
edW
ash
area
with
circ
ular
mot
ion
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ly a
ntis
eptic
SA
FE
TY
HA
ZA
RD
Use
cau
tion
whe
n sh
avin
g th
e sk
inM
inor
lace
ratio
ns a
nd/o
r ab
rasi
ons
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car
e w
hen
hand
ling
scis
sors
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uma
DE
CIS
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SE
RR
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S
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.
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
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KIN
FO
R S
UR
GE
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SC
IEN
CE
MA
TH
NU
MB
ER
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teria
l inf
ectio
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ntis
eptic
theo
ry
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g G
f tho
ught
s an
d id
eas)
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
259
c2b3
;TA
SK
ST
AT
EM
EN
T)
SE
T U
P F
OR
GE
NE
RA
L S
UR
GE
RY
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
"ikirt
ogre
wrg
ion
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
setu
p*
---.
..D
eter
min
e eq
uipm
ent n
eede
dS
teril
e te
chni
que
Alc
ohol
Ass
embl
eC
onta
min
atio
nse
psis
App
licat
ors
Use
car
e w
ith s
harp
inst
rum
ents
Ste
rile
gauz
e sp
onge
sP
unct
ure
wou
nds
and/
or la
cera
tions
Ste
rile
tow
els
Tow
el c
lips
Sca
lpel
and
bla
deH
emas
tats
stra
ight
and
cur
ved
Alli
s fo
rcep
sS
ciss
ors
Tis
sue
forc
eps
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dle
hold
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etra
ctor
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teril
e su
rgic
al g
love
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utur
e m
ater
ial w
ith n
eedl
e si
lk, c
otto
n, g
utT
ray
Ane
sthe
ticS
yrin
ge a
nd n
eedl
eD
ress
ing
mat
eria
l DE
CIS
ION
SC
UE
SE
RR
OR
S
inst
rum
ents
will
var
y w
ith p
roce
dure
and
doct
or's
pre
fere
nce
d'"*
.e a
l-c
Z-.
'
(TA
SK
ST
AT
EM
EN
T)
SE
P U
P F
OR
GE
NE
RA
L S
UR
GE
RY
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ste
rile
tech
niqu
e
CO
MM
UN
ICA
TIO
NS
List
enin
g
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an
SK
ILLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
261
A
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
MIN
OR
SU
RG
ER
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sur
gica
l soa
pP
ositi
on p
atie
ntM
aint
ain
ster
ile te
chni
que
at a
ll tim
es
Ski
n an
tisep
ticD
o sk
in p
repa
ratio
n if
phys
icia
n or
ders
Con
tam
inat
ion
seps
is
Ste
rile
gauz
e sp
onge
sA
ssis
t phy
Ozi
anU
se c
are
in h
andl
ing
shar
p in
stru
men
ts
App
licat
ors
Ass
ist p
atie
nt in
get
ting
upT
raum
a
Dra
ping
mat
eria
lC
lean
up
oper
atin
g ar
ea
Rub
ber
glov
esLo
cal a
nest
hetic
Syr
inge
and
nee
dle
Inst
rum
ent t
ray
mat
eria
ls a
nd in
stru
men
tsa:
smite
l for
pro
cedu
re a
s pe
r ph
ysic
ian'
sde
sire
s
DE
CIS
ION
SC
UE
SgR
RO
R$
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
MIN
OR
SU
RG
ER
Y
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ste
rile
tech
niqu
eB
acte
riolo
gy
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
List
enin
gIn
stru
ctio
ns fr
om p
hysi
cian
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
263
26 7
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T IN
OB
TA
ININ
G A
BIO
PS
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Tra
y fo
r sk
in p
repa
ratio
nS
calp
elS
teril
e bl
ade
for
scal
pel
Alli
s fo
rcep
sH
emos
tats
stra
ight
and
cur
ved
Tis
sue
scis
sors
Tis
sue
forc
eps
Nee
dle
hold
erG
auze
spo
nges
Loca
l ane
sthe
ticS
yrin
ge a
nd n
eedl
eS
teril
e gl
oves
Tra
yS
teril
e to
wel
sB
iops
y ja
rLi
ght
Sut
ure
mat
eria
l with
nee
dle
Ste
rile
dres
sing
s, a
s ne
eded
DE
CIS
ION
S
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Pos
ition
pat
ient
Do
skin
pre
para
tion
Ass
ist p
hysi
cian
Ass
ist p
atie
nt in
get
ting
upC
lean
up
oper
atin
g ar
eaP
repa
re s
peci
men
for
lab
Ste
rile
tech
niqu
e m
ust b
e m
aint
aine
d at
all
times
Cro
ss-in
fect
ion
seps
isU
se c
are
in h
andl
ing
shar
p an
d po
inte
d in
stru
-m
ents
Tra
uma
ER
RO
RS
Inst
rum
ents
will
var
y ac
cord
ing
to p
hysi
cian
'spr
efer
ence
and
exa
ct p
roce
dure
bei
ng p
er-
form
ed. T
he m
edic
al a
ssis
tant
mus
t be
com
plet
ely
fam
iliar
with
the
rout
ine
in th
atof
fice.
Ase
psis
mus
t be
mai
ntai
ned
at a
ll tim
es
ol
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T IN
OB
TA
ININ
G A
BIO
PS
Y
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Bac
terio
logy
Ase
ptic
tech
niqu
eR
elat
ed p
atho
logy
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
ge[h
emos
tat i
s a
sim
ple
inst
rum
ent
mec
hani
cal k
now
ledg
e re
quire
d]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Writ
ing
Spe
akin
g
Inst
ruct
ions
from
phy
sici
an
Labo
rato
ry b
iops
y re
port
form
Pre
and
pos
t-op
erat
ion
inst
ruct
ions
to p
atie
nt
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, g
ildlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, d
escr
iptio
n,de
nota
tive/
conn
otat
ive
wor
ds, l
ogic
, and
med
ical
term
inol
ogy
Enu
ncia
tion,
clrr
ity o
f exp
ress
ion,
logi
c,ge
stur
es, a
nd p
oise
265
24.4
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
SU
TU
RE
RE
MO
VA
L
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ant
isep
ticC
otto
n tip
app
licat
ors
Con
tain
er fo
r so
iled
dres
sign
sG
auze
spo
nges
, ste
rile
Sut
ure
scis
sors
Hem
osta
tT
ray
with
tow
elD
ress
ing
mat
eria
ls
Pos
ition
pat
ient
Rem
ove
soile
d dr
essi
ngs
Ass
ist p
hysi
cian
App
ly s
teril
e dr
essi
ng, i
f ord
ered
Ass
ist p
atie
nt in
get
ting
up
Car
e in
han
dlin
g sc
isso
rsT
raum
a
lam
.D
EC
ISIO
NS
fC
UE
SgR
RO
R$
.....
$.0.
, e^.
1/'
.
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
SU
TU
RE
RE
MO
VA
L
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ase
psis
ster
ile te
chni
que
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Writ
ing
Inst
ruct
ions
from
phy
sici
an
inst
ruct
ions
to th
e pa
tient
Cha
rt in
form
atio
n
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
and
pois
e
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic,
and
term
inol
ogy/
gene
ral v
ocab
ular
y
271
267
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
ELE
CT
RO
SU
RG
ER
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
,.....
...P
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
0.... E
lect
rosu
rgic
al u
nit w
ith a
ppro
pria
te e
lect
rode
sA
nest
hetic
, as
dire
cted
by
phys
icia
nS
yrin
ge a
nd n
eedl
eG
auze
spo
nges
, ste
rile
Ste
rile
dres
sing
s, o
ptio
nal
Pre
pare
ele
ctro
surg
ical
uni
tP
repa
re a
nest
hetic
inje
ctio
nP
ositi
on p
atie
nt a
ccor
ding
to lo
catio
n of
surg
ical
site
Ass
ist p
hysi
cian
App
ly s
teril
e dr
essi
ng, i
f ord
ered
Ass
ist p
atie
nt in
get
ting
up
Use
car
e in
han
dlin
g el
ectr
ical
cor
dE
lect
rical
sho
ck
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
ELE
CT
RO
SU
RG
ER
Y
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Des
truc
tion
of ti
ssue
by
heat
Phy
siol
ogy
of s
enso
ry n
erve
sR
elat
ed p
atho
logy
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
CO
MM
UN
ICA
TIO
NS
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
SK
I LLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Poi
se
269
(TA
SK
SIA
TIM
I NT
)A
SS
IST
PH
YS
ICIA
N IN
PE
RF
OR
MIN
G S
CR
AT
CH
TE
ST
TO
OLS
, IO
UIP
MI N
I, M
AT
( IiI
ALS
,O
BJE
CT
S A
C1E
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Bot
tles
with
ant
igen
s to
be
test
edP
ositi
on p
atie
ntS
uffic
ient
cle
anin
g of
lanc
etA
;coh
olP
repa
re s
kin
Inco
rrec
t tes
t res
ults
and
sub
sequ
ent t
reat
-C
otto
nA
pply
ant
igen
s an
d pe
rfor
m s
crat
ch te
stm
ent
Ste
rile
lanc
etC
lean
thor
ough
ly la
ncet
with
cot
ton
Fol
low
an
exac
t sch
edul
e w
hen
adm
inis
terin
gM
etric
rul
erfo
llow
ing
each
ant
igen
for
corr
ect i
dent
ifica
tion
Cha
rtM
ark
clea
rlyIn
corr
ect t
est r
esul
ts a
nd s
ubse
quen
t tre
at-
Pen
Tim
em
ent
Tim
erR
ead
reac
tion
and
char
tF
ire h
azar
d of
alc
ohol
Aw
aren
ess
of fi
re
DE
CIS
ION
SC
UE
SE
RR
OR
S
=am
som
r,,,,
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
HY
SIC
IAN
IN P
ER
FO
RM
ING
SC
RA
TC
H T
ES
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ant
igen
-ant
ibod
y re
actio
nE
pide
rmal
rea
ctio
nIm
mun
ityR
elat
ed m
edic
al te
rmin
olow
Rel
ated
pat
holo
py
Use
met
ric s
yste
mLo
cate
by
appr
oxim
atio
n ra
tiona
l num
bers
and
inte
gers
on
the
num
ber
line
(seq
uent
ial o
rder
ing)
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
CO
MM
UN
ICA
TIO
NS
EX
AM
PLE
S
Inst
ruct
ler.
s fr
om p
hysi
cian
Inst
ruct
ions
to p
atie
nt
Inte
rpre
tatio
n of
test
res
ults
SK
ILLS
/CO
NC
EP
TS
Aud
itory
disc
rimin
atio
n, c
once
ntra
tion,
and
logi
c (o
rder
ing
of th
ough
ts a
nd id
eas)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
and
pois
e
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, d
escr
iptio
n,m
edic
al te
rmin
olog
y, a
nd c
larit
y cf
ex-
pres
sion
271
275
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
HY
SIC
IAN
IN P
ER
FO
RM
ING
PA
TC
H T
ES
T.6
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Alc
ohol
or
ethe
rP
repa
re s
kin
site
Do
not a
llow
pat
ient
to le
ave
offic
e im
med
i-C
otto
n sw
abs
App
ly p
atch
atel
yP
atch
with
ant
igen
to b
e te
sted
Iden
tify
if m
ultip
le p
atch
es a
pplie
dR
eact
ion
Sel
ect s
ate
DE
CIS
ION
SC
UE
SE
RR
OR
S
No
lesi
ons
pres
ent,
no p
rom
inen
t hai
rgr
owth
and
are
a th
at c
an b
e ke
pt d
ryP
atch
will
not
stic
k
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
HY
SIC
IAN
IN P
ER
FO
RM
ING
PA
TC
H T
ES
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ant
igen
-ant
ibod
y re
actio
nE
pide
rmal
rea
ctio
nIm
puni
tyR
elat
ed p
atho
logy
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Cha
rt in
form
atio
n
SK
I LLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Enu
ncia
tion,
cla
rity
of e
xpre
ssio
n, lo
gic,
and
pois
e
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic,
and
med
ical
term
inol
ogy
273
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
OR
AL
ME
DIC
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Met
i;:tin
e gl
ass,
if li
quid
med
icat
ion
Gra
duat
ed m
edic
ine
drop
per,
if a
ppro
pria
teS
mal
l pap
er c
up, i
f tab
let o
r ca
psul
e m
edic
a-tio
nG
lass
of w
ater
Pat
ient
's c
hart
Pen
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
Pre
pare
med
icat
ion
as in
stru
cted
by
phys
icia
n.C
heck
the
labe
l on
bottl
e w
ith th
e w
ritte
nor
der
from
phy
sici
an th
ree
times
Adm
inis
ter
med
icat
ion
Cha
rt im
med
iate
ly
SA
FE
TY
HA
ZA
RD
Che
ck th
e la
bel o
n bo
ttle
with
the
writ
ten
orde
r fr
om p
hysi
cian
thre
e tim
es fo
rac
cura
cyIn
corr
ect m
edic
atio
n an
d/or
inco
rrec
t dos
age
Che
ck e
xpira
tion
date
, whe
n ap
prop
riate
Out
date
d m
edic
atio
nsin
stab
ility
DE
CIS
ION
SC
UE
SgR
RO
RS
27c
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
OR
AL
ME
DIC
AT
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pha
rmac
olog
yty
pes
of d
rugs
For
ms
of m
edic
atio
nsliq
uids
, i.e
. sol
utio
ns, e
lixer
s, s
yrup
s, e
tc.;
solid
s, i.
e. ta
blet
s, c
apsu
les,
and
pow
ders
Mod
es o
f adm
inis
trat
ion,
i.e.
sub
lingu
al, b
ucca
l, lo
zeng
e, e
tc.
Und
erst
andi
ng b
asic
arit
hmet
ic s
kills
Liqu
id a
nd d
ry m
easu
res
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Soe
akin
g
Writ
ing
Ord
er fr
om p
hysi
cian
Exp
lana
tion
to p
atie
nt
Cha
rt in
form
atio
n
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,an
d m
edic
al te
rmin
olog
y
Ter
min
olog
y/ge
nera
l voc
abul
ary,
enu
ncia
tion,
clar
ity o
f exp
ress
ion,
logi
c, a
nd g
estu
res
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic,
and
term
inol
ogy/
gene
ral v
ocab
ular
y
275
air
(TA
SK
ST
AT
EM
EN
T)
WIT
HD
RA
W S
OLU
TIO
NS
FO
R IN
JEC
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ste
rile
syrin
ge a
nd n
eedl
eP
repa
re p
resc
ribed
med
icat
ion
Ste
rile
tech
niqu
e in
han
dlin
g sy
ringe
and
Via
l or
ampu
le o
f sol
utio
n fo
r in
ject
ion
With
draw
pre
scrib
ed a
mou
nt o
f sol
utio
n or
need
le
Cot
ton
ball
solu
tions
Con
tam
inat
ion
of s
yrin
ge a
nd n
eedl
e
Alc
ohol
Ifph
ysic
ian
adm
inis
terin
g, p
lace
via
l bes
ide
Cor
rect
am
ount
of m
edic
atio
n 'ri
tical
--
Gau
zein
ject
ion
for
phys
icia
n to
che
ckN
O M
AR
GIN
FO
R E
RR
OR
Tra
yR
etur
n m
edic
atio
n to
pro
per
stor
age
area
Inco
rrec
t dos
age
may
hav
e de
lete
rious
effe
ctA
lway
s ch
eck
med
icat
ion
thre
e tim
es: i
.e.
whe
n ta
king
it o
ut o
f the
cab
inet
, whe
nre
mov
ing
the
cont
ents
from
the
bottl
e,an
d w
hen
repl
acin
g th
e co
ntai
ner
in th
eca
bine
tIn
corr
ect m
edic
atio
n m
ay b
e gi
ven
DE
CIS
ION
SC
UE
SE
RR
OR
S
TA
SK
ST
AT
EM
EN
T)
WIT
HD
RA
W S
OLU
TIO
NS
FO
R IN
JEC
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pha
rmac
olog
yA
sept
ic te
chni
que
NN
N\ N
Bas
ic a
rithm
etic
ski
lls a
nd c
once
pts
with
reg
ard
to p
repa
ratio
n of
solu
tions
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
emR
atio
and
pro
port
ion
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
List
enin
g
Writ
ten
orde
r fr
om p
hysi
cian
Inst
ruct
ions
from
phy
sici
an
Com
preh
ensi
onD
etai
l/inf
eren
ceD
efin
ition
Ter
min
olog
y
Aud
itory
(di
scrim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
I
277
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E N
EE
DLE
CA
RT
RID
GE
UN
IT IN
JEC
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ste
rile
need
le-c
artr
idge
uni
t (pr
e-m
easu
red
med
icat
ions
ava
ilabl
e or
em
pty
grad
uate
dca
rtrid
ge)
Nee
dle-
cart
ridge
syr
inge
Alc
ohol
Co
ton
swab
Mov
e pl
unge
r so
it lo
cks
at r
ight
ang
les
to th
eba
rrel
Inse
rt c
artr
idge
-nee
dle
unit
Sw
ing
plun
ger
back
into
pla
ce, a
nd e
ngag
ebo
th e
nds
of th
e un
itA
fter
use,
rep
lace
rub
ber
shea
th.
Dis
pose
ofne
edle
in th
is s
heat
h
Use
ste
rile
tech
niqu
eC
onta
min
atio
nse
psis
Use
car
e w
hen
hand
ling
need
leP
unct
ure
wou
nd
imin
inam
osom
osow D
EC
ISIO
NS
CU
ES
ER
RO
RS
Rot
ate
only
unt
il en
gage
d
r-er
,-.)
--,
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E N
EE
DLE
CA
RT
RID
GE
UN
IT IN
JEC
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Uni
t car
trid
ge s
yrin
ge is
a s
impl
e in
stru
men
t with
scr
ew m
echa
nism
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
g'Lo
cate
by
appr
oxim
atio
n ra
tiona
l num
bers
and
inte
gers
on
the
num
ber
line
(seq
uent
ial o
rder
ing)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
A'W
LES
SK
ILLS
/CO
NC
EP
TS
List
enin
gO
rder
from
phy
sici
anA
udito
ry d
iscr
imin
atio
nC
once
ntra
tion
Logi
c (o
rder
ing
of th
ough
ts a
nd id
eas)
279
2N.:
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
SU
BC
UT
AN
EO
US
INJE
CT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pre
pare
d sy
ringe
and
orde
red)
Cot
ton
spon
ges
Dis
infe
ctan
t for
ski
nP
atie
nt's
cha
rtP
en
need
le (
med
icat
ion
as
(alc
ohol
, sev
enty
per
cent
)
Pre
pare
ski
nE
xpel
air
and
adm
inis
ter
inje
ctio
nP
inch
the
skin
or
pres
s do
wn
firm
ly w
ith th
ele
ft ha
ndIn
sert
nee
dle
at fo
rty
- fiv
e de
gree
ang
le fr
omth
e sk
inC
hart
imm
edia
tely
Cle
anse
syr
inge
and
nee
dle
or d
estr
oy,
acco
rdin
g to
type
use
d
Asp
irate
to m
ake
sure
you
are
not
in a
blo
odve
ssel
.R
emov
e an
d st
art o
ver
if bl
ood
ispr
esen
tR
eact
ion
due
to im
med
iate
abs
orpt
ion
ofm
edic
atio
nP
rote
ct p
atie
nt fr
om in
jury
if fa
ints
Tra
uma
Des
troy
dis
posa
ble
syrin
ge a
nd n
eedl
e im
med
i-at
ely
Con
tam
inat
ion:
thef
t fro
m w
aste
con
tain
ers
( S
tate
law
s ou
tline
deg
ree
of r
espo
nsib
ility
)
DE
CIS
ION
S
Det
erm
ine
who
sho
uld
adm
inis
ter
inje
ctio
ns
CU
ES
Phy
sici
an-e
mpl
oyer
's p
olic
y; s
tate
reg
ulat
ions
ER
RO
RS
Lega
l com
piic
atio
ns
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
SU
BC
UT
AN
EO
US
INJE
CT
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of s
kin
Ana
tom
ical
are
as m
ost f
requ
ently
use
dIn
dica
tions
for
subc
utan
eous
inje
ctio
nP
harm
acol
ogy
Ste
rile
tech
niqu
e
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
emK
now
ledg
e os
ang
les
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Spe
akin
g
Writ
ing
Ord
er fr
omph
ysic
ian
Exp
lana
tion
to p
atie
nt
Cha
rt in
form
atio
n
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,an
d te
rmin
olog
y
Ter
min
olog
y/ge
nera
l voc
abul
ary,
enu
ncia
tion,
clar
ity o
f exp
ress
ion,
logi
c, a
nd g
estu
res
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, p
oise
, and
logi
c
281
ass
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
1N
TR
AD
ER
MA
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ME
NT
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JEC
TS
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FO
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GE
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I
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ringe
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dle
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ercu
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ype
syrin
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ith a
twen
ty-s
ix g
auge
, thr
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eigh
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e-ha
lf in
ch n
eedl
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usu
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)C
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n sp
onge
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isin
fect
ant f
or s
kin
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atie
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cha
rtP
en
1111
1111
1111
1111
1111
1111
1111
1M.
DE
CIS
ION
S
Det
erm
ine
who
sho
uld
adm
inis
ter
inje
ctio
ns
Pre
pare
ski
nA
dmin
iste
r in
ject
ion
Ski
n sh
ould
be
firm
and
tigh
t in
area
to b
egi
ven
Spr
ead
the
skin
with
one
han
d an
d in
sert
need
le in
to la
yers
of s
kin
(to
abou
ton
e-ei
ghth
s de
pth)
Hol
d le
vel a
ide
of n
eedl
eup
Inse
rt n
eedl
e at
ang
le o
f abo
ut te
n to
fif-
teen
deg
rees
If gi
ven
prop
erly
, aw
ill b
ecom
e ev
i-de
nt a
s dr
ug is
adm
inis
tere
dD
o no
t mas
sage
are
aC
hart
imm
edia
tely
Cle
anse
syr
inge
and
nee
dle
or d
estr
oy a
ccor
ding
to ty
pe u
sed
Obs
erve
ste
rile
tech
niqu
e th
roug
hout
Pro
tect
pat
ient
from
inju
ry if
fain
tsT
raum
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estr
oy d
ispo
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e sy
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and
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dle
imm
edi-
atel
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onta
min
atio
nth
eft f
rom
was
te c
onta
iner
s(S
tate
law
s ou
tline
lega
l res
pons
ibili
ties)
CU
ES
Indi
vidu
al p
;:ysi
cian
empl
oyer
'spo
licy;
sta
tere
gula
tions
ER
RO
RS
Lega
l com
plic
atio
ns
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
INT
RA
DE
RM
AL
INJE
CT
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of s
kin
Ana
tom
ical
are
as m
ost f
requ
ently
use
dIn
dica
tions
for
intr
ader
mal
inje
ctio
nP
harm
acol
ogy
Ste
rile
tech
niqu
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sure
with
the
Met
ric a
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nglis
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stem
and
con
vert
bet
wee
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now
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ang
les
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
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OD
ES
EX
AM
PLE
SS
K IL
LS/C
ON
CE
PT
S
Rea
ding
Spe
akin
g
Writ
ing
Ord
er fr
om p
hysi
cian
Exp
lana
tion
to p
atie
nt
Cha
rt in
form
atio
n
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,an
d te
rmin
olog
y
Ter
min
olog
y/ge
nera
l voc
abul
ary,
enu
ncia
tion,
clar
ity o
f exp
ress
ion,
logi
c, a
nd g
estu
res
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, p
oise
, and
logi
c
2S7
283
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
INT
RA
MU
SC
ULA
R IN
JEC
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Pre
pare
d sy
ringe
and
nee
dle
Cot
ton
spon
ges
Dis
infe
ctan
t for
ski
n (a
lcoh
ol, s
even
ty p
erce
ntpe
rcen
t)P
atie
nt's
cha
rtP
en
DE
CIS
ION
S
Det
erm
ine
who
sho
uld
adm
inis
ter
inje
ctio
ns
Pre
pare
ski
nA
dmin
iste
r m
edic
atio
nIf
adm
inis
ted
in b
utto
ck, t
he p
rone
pos
ition
is r
ecom
men
ded
if pa
tient
is s
tand
ing,
he/s
he s
houl
d be
ar w
eigh
t on
leg
oppo
site
the
inje
ctio
n si
teIf
adm
inis
tere
d in
sho
ulde
r m
uscl
e, fa
cepa
tient
so
that
thic
k, c
entr
al p
art o
f the
delto
id m
uscl
e is
in fr
ont
Inse
rt n
eedl
e ve
rtic
ally
Mas
sage
the
mus
cle
gent
ly b
ut fi
rmly
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onge
to h
elp
in d
ispe
rsio
n of
drug
Chz
rt im
med
iate
lyC
lean
se s
yrin
ge a
nd n
eedl
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des
troy
,ac
cord
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to ty
pe u
sed
Obs
erve
ste
rile
tech
niqu
e th
roug
hout
Asp
irate
to c
heck
for
bloo
d ve
ssel
; rem
ove
and
star
t ove
r if
bloo
d is
pre
sent
Rea
ctio
n du
e to
imm
edia
te a
bsor
ptio
n of
med
icat
ion
Pro
tect
pat
ient
from
inju
ry if
he/
she
fain
tsT
raum
aD
estr
oy d
ispo
sabl
e sy
ringe
and
nee
dle,
imm
edia
tely
Con
tam
inat
ion
thef
t fro
m w
aste
con
tain
ers
(sta
te la
ws
outli
ne le
gal r
espo
nsib
ilitie
s)U
se u
pper
and
out
er q
uadr
ant o
f but
tock
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t ana
tom
ical
ly c
orre
ct, m
ay in
jure
scia
tic n
erve
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eeze
the
delto
id m
uscl
e be
twee
n th
umb
and
fore
finge
rhe
lps
incr
ease
mus
cle
bulk
Gua
rds
agai
nst s
trik
ing
the
bone
and
kee
psth
e in
ject
eo a
rea
stea
dy
CU
ES
Indi
vidu
al p
hysi
cian
empl
oyer
's p
olic
yS
tec,
reg
ulat
ions
ER
RO
R$
Lega
l com
plic
atio
ns
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
INT
RA
MU
SC
ULA
R IN
JEC
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of s
kin
Ana
tom
ical
are
as m
ost f
requ
ently
use
dIn
dica
tions
for
intr
amus
cula
r in
ject
ions
Pha
rmac
olog
yS
teril
e te
chni
que
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Spe
akin
g
Writ
ing
Ord
er fr
om p
hysi
cian
Exp
lana
tion
to p
atie
nt
Cha
rt in
form
atio
n
Com
preh
ensi
on, d
etai
l/inf
eren
ce, d
efin
ition
,an
d te
rmin
olog
y
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min
olog
y/ge
nera
l voc
abul
ary,
enu
ncia
tion,
clar
ity o
f exp
ress
ion,
logi
c, a
nd g
estu
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man
ship
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lling
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ssifi
catio
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rmi-
nolo
gy/g
ener
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ocab
ular
y, a
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5
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
CA
ST
AP
PLI
CA
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
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ZA
RD
Ort
hope
dic
stoc
kine
tS
heet
wad
ding
Pla
ster
ban
dage
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last
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r di
spos
able
she
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ciss
ors
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ket w
ith w
ater
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posa
ble
glov
es, o
ptio
nal
Pos
ition
pat
ient
Ass
ist p
hysi
cian
Com
plet
e th
e w
et-o
ut o
f a p
last
er b
anda
ge:
hold
end
flap
aw
ay fr
om b
anda
ge; h
old
band
age
in fi
nger
s, n
ot p
alm
s, o
f bot
h ha
nds
imm
erse
ban
dage
tilte
d un
til b
ubbl
es s
top;
rem
ove
from
wat
er a
nd s
quee
ze g
ently
from
ends
; han
d to
doc
tor
with
flap
out
Car
e in
use
of s
ciss
ors
Tra
uma
DE
CIS
ION
SC
UE
SM
B=
i.2.
90
Det
erm
ine
wid
th o
f pla
ster
ban
dage
Bod
y pa
rt in
volv
ed
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
CA
ST
AP
PLI
CA
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of t
he s
kele
tal s
yste
mR
elat
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edic
al te
rmin
olog
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nes,
and
bod
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anes
and
sur
face
sP
atho
logy
of s
kele
tal s
yste
m, i
.e.,
frac
ture
s, d
islo
catio
ns,
seve
resp
rain
s, e
tc.
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
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anta
ge[s
ciss
ors
are
a si
mpl
e in
stru
men
t)
CO
MM
UN
ICA
TIO
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PE
RF
OR
MA
NC
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OD
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Spe
akin
g
List
enin
g
EX
AM
PLE
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Rea
ssur
ance
to p
atie
nt
Info
rmat
ion
from
phy
sici
an
SK
ILLS
/CO
NC
EP
TS
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min
olog
y/ge
nera
l voc
abul
ary
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nIm
plyi
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gic
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ture
sF
acia
l and
bod
y fe
atur
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itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
287
291
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
RE
MO
VA
L O
F C
AS
T
TO
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NT
, MA
TE
RIA
LS,
OB
JEC
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PO
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ER
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RM
AN
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SA
FE
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ZA
RD
Cas
t cut
ter
and
knife
Ban
dage
sci
ssor
sS
kin
clea
nser
Rec
epta
cle
for
cast
Ela
stic
ban
dage
Pos
ition
pat
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Ass
ist p
hysi
cian
Pos
t car
e of
pat
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, i.e
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in, e
last
ic b
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gefo
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ppor
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sibl
e sh
ock
from
saw
DE
CIS
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(TA
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AT
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AS
SIS
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ITH
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AS
T
SC
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MA
TH
NU
MB
ER
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Tra
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hea
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m o
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ody
to a
noth
erP
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bilit
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sho
ck fr
om s
awIn
ertia
and
mom
entu
m (
body
at r
est a
nd b
ody
in m
otio
n)[fr
eew
heel
ing
saw
is m
omen
tum
pot
entia
l]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
g
Spe
akin
g
Info
rmat
ion
from
phy
sici
an
Rea
ssur
ance
to p
atie
nt
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Ter
min
olog
y/ge
nera
l voc
abul
ary
Impl
ying
Enu
ncia
tion
Cla
rity
of e
xpre
ssio
nLo
gic
Ges
ture
sF
acia
l and
bod
y fe
atur
esP
oise
293
(TA
SK
ST
AT
EM
EN
T)
INS
TR
UC
T P
AT
IEN
T O
N U
SE
AN
D C
AR
E O
F C
RU
TC
HE
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Cru
tche
sD
emon
stra
teO
bser
ve p
atie
nt's
use
of c
rutc
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Pre
ssur
e on
axi
llaIm
paire
d ci
rcul
atio
n
DE
CIS
ION
SC
UE
S
Obs
erva
tion
of p
rope
r us
e
ER
RO
RS
Impr
oper
pla
cem
ent o
f cru
tche
s
294
Det
erm
ine
at w
hat p
oint
pat
ient
has
mas
tere
dus
e of
cru
tche
s
(TA
SK
ST
AT
EM
EN
T)
INS
TR
UC
T P
AT
IEN
T O
N U
SE
AN
D C
AR
E O
F C
RU
TC
HE
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Sim
ple
mac
hine
s us
ed to
gai
n m
echa
nica
l adv
anta
ge[c
rutc
h is
a le
ver
]K
now
and
und
erst
and
bala
nce
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MM
UN
ICA
TIO
NS
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RF
OR
MA
NC
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OD
ES
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AM
PLE
S'
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ILLS
/CO
NC
EP
TS
Spe
akin
g
List
enin
g
Inst
ruct
ions
to p
atie
nt
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rmat
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from
pat
ient
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ncia
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Cla
rity
of e
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ssio
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ture
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ion
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cent
ratio
nR
ecog
nize
opi
nion
sLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
291
(TA
SK
ST
AT
EM
EN
T)
EX
PLA
IN S
PE
CIA
L D
IET
TO
PA
TIE
NT
TO
OLS
, EQ
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ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
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PO
NP
ER
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RM
AN
CE
KN
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LED
GE
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FE
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HA
ZA
RD
Die
t she
ets
as in
aica
ted
by in
divi
dual
offi
ceS
uppl
y pa
tient
with
writ
ten
dire
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ns in
addi
tion
to v
erba
l ins
truc
tions
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ess
patie
nt w
ith n
eed
for
impo
rtan
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diet
pai
nsta
king
lyE
ncou
rage
pat
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s to
var
y di
et b
y ad
ditio
nof
allo
wed
her
bs o
r va
riety
of c
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SC
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Age
, bac
kgro
und
ER
RO
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Mis
unde
rsta
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dire
ctio
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2.!'4
41
Iden
tify
patie
nt w
ho w
ill n
eed
extr
a he
lpin
und
erst
andi
ng d
iet
(TA
SK
ST
AT
EM
EN
T)
EX
PLA
IN S
PE
CIA
L D
IET
TO
PA
TIE
NT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
',!17
List
enin
g
Spe
akin
g
Inst
ruct
ions
from
phy
sici
an
Inte
rpre
t writ
ten
inst
ruct
ions
to p
atie
nt
Aud
itory
dis
crim
inat
ion
Con
cent
ratio
nLo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
Ter
min
olog
y/ge
nera
l voc
abul
ary
Impl
ying
Cla
rity
of e
xpre
ssio
nLo
gic
Fac
ial a
nd b
ody
feat
ures
Poi
se
293
(TA
SK
ST
AT
EM
EN
T)
INS
TR
UC
T P
AT
IEN
TS
RE
GA
RD
ING
PR
OP
ER
PR
EP
AR
AT
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FO
R D
IAG
NO
ST
IC T
ES
TS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Prin
ted
inst
ruct
ion
shee
ts m
ay b
e us
ed, i
nlie
u of
this
,writ
ten
inst
ruct
ions
mus
t be
give
nP
atie
nt c
hart
Inst
ruct
ion
info
rmat
ion
from
rad
iolo
gist
or
labo
rato
ry
Pro
vide
pat
ient
with
prin
ted
or w
ritte
n in
stru
c-tio
nsR
evie
w in
stru
ctio
ns w
ith p
atie
ntS
ched
ule
time
and
plac
e fo
r te
s* a
nd in
form
patie
nt
Com
plet
e in
stru
ctio
ns m
ust b
e gi
ven
and
follo
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t can
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ust b
e re
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iagn
ostic
val
ue lo
st if
not
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urat
e
DE
CIS
ION
SC
UE
S
Impo
rtan
t to
give
writ
ten
or p
rinte
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stru
c-tio
ns a
s pa
tient
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too
emot
iona
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p-se
t at t
he o
ffice
to u
nder
stan
d or
rem
embe
ror
al in
stru
ctio
ns
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
INS
TR
UC
T P
AT
IEN
TS
RE
GA
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ING
PR
OP
ER
PR
EP
AR
AT
ION
FO
R D
IAG
NO
ST
IC T
ES
TS
SC
IEN
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MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Spe
akin
g
List
enin
g
Inst
ruct
ions
Inst
ruct
ions
to p
atie
nt; i
nter
pret
med
ical
term
i-no
logy
to p
atie
nt
Inst
ruct
ions
from
phy
sici
an
'Thr
min
olog
y/ge
nera
l voc
abul
ary,
app
ropr
iate
dict
ion,
enu
ncia
tion,
cla
rity
of e
xpre
ssio
n,de
nota
tive
/con
nota
tive
wor
ds,
logi
c,.
gest
ures
, fac
ial a
nd b
ody
feat
ures
, and
poi
se
Aud
itory
dis
crim
inat
ion,
con
cent
ratio
n, a
ndlo
gic
(ord
erin
g of
thou
ghts
and
idea
s)
295
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T IN
US
E O
F O
SC
ILLO
ME
TE
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Osc
illom
eter
Pat
ient
's c
hart
Pen
Pos
ition
pat
ient
in s
upin
e po
sitio
nA
ssis
t phy
sici
an w
ith c
hart
ing
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T IN
US
E O
F O
SC
ILLO
ME
TE
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of c
ircul
ator
y sy
stem
Rel
ated
med
ical
term
inol
ogy
Flu
ids
unde
r pr
essu
re [B
lood
is fl
uid
unde
rpr
essu
re s
ubje
ct to
rul
es o
fhy
drau
lics]
Giv
en a
n in
stru
men
t of m
easu
re d
eter
min
e pr
ecis
ion
read
ing
CO
W' N
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
SLi
sten
ing
Writ
ing
Phy
sici
an's
inst
ruct
ions
Cha
rtin
g of
res
ults
as
phys
icia
n di
ctat
esA
udito
ry d
iscr
imin
atio
n, C
',:ic
entr
atio
n, L
ogic
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, D
escr
ip-
tion,
Ter
min
olog
y, L
ogic
,1(1
1
297
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OflM
HE
AR
ING
AC
UIT
Y T
ES
TS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Aud
iom
eter
equ
ipm
ent
Wor
d lis
ts (
may
be
reco
rdin
g)E
xpla
in p
roce
dure
to p
atie
ntO
pera
te m
r '-;
ne fo
llow
ing
exac
t ins
truc
tions
for
oper
a an
of m
achi
neR
ecor
d re
sults
on
Aud
iogr
amP
erfo
rm s
peec
h au
diom
etry
Rec
ord
resu
lts
Car
e in
insp
ectio
n of
equ
ipm
ent f
or p
rope
rw
orki
ng o
rder
Use
car
e in
han
dlin
g el
ectr
ical
cor
dsA
ccur
acy
and
relia
bilit
y of
res
ults
Inco
rrec
t rea
ding
Ele
ctric
al s
hock
DE
CIS
ION
SD
eter
min
e if
patie
nt u
nder
stan
ds s
igna
l to
give
assi
stan
t for
res
pons
e
CU
ES
Tria
l tes
tE
RR
OR
S
Inco
rrec
t tes
t res
ults
:1(1
2
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M H
EA
RIN
G A
CU
ITY
TE
ST
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Prin
cipl
es to
com
preh
endT
rans
mis
sion
of s
ound
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cond
uctio
nB
one
cond
uctio
nS
enso
ry im
puls
esIn
trod
uctio
n to
sou
nd m
easu
rem
ent t
echn
ique
s an
d m
easu
rem
ent u
nits
(DB
)
Rea
d an
d in
terp
ret c
hart
s, ta
bles
, and
/or
grap
hsG
iven
an
inst
rum
ent o
f mea
sure
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erm
ine
prec
isio
n an
d/or
acc
urac
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espe
ct to
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ativ
e er
ror,
and
sig
nific
ant d
igits
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MM
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ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Spe
akin
g
Abb
revi
atio
ns n
eede
d fo
r ch
artin
g te
st
Inst
ruct
ions
to p
atie
nt
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
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Ter
min
olog
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plyi
ng, C
larit
y of
exp
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ion,
Den
otat
ion/
Con
nota
tion,
Log
ic, G
estu
res
R(1
3
299
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
DIA
TH
ER
MY
TR
EA
TM
EN
Tre
...IM
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Mt
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Dia
ther
my
mac
hine
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ition
pat
ient
Do
not t
reat
are
a if
any
met
al o
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re
Tow
elP
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on e
lect
rode
sw
ithin
the
field
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ble
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rate
mac
hine
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egar
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exc
essi
ve h
eat
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ersh
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here
turn
off
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h is
loca
ted
Cau
tion
rega
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of b
one
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car
e w
ith e
lect
rical
cor
d an
d pl
ugT
wo
elec
tric
cor
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ele
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des
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h
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rtS
ever
e bu
rns
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e da
mag
eE
lect
rical
sho
ck
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
amou
nt o
f tim
e fo
r tr
eatm
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Nat
ure
of c
ompl
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; ins
truc
tions
from
phys
icia
n
Bur
ns, d
isco
mfo
rt
Det
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ine
if tr
eatm
ent s
houl
d be
term
inat
ed
early
Pat
ient
com
plai
nts
Tra
uma
..
304
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
DIA
TH
ER
MY
TR
EA
TM
EN
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Tra
nsfe
r of
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t by
radi
atio
nA
war
enes
s of
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ctro
mag
netic
spe
ctru
mW
ave
tran
sfer
of e
nerg
y fr
om o
ne b
ody
to a
noth
er (
radi
atio
n)
Mea
sure
of t
ime
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion
and/
or a
ccur
acy,
v 'th
res
pect
to r
elat
ive
arro
r, a
nd s
igni
fican
t dig
its
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
List
enin
gS
peak
ing
Writ
ing
EX
AM
PLE
S
Ord
ers
from
phy
sici
an, i
nfor
mat
ion
from
pat
ient
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
SK
I LLS
/CO
NC
EP
TS
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Ter
min
olog
y, E
nunc
iatio
n, C
larit
y of
exp
res-
sion
, Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Log
ic, T
erm
inol
ogy
301
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
HE
AT
LA
MP
TR
EA
TM
EN
T (
INF
RA
RE
D)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Infr
ared
lam
pT
imer
Pos
ition
pat
ient
Pos
ition
and
ope
rate
lam
pG
ood
circ
ulat
ion
nece
ssar
y be
fore
trea
tmen
tin
stitu
ted
Use
car
e in
han
dlin
g el
ectr
ic c
oed
Bum
sE
lect
rical
sho
ck
DE
CIS
ION
SC
UE
S
Pat
ient
com
plai
ns o
r ph
ysic
al s
igns
ER
RO
RS
Det
erm
ine
whe
n to
term
inat
e tr
eatm
ent
Det
erm
ine
prop
er d
ista
nce
Bum
s
r4c
r,,
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
HE
AT
LA
MP
TR
EA
TM
EN
T (
INF
RA
RE
D)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ele
ctro
mag
netic
spe
ctru
mT
rans
fer
of h
eat
Mea
sure
of t
ime
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SLi
sten
ing
Spe
akin
g
Writ
ing
Ord
ers
from
phy
sici
anIn
stru
ctio
ns to
pat
ient
Cha
rt p
roce
dure
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Ter
min
olog
y, E
nunc
iatio
n, C
larit
y of
exp
res-
sion
, Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Ter
min
o-lo
gy, L
ogic
Ril7
303
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
ULT
RA
SO
UN
D T
RE
AT
ME
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ultr
ason
ic m
achi
neW
ater
or
oil
Tim
er
Pos
ition
pat
ient
Pre
pare
pat
ient
Ope
rate
mac
hine
Kee
p so
und
heat
hea
d in
mot
ion
Inte
rnal
bum
s an
d de
stru
ctio
n
Use
car
e in
han
dlin
g el
ectr
ical
cor
dE
lect
rical
sho
ck
DE
CIS
ION
SC
UE
SE
RR
OR
S
T,'.
F4
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T W
ITH
ULT
RA
SO
UN
D T
RE
AT
ME
NT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Tra
nsfe
r of
ene
rgy
from
one
form
to a
noth
erU
nder
stan
d pr
oper
ties
of s
ound
Dis
rupt
ion
of m
olec
ular
mem
bran
e bo
ndin
g
Me-
sure
of t
ime
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion
and/
or a
ccur
acy
with
res
pect
to r
elat
ive
erro
r, a
nd s
igni
fican
t dig
its
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
List
enin
gS
peak
ing
Writ
ing
Ord
er fr
om p
hysi
cian
Inst
ruct
ions
to p
atie
nt
Cha
rt p
roce
dure
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Ter
min
olog
y, E
nunc
iatio
n, C
larit
y of
exp
res-
sion
, Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Ter
min
o-lo
gy, L
ogic
364.
4
305
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
OX
YG
EN
TO
PA
TIE
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Oxy
gen
tank
with
pre
ssur
e di
alO
xyge
n m
ask
Mak
e pa
tient
com
fort
able
App
ly m
ask
and
adm
inis
ter
oxyg
en a
t lite
rsor
dere
d by
phy
sici
an
No
open
flam
e or
use
of e
lect
rical
app
lianc
es
Exp
losi
onsf
irebu
rns
DE
CIS
ION
SC
UE
SE
RR
OR
S
01,4
-:e-
-,,
r, 4
'
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
OX
YG
EN
TO
PA
TIE
NT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Oxy
gen
exch
ange
bet
wee
n av
eoli
and
bloo
dE
ffect
s of
CO
2 po
ison
ing
on b
ody
Giv
en a
n in
stru
men
t of m
easu
re, d
eter
min
e pr
ecis
ion
and/
or a
ccur
acy
with
res
pect
to r
elat
ive
erro
r, a
nd s
igni
fican
t dig
its
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
SLi
sten
ing
Spe
akin
gIn
stru
ctio
ns fr
om p
hysi
cian
Inst
ruct
ions
and
rea
ssur
ance
to p
atie
ntA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
icT
erm
inol
ogy,
Enu
ncia
tion,
Cla
rity
of e
xpre
s-si
on, L
ogic
, Ges
ture
s, F
acia
l and
bod
yfe
atur
es, P
oise
31 1
i30
7
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
INT
ER
MIT
TE
NT
PO
SIT
IVE
PR
ES
SU
RE
INH
ALA
TIO
N T
HE
RA
PY
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
VIII
IIIIII
IIIIII
NIP
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Inte
rmitt
ent P
ositi
ve P
ress
ure
Bre
athe
rym
achi
nepr
oper
acc
esso
ries
Dis
posa
ble
mou
thpi
ece
Nos
e cl
ipM
edic
atio
nB
ronc
hodi
lato
r as
pre
scrib
edN
orm
al s
alin
eE
mes
is b
asin
Tis
sues
Sto
ol fo
r pa
tient
Tim
er
Pre
pare
sol
utio
ns in
neb
uliz
er c
up a
nd a
ttach
to m
achi
neP
ositi
on a
nd in
stru
ct p
atie
ntA
ttach
nos
e cl
ip to
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rate
mac
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sIn
spec
t for
insp
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n or
exp
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n le
akag
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erm
inat
e pr
oced
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rope
r tim
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and
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e tu
bes
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een
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use
Pay
car
eful
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ntio
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uliz
er s
o th
atpa
tient
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emov
ed p
rior
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ompl
ete
depl
etio
n of
sol
utio
nM
ake
sure
cor
rect
pre
ssur
e fo
r ea
ch p
atie
nt is
mai
ntai
ned
Whe
n ox
ygen
in u
se m
ake
sure
ther
e is
no
smok
ing
or fi
re in
are
aC
are
in h
andl
ing
elec
tric
al c
ord
Pro
gres
sive
dry
ing
effe
ct o
n lu
ng ti
ssue
Par
oxsy
sova
l cou
ghin
gR
isk
of fi
re a
nd/o
r ex
plos
ion
Ele
ctric
al s
hock
DE
CIS
ION
SC
UE
SE
RR
OR
S
;112
S
(TA
SK
ST
AT
EM
EN
T)
AD
MIN
IST
ER
INT
ER
MIT
TE
NT
PO
SIT
IVE
PR
ES
SU
RE
INH
ALA
TIO
N T
HE
RA
PY
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of r
espi
rato
ry s
yste
mP
atho
logy
of r
espi
rato
ry s
yste
mR
elat
ed m
edic
al te
rmin
olog
y
Mea
sure
of t
ime
and
spee
dLi
quid
and
dry
mea
sure
sR
atio
and
pro
port
ion
Mea
sure
with
Met
ric a
nd E
nglis
h sy
stem
s an
d co
nver
t bet
wee
n th
emG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n an
d/or
acc
urac
yw
ith r
espe
ct to
rel
ativ
e er
ror,
and
sig
nific
ant d
igits
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
List
enin
gS
peak
ing
Writ
ing
Inst
ruct
ions
from
phy
sici
anS
peci
fic in
stru
ctio
ns to
pat
ient
Cha
rt in
form
atio
n
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Ter
min
olog
y, E
nunc
iatio
n, C
larit
y of
exp
res-
sion
, Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Ter
min
o-lo
gy, L
ogic
309
(TA
SK
ST
AT
EM
EN
T)
UT
ILIZ
E P
UB
LIC
AT
ION
S P
RO
VID
ING
LIS
T O
F A
PP
RO
VE
D D
RU
GS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Pub
licat
ion
utili
zed
by o
ffice
:P
harm
acop
eia
of th
e U
nite
d S
tate
s of
Am
eric
aT
he U
nite
d S
tate
s P
harm
acop
eia!
Con
vent
iN
ew d
rugs
The
Phs
ycia
n's
Des
k R
efer
ence
DE
CIS
ION
S
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Fam
iliar
ize
self
with
pub
licat
ion
used
in o
ffice
Iden
tify
med
icat
ion
from
tabl
et o
r ca
psul
ebr
ough
t int
o of
fice
Det
erm
ine
corr
ect s
pelli
ng o
f med
icat
ion
for
med
ical
rec
ords
Fin
d in
form
atio
n on
str
engt
h or
dos
age
ofm
edic
atio
ns
CU
ES
ER
RO
RS
w4
(TA
SK
ST
AT
EM
EN
T)
UT
ILIZ
E P
UB
LIC
AT
ION
S P
RO
VID
ING
LIS
T O
F A
PP
RO
VE
D D
RU
GS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
gW
ritin
g
Rea
ding
EX
AM
PLE
S
Inst
ruct
ions
from
phy
sici
anR
ecor
d in
form
atio
n
Pub
licat
ion
SK
I LL
S/C
ON
CIP
TS
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
icC
ompr
ehen
sion
, Det
ail/I
nfer
ence
, Inf
orm
atio
nal
repo
rts,
Def
initi
on, T
erm
inol
ogy
311
(TA
SK
ST
AT
EM
EN
T)
INT
ER
PR
ET
PR
ES
CR
IPT
ION
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pre
scrip
tion
Pat
ient
cha
rtIn
terp
ret f
or p
atie
ntIn
terp
ret w
hen
mus
t tra
nsm
it to
pha
rmac
yN
ever
gue
ss if
you
do
not k
now
, int
erpr
etco
rrec
tly
Impr
oper
rea
ctio
n of
med
icat
ion
Pos
sibi
lity
of fa
tal r
eact
ion
DE
CIS
ION
SC
UE
SE
MU
..
.-
tni
t;
Abs
olut
e ac
cura
cy n
eces
sary
in in
terp
retti
ngam
ount
and
dire
ctio
ns to
pha
rmac
yA
bsol
ute
accu
racy
nec
essa
ry in
inte
rpre
ting
use
to p
atie
nt
(TA
SK
ST
AT
EM
EN
T)
INT
ER
PR
ET
PR
ES
CR
IPT
ION
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pha
rmac
olog
yM
easu
re w
ith M
etric
and
Eng
lish
syst
em a
nd c
onve
rt b
etw
een
them
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
ding
Spe
akin
g
EX
AM
PLE
S
Pre
scrip
tion
Med
ical
term
inol
ogy,
med
ical
abb
revi
atio
nsIn
stru
ctio
ns to
pat
ient
, ins
truc
tions
to p
har-
mac
y
SK
I LLS
/CO
NC
EP
TS
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy,
Inst
ruct
ions
Ter
min
olog
y, Im
plyi
ng, C
larit
y of
exp
ress
ion,
Den
otat
ion/
Con
nota
tion,
Log
ic
313
(TA
SK
ST
AT
EM
EN
T)
CH
AR
T P
RE
SC
RIP
TIO
NS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pre
scrip
tion
Pat
ient
cha
rtR
ecor
d on
pat
ient
cha
rtA
bsol
ute
accu
racy
ess
entia
l
Late
r in
terp
reta
tion
wou
ld le
ad to
pos
sibl
ese
rious
err
or in
trea
tmen
t of p
atie
nt
DE
CIS
ION
SC
UE
SF
R R
OR
$
Det
erm
ine
accu
racy
of i
nfor
mat
ion
reco
rded
Orig
inal
sou
rce
of d
ata
Wro
ng tr
eatm
ent g
iven
ii.-
:1-1
R
(TA
SK
ST
AT
EM
EN
T)
CH
AR
T P
RE
SC
RIP
TIO
NS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pha
rmac
olog
y
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SR
eadi
ng
Writ
ing
List
enin
g
Pre
scrip
tion,
med
ical
term
inol
ogy,
med
ical
abbr
evia
tions
Rec
ord
pres
crip
tion
Inst
ruct
ions
from
phy
sici
an
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy,
Inst
ruct
ions
Pen
man
ship
, Spe
lling
, Cla
rity
of e
xpre
ssio
n,P
ersu
asio
n an
d sa
les
tech
niqu
e, In
stru
ctio
nsA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
ic
Sid
:
315
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
RE
PLE
NIS
H S
UP
PLI
ES
IN P
HY
SIC
IAN
'S B
AG
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Doc
tor's
bag
The
con
tent
s of
the
bag
will
dep
end
upon
the
spec
ialty
of t
he p
hysi
cian
and
on
his
or h
er p
refe
renc
e
Det
erm
ine
pers
onal
pre
fere
nce
of p
hysi
cian
rega
rdin
g ne
eds
in h
is o
r he
r ba
gR
eple
nish
any
item
s us
ed e
ach
time
bag
retu
rned
to o
ffice
Ref
ill c
onta
iner
s th
at h
ave
been
em
ptie
dC
heck
to s
ee th
at e
ach
inst
rum
ent i
s in
pro
per
wor
king
con
ditio
nB
atte
ries
in fl
ashl
ight
Inst
rum
ents
cle
an
Bag
mus
t alw
ays
be r
eady
for
use
Inab
ility
to a
dequ
atel
y ca
re fo
r pa
tient
beca
use
of la
ck o
f nee
ded
supp
lies
orin
stru
men
ts
DE
CIS
ION
SC
UE
S
Rep
leni
sh a
s us
ed
ER
RO
RS
Run
sho
rt o
f sup
plie
sin
adeq
uate
pat
ient
care
:r3s
0
Det
erm
ine
mat
eria
ls p
hysi
cian
nee
ds
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E A
ND
RE
PLE
NIS
H S
UP
PLI
ES
IN P
HY
SIC
IAN
'S B
AG
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Seq
uent
ial c
ount
ing
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SR
eadi
ng
List
enin
g
Labe
ls o
f sup
plie
s
Inst
ruct
ions
from
phy
sici
an
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy,
Inst
ruct
ions
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
:121
317
(TA
SK
ST
AT
EM
EN
T)
OR
GA
NIZ
E A
ND
MA
INT
AIN
EX
AM
INA
TIO
N R
OO
MS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sup
plie
s an
d in
stru
men
ts a
s ne
eded
for
indi
vi-
Ass
embl
e ne
eded
inst
rum
ents
and
sup
plie
sC
lean
lines
s es
sent
ial
dual
pra
ctic
eA
ttem
pt to
reg
ulat
e te
mpe
ratu
re a
nd o
dors
for
patie
nt c
omfo
rtC
ross
-infe
ctio
nP
rovi
de a
rea
for
patie
nt's
clo
thin
g if
rem
oval
is n
eces
sary
Sta
ndar
dize
are
as in
whi
ch m
edic
atio
ns a
ndsu
pplie
s st
ored
in e
ach
room
Inst
ruct
mai
nten
ance
dep
artm
ent r
egar
ding
any
spec
ial a
ttent
ion
need
ed in
cle
anin
g
DE
CIS
ION
SC
UE
SF
RR
OR
S
Det
erm
ine
prio
r to
adm
ittin
g ea
ch p
atie
nt th
atro
om is
cle
an a
nd u
sed
supp
lies
repl
enis
hed
Insp
ectio
n of
roo
mS
uppl
ies
unav
aila
ble
;'''.?
?,"?
.
(TA
SK
ST
AT
EM
EN
T)
OR
GA
NIZ
E A
ND
MA
INT
AIN
EX
AM
INA
TIO
N R
OO
MS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Inst
ruct
ions
to e
mpl
oyee
s
Inst
ruct
ions
from
phy
sici
an
Ter
min
olog
y, Im
plyi
ng, C
larit
y of
exp
ress
ion,
Logi
c, G
estu
res,
Fac
ial a
nd b
ody
feat
ures
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
;121
319
(TA
SK
ST
AT
EM
EN
T)
RE
CE
IVE
AN
D O
RG
AN
IZE
ME
DIC
AT
ION
SA
MP
LES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Med
icat
ion
sam
ples
rec
eive
d in
mai
lR
etai
n sa
mpl
es a
s pe
r ph
ysic
ian'
s in
stru
ctio
nsD
rugs
in s
ecur
e ar
ea'
disp
osed
of p
rope
rlyM
edic
atio
n sa
mpl
esin
indi
vidu
al o
ffice
Dis
pose
of s
ampl
es n
ot u
tiliz
ed in
offi
ce in
an
Use
of d
rugs
by
unau
thor
ized
per
sons
with
out
appr
opria
te m
anne
r*ph
ysic
ian'
s or
ders
Sto
re in
des
igna
ted
cate
gorie
s in
sui
tabl
elo
cked
cup
boar
dS
tore
in a
n ar
ea a
cces
sibl
e on
ly to
aut
horiz
edpe
rson
nel
*M
ay b
e gi
ven
to a
clin
ic o
r w
elfa
re a
genc
yC
onta
ct lo
cal E
nviro
nmen
tal P
rote
ctio
nA
genc
y fo
r ad
vice
on
met
hod
of d
ispo
sal
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
sam
ples
to b
e ke
pt o
r di
spos
edO
ffice
pol
icie
sD
rug
thef
tD
eter
min
e m
etho
d of
dis
posa
l
"7-".
". /7
(TA
SK
ST
AT
EM
EN
T)
RE
CE
IVE
AN
D O
RG
AN
IZE
ME
DIC
AT
ION
SA
MP
LES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pha
rmac
olog
yS
ome
med
icat
ions
are
ligh
t sen
sitiv
e an
d he
at s
ensi
tive
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
n th
e nu
mbe
rlin
e [S
eque
ntia
l ord
erin
g]
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
List
enin
g
Rea
ding
Inst
ruct
ions
from
phy
sici
an
Labe
ls
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Not
e ta
king
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy,
Inst
ruct
ions 32
5
321
(TA
SK
ST
AT
EM
EN
T)
INV
EN
TO
RY
ME
DIC
AT
ION
AN
D. M
ED
ICA
L S
UP
PLI
ES
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Sta
ndar
d of
fice
supp
lies
Sto
ck b
ook
or c
ards
Cou
nt a
nd r
ecor
dR
earr
ange
in p
rope
r or
der
Rot
ate
med
icat
ions
Cle
an a
rea,
etc
.
Car
eful
ly c
heck
exp
iratio
n da
tes
on m
edi,
catio
nP
rope
r us
e of
ava
ilabl
e st
orag
e fa
cilit
ies
Out
date
dD
amag
e to
sup
plie
sT
raum
a to
per
sonn
el
DE
CIS
ION
SC
UE
S
Offi
ce p
olic
ies
on a
mou
nt o
f res
erve
sto
ckE
RR
OR
SD
eter
min
e po
int a
t whi
ch to
reo
rder
Run
sho
rt o
f med
icat
ion;
med
icat
ion
too
old
to u
se
ere.
r,
3
(TA
SK
ST
AT
EM
EN
T)
INV
EN
TO
RY
ME
DIC
AT
ION
AN
D M
ED
ICA
L S
UP
PLI
ES
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
and
sub
trac
tion
of w
hole
num
bers
Mul
tiplic
atio
n an
d di
visi
on o
f who
le n
umbe
rs
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rec
ord
inve
ntor
yP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Des
crip
-tio
n, L
ogic
"?,7
323
Dut
y E
Per
form
ing
Bas
ic L
abor
ator
y P
roce
dure
s an
d D
iagn
ostic
Tes
ts
1P
erfo
rm e
lect
roca
rdio
gram
(E
KG
)2
Use
hig
h an
d lo
w p
ower
obj
ectiv
e of
mic
rosc
ope
3U
se o
il im
mer
sion
lens
of m
icro
scop
e4
Per
form
phy
sica
l exa
min
atio
n of
urin
e5
Det
erm
ine
the
pH o
f urin
e6
Per
form
spe
cific
gra
vity
(S
/G)
on u
rine
spec
imen
7D
eter
min
e pr
otei
ns in
urin
e8
Det
erm
ine
gluc
ose
in u
rine
9D
eter
min
e pr
esen
ce o
f ket
one
bodi
es in
urin
e10
Per
form
test
for
bile
and
uro
bilin
ogen
in u
rine
11P
erfo
rm te
st fo
r bl
ood
in u
rine
and
fece
s12
Ope
rate
cen
trifu
ge13
Per
form
mic
rosc
opic
exa
m o
f urin
e sp
ecim
en14
Per
form
a s
kin
punc
ture
15O
btai
n bl
ood
spec
imen
from
vei
n w
ith s
yrin
ge a
nd n
eedl
e16
Obt
ain
bloo
d sp
ecim
en fr
om v
ein
with
Vac
utai
ner
set-
up17
Com
plet
e m
icro
-hem
atoc
rit18
Per
form
red
blo
od c
ell (
RB
C)
coun
t usi
ng h
emac
ytom
eter
19P
erfo
rm w
hite
blo
od c
ell (
WB
C)
coun
t usi
ng h
emac
ytom
eter
20U
se U
nope
tte fo
r w
hite
blo
od c
ell c
ount
usi
ng h
emac
ytom
eter
21P
erfo
rm h
emog
lobi
n de
term
inat
ion
with
hem
oglo
bino
met
er22
Per
form
hem
oglo
bin
dete
rmin
atio
n by
Soh
li-A
dam
s m
etho
d23
Per
form
hem
oglo
bin
by c
yanm
etho
glob
in m
etho
d24
Pre
pare
blo
od s
mea
r25
Sta
in b
lood
sm
ear
26E
xam
ine
stai
ned
bloo
d sm
ear 32
5
1
27C
ompl
ete
an e
ryth
rocy
te s
edim
enta
tion
rate
(E
SR
) (W
intr
obeL
ands
berg
Met
hod)
28C
ompl
ete
an e
ryth
rocy
te s
edim
enta
tion
rate
(E
SR
) (W
este
rgre
n)29
Use
col
orim
etric
str
ip te
st fo
r bl
ood
gluc
ose
30C
ompl
ete
a bl
eedi
ng ti
me
(Duk
e's
Met
hod)
31C
ompl
ete
coag
ulat
ion
time
(Cap
illar
y G
lass
Met
hod)
32T
ype
a bl
ood
spec
imen
(La
ndst
eine
r's C
lass
ifica
tions
)33
Com
plet
e an
Rh
dete
rmin
atio
n (s
cree
ning
onl
y)34
Per
form
glu
cose
det
erm
inat
ion
by F
olin
Wu
Met
hod
35P
repa
re a
bac
teria
l sm
ear
36C
ompl
ete
a gr
am s
tain
37P
repa
re a
wet
mou
nt fo
r pa
rasi
tolo
gy s
tudy
38In
nocu
late
an
Aga
r pl
ate
39P
ositi
on p
atie
nt fo
r x-
ray
exam
inat
ion
40Lo
ad x
-ray
flim
in c
asse
tte41
Exp
ose
x-ra
ys42
Pro
cess
x-r
ay fi
lm43
Per
form
pul
mon
ary
func
tion
stud
ies
44In
vent
ory
and
orde
r la
bora
tory
sup
plie
s an
d eq
uipm
ent
:429
327
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M E
LEC
TR
OC
AR
DIO
GR
AM
(E
KG
)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
---
HA
ZA
RD
Pre
pare
pat
ient
Woo
den
trea
tmen
t tab
leE
lect
roca
rdia
grap
h m
achi
neC
able
cor
dsE
lect
rode
sE
CG
cre
am o
r pa
dsP
aper
for
trac
ing
EC
G m
ount
ing
form
Sci
ssor
s
Pos
ition
pat
ient
in s
upin
eG
roun
d m
achi
neA
llow
ade
quat
e w
arm
-up
App
ly e
lect
rode
s to
pat
ient
Atta
ch c
able
cor
ds to
pat
ient
ele
trod
e st
raps
Che
ck p
aper
Com
plet
e 12
lead
-E
CG
,, lim
b an
d ch
est l
eads
,w
ith s
tand
ardi
zatio
nsR
emov
e pa
tient
in g
ettin
g up
Rem
ove
trac
ing
Mou
nt tr
acin
g
Gro
und
mac
hine
Atta
ch le
ads
corr
ectly
Ele
ctric
al s
hock
Inte
rfer
ence
1
DE
CIS
ION
SC
UE
S
!
ER
RO
RS
Mix
-up
in le
ad a
ttach
men
ts c
ause
s ab
norm
aliti
esin
trac
ing
Pro
per
grou
ndin
g el
imin
ates
A-C
inte
rfer
ence
No
oxyg
en in
roo
m
:1.-
,w,
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M E
LEC
TR
OC
AR
DIO
GR
AM
(E
KG
)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
The
ory
of m
achi
ne o
pera
tione
lect
roni
c am
plifi
er s
yste
mG
alvo
nom
eter
ope
ratio
nS
tylu
s rib
bon
Fun
ctio
n of
hea
t sen
sitiv
e pa
per
Ele
ctro
mot
ive
forc
e
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI u
stco
Ni E
PT
SR
eadi
ngO
pera
tion
man
ual f
or m
achi
ne
329
(TA
SK
ST
AT
EM
EN
T)
US
E H
IGH
AN
D L
OW
PO
WE
R O
BJE
CT
IVE
OF
MIC
RO
SC
OP
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Mic
rosc
ope
with
lam
pP
lace
spe
cim
en o
n st
age
Nev
er fo
cus
dow
n on
a s
lide
Slid
es w
ith s
peci
men
Lens
pap
erA
djus
t for
bes
t pos
sibl
e lig
htF
ocus
and
exa
min
e on
low
pow
er, k
eepi
ngbo
th e
yes
open
Nev
er fo
cus,
with
the
coar
se a
djus
tmen
tun
der
high
pow
erE
lect
rical
cor
dF
ocus
and
exa
min
e on
hig
hpo
wer
Rep
eat p
roce
ss in
cas
e of
failu
re:
focu
sing
on lo
w th
en s
witc
hing
to h
igh
pow
erC
lean
the
lens
and
mirr
or b
efor
e an
d af
ter
use
with
lens
pap
er
Sho
ckB
reak
slid
e or
scr
atch
or
brea
k ob
ject
ive
trau
ma
Not
e: D
o no
t tou
ch e
ye p
iece
with
eye-
lash
es
IN
DE
CIS
ION
SC
UE
SgR
RO
R$
Det
erm
ine
prop
er s
ettin
gC
larit
y of
vie
wS
mas
hed
slid
e du
e to
impr
oper
focu
sing
i:1
321 1
(TA
SK
ST
AT
EM
EN
T)
US
E H
IGH
AN
D L
OW
PO
WE
R O
BJE
CT
IVE
OF
MIC
RO
SC
OP
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Fun
dam
enta
ls o
f opt
ics
Mul
tiplic
atio
n w
ith w
hole
num
bers
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Vie
win
gS
pe -
imen
Vis
ual a
naly
sis,
Sha
pe, C
onsi
sten
cy, M
ove-
men
t
'0,3
331
(TA
SK
ST
AT
EM
EN
T)
US
E O
IL IM
ME
RS
ION
LE
NS
OF
MIC
RO
SC
OP
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Mic
rosc
ope
with
lam
pP
repa
red
slid
eIm
mer
sion
oil
Zyl
olLe
ns p
aper
Pos
ition
slid
e an
d ap
ply
imm
ersi
on o
ilF
ocus
, with
fine
adj
ustm
ent a
nd e
xam
ine
With
eye
at t
he le
vel o
f the
sta
ge, b
ring
the
oil i
mm
ersi
on le
ns d
own
into
the
drop
of e
yeC
lean
lens
Do
not h
it sl
ide
with
lens
Ele
ctric
al c
ord
Bre
akag
etra
uma
Sho
ck
VD
EC
ISIO
NS
CU
ES
ER
RO
RS
Sm
ashe
d sl
ide
due
to im
prop
er fo
cusi
ng-
Det
erm
ine
prop
er s
ettin
gC
larit
y of
vie
w
(TA
SK
ST
AT
EM
EN
T)
US
E O
IL IM
ME
RS
ION
LE
NS
OF
MIC
RO
SC
OP
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Fun
dam
enta
ls o
f opt
ics
Ref
ract
ive
inde
xes
Mul
tiplic
atio
n of
who
le n
umbe
rs
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
SV
iew
ing
.
Spe
cim
enV
isua
l ana
lysi
s, S
hape
, Con
sist
ency
, Mov
emen
t
.
R",
FD
333
(TA
SK
S fA
TE
ME
NT
)P
ER
FO
RM
PH
YS
ICA
L E
XA
MIN
AT
ION
OF
UR
INE
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Urin
e sp
ecim
enG
radu
ated
gla
ss c
ylin
der
Pat
ient
cha
rt o
r la
b re
cord
form
Pen
Mea
sure
vol
ume
Des
crib
e co
lor
Ass
ess
tran
spar
ency
Rec
ord
findi
ngs
Was
h ha
nds
Car
e in
han
dlin
g gl
ass
Lace
ratio
n
DE
CIS
ION
SC
UE
SE
RR
OR
SI
Inco
rrec
t res
ults
, unn
eces
sary
test
s ta
ken
Ar.
,--,
--r'
:,
Det
erm
ine
tran
spar
ency
of f
resh
ly v
oide
dA
bnor
mal
find
ings
can
indi
cate
a n
eed
for
spec
imen
othe
r sp
ecifi
c te
sts
Spe
cim
en m
ust b
e w
ell m
ixed
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M P
HY
SIC
AL
EX
AM
INA
TIO
N O
F U
RIN
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of u
rine
Pat
holo
gy o
f urin
ary
syst
emC
ompo
sitio
n of
urin
eU
rinar
y pi
gmen
tC
olle
ctio
n te
chni
ques
Pre
serv
atio
n of
urin
e sp
ecim
ens
Rel
ated
med
ical
term
inol
ogy
Clin
ical
sig
nific
ance
of f
indi
ngs
Effe
ct o
f die
t on
urin
eQ
uant
ity o
f urin
e ex
cret
ion
Mea
sure
with
the
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Writ
ing
Inst
ruct
ions
from
phy
sici
an
Rec
ordi
ng fi
ndin
gs
Com
preh
ensi
on, R
ecom
men
datio
n re
port
s,P
rogr
ess
repo
rts
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
3,-4
7
335
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
TH
E p
H O
F U
RIN
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Urin
e sp
ecim
enP
atie
nt c
hart
or
lab
reco
rdC
ombi
stix
Bili
labs
tixN
itroz
ine
pape
rR
efer
ence
col
or c
hart
s
1
Use
Com
bist
ix (
Am
es)
Use
Bili
labs
tix (
Am
es)
Use
nitr
azin
e pa
per
Com
pare
with
col
or c
hart
s
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
DE
CIS
ION
SC
UE
SE
RR
OR
S
pH c
hang
es a
fter
spec
imen
sta
nds
pH c
an g
ive
clue
to m
icro
scop
ic id
entif
icat
ion
Alk
alin
e pH
can
cau
se d
isso
lvin
g of
cert
ain
elem
ents
.
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
TH
E p
H O
F U
RIN
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Kid
ney
func
tion
Hyd
roge
n io
n co
ncen
trat
ion
Aci
d-ba
se th
eorie
sE
ffect
s of
pH
on
body
Nor
mal
ran
gepH
theo
ry
Sci
entif
ic n
otat
ion
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
gW
ritin
g
Rea
ding
Inst
ruct
ions
from
phy
sici
anC
hart
ing
Spe
cific
test
inst
ruct
ions
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
icC
ompr
ehen
sion
, Det
ail/I
nfer
ence
, Ter
min
olog
yD
efin
ition
, Ins
truc
tions :A
:19
337
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M S
PE
CIF
IC G
RA
VIT
Y (
S/G
) O
N U
RIN
E S
PE
CIM
EN
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Urin
e sp
ecim
enC
alib
rate
urin
omet
erU
rinom
eter
s ar
e fr
agile
and
con
tain
mer
cury
Urin
omet
er c
ylin
der
Mix
urin
e sp
ecim
enC
hem
ical
ly c
lean
urin
omet
erU
rinom
eter
Pou
r ur
ine
into
urin
omet
er c
ylin
der
Acc
urac
y an
d re
liabi
lity
of r
esul
tsD
istil
led
wat
erC
orre
ct fo
r te
mpe
ratu
reT
herm
omet
erIn
sert
urin
omet
er a
void
ing
wet
ting
the
stem
Mer
cury
vap
ors
Pat
ient
cha
rt o
r la
b re
cord
abov
e th
e w
ater
line
Lace
ratio
nsP
enR
ead
and
reco
rdC
onta
min
atio
nR
ead
on a
flat
leve
l sur
face
at e
ye le
vel
Rea
d ur
inom
eter
at t
he b
otto
m o
f the
thic
km
enis
cus
Rin
se th
e ur
inom
eter
in fr
esh
wat
er a
nd d
ryth
e st
em b
efor
e pr
ocee
ding
to th
e ne
xtsp
ecim
en
DE
CIS
ION
SC
UE
SE
RR
OR
S
No
bubb
les
shou
ld b
e pr
esen
t aro
und
urin
o-m
eter
Urin
omet
er m
ust f
loat
free
abo
ut 1
" of
f the
botto
m o
f the
con
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.,..
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SK
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AT
EM
EN
T)
PE
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M S
PE
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IC G
RA
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E S
PE
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EN
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IEN
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MA
TH
NU
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ER
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S
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ney
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sity
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cific
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mat
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ary
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olum
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ater
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empe
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ICA
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NS
PE
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MP
LES
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/CO
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TS
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ruct
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sici
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form
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preh
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on, R
ecom
men
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n re
port
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rogr
ess
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Pen
man
ship
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lling
, Cla
ssifi
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n, T
erm
ino-
logy
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ic
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339
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SK
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AT
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EN
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OT
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INE
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CO
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ME
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PO
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ater
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SK
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cedu
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lied
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ets
and
stic
ksca
refu
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stru
ctio
ns fr
om p
hysi
cian
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ord
resu
lts
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preh
ensi
on, D
etai
l/Inf
eren
ce, I
nfor
mat
iona
lre
port
s, D
efin
ition
, Ter
min
olog
y, In
stru
ctio
n
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
34S
343
t
(TA
SK
ST
AT
EM
EN
T)
DE
TE
RM
INE
PR
ES
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CE
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DIE
S IN
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ME
NT
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TE
RIA
LS,
OB
JEC
TS
AC
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PO
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atch
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sec
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rt o
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cord
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form
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test
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mes
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erfo
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PE
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S
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ruct
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TS
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dis
crim
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cent
ratio
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ogic
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preh
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on, D
etai
l/Inf
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ce, I
nfor
mat
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port
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min
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stru
ctio
nsP
enm
ansh
ip, S
pelli
ng, C
lass
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min
o-lo
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ogic
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(TA
SK
ST
AT
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T)
PE
RF
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OR
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OB
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ZA
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en
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tabl
est (
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se B
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mes
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ES
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hem
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ts fo
r -b
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ver
func
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ated
pat
holo
gy
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
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OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SLi
sten
ing
Rea
ding
Writ
ing
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ruct
ions
from
phy
sici
anLi
tera
ture
sup
plie
d by
man
ufac
ture
r
Rec
ord
resu
lts
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, I
nfor
mat
iona
lre
port
, Def
initi
on, T
erm
inol
ogy,
Inst
ruct
ions
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
349
347
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M T
ES
T F
OR
BLO
OD
IN U
RIN
E A
ND
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CE
S
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UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
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SA
FE
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ZA
RD
Urin
e sp
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r fe
ces
Use
Hem
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(A
mes
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ccur
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and
relia
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Hem
astix
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ates
t tab
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tU
se B
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mes
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ater
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Man
y ch
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SK
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OR
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ells
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phol
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of t
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PE
RF
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MA
NC
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CE
PT
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inst
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ratu
re s
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anuf
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dis
crim
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cent
ratio
n, L
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preh
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mat
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Inst
ruct
ions
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
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erm
ino-
logy
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ic
349
(TA
SK
ST
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T)
OP
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SK
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arce
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entr
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ce]
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NS
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R F
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MA
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AM
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KIL
LS/C
ON
CE
PT
S
Rea
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Writ
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ed in
dica
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in la
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cord
boo
k
Det
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nfer
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rmat
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-tio
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res
ults
Cen
trifu
geD
ecan
t sup
erna
tant
Cen
trifu
ge tu
bes
Pla
ce s
edim
ent o
n sl
ide
Scr
atch
ed o
r cr
acke
d le
nsG
lass
slid
esE
xam
ine
mic
rosc
opic
ally
Bro
ken
slid
esC
over
slip
Iden
tify
norm
al a
nd a
bnor
mal
con
stitu
ents
Mic
rosc
ope
unde
r hi
gh a
nd lo
wer
pow
er a
nd e
stim
ate
Lab
reco
rd b
ook
num
ber
DE
CIS
ION
SC
UE
SE
RR
OR
S
Rem
ove
amor
phou
s be
fore
cen
trifu
gatio
nS
tand
ing
of u
rine
caus
es d
isto
rtio
n or
bre
ak-
dow
n of
sed
imen
t
R%
4
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M M
ICR
OS
CO
PIC
EX
AM
OF
UR
INE
SP
EC
IME
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Kid
ney
phys
iolo
gy a
nd a
nato
my
Dig
estio
n pr
oces
sC
hara
cter
istic
s, m
orph
olog
y of
bio
logi
c an
d ch
emic
al s
edim
ent
Blo
od c
ells
Cas
tsC
ryst
als
Epi
thel
ial c
ells
Bac
teria
Mis
cella
neou
s su
bsta
nces
Cou
ntin
g se
quen
tially
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SR
ead
Spe
akin
g
Inte
rpre
t med
ical
term
inol
ogy
Rep
ort r
esul
ts
Ter
min
olog
y, C
ompr
ehen
sion
, Det
ail/I
nfer
ence
,In
form
atio
nal r
epor
ts, D
efin
ition
Ter
min
olog
y, D
ictio
n, E
nunc
iatio
n, C
larit
y of
expr
essi
on, L
ogic
, Usa
ge
355
353
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M A
SK
IN P
UN
CT
UR
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Alc
ohol
Cot
ton
spon
ges
Ste
rile
lanc
et
Was
h ha
nds
Sel
ect p
unct
ure
site
Per
form
pun
ctur
e 3-
4 m
m in
dep
th s
o th
atsq
ueez
ing
of th
e pa
rt is
not
nec
essa
ry to
pmid
uce
bloo
d flo
w
Dis
card
firs
t dro
p of
blo
odC
are
in h
andl
ing
lanc
et
Inco
rrec
t lab
orat
ory
findi
ng d
ue to
pre
senc
eof
tiss
ue fl
uids
Pun
ctur
e or
lace
ratio
n
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
appr
opria
te p
unct
ure
site
Fin
ger
tip s
houl
d be
war
mA
void
are
as th
at a
re c
yano
sed,
sca
rred
or
callo
used
Exc
essi
ve p
ain
to p
atie
nt
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M A
SK
IN P
UN
CT
UR
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of c
apill
arie
sE
ffect
s of
tiss
ue fl
uids
on
bloo
dC
lotti
ng m
echa
nism
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
SLi
sten
ing
Spe
akin
gIn
stru
ctio
ns fr
om p
hysi
cian
Inst
ruct
ions
to p
atie
ntA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
icT
erm
inol
ogy,
Enu
ncia
tion,
Cla
rity
of e
xpre
s-si
on, L
ogic
, Fac
ial a
nd b
ody
feat
ures
,P
oise
:15;
7
357
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN B
LOO
D S
PE
CIM
EN
FR
OM
VE
IN W
ITH
SY
RIN
GE
AN
D N
EE
DLE
TO
OLS
, EQ
UIP
ME
NT
, MA
I ER
IALS
,O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Ste
rile
syrin
gevo
lum
e de
term
ined
by
test
sbe
ing
perf
orm
edS
teril
e ne
edle
Tou
rniq
uetV
elcr
o or
rub
ber
tubi
ngC
otto
nA
lcoh
olA
dhes
ive
strip
App
ropr
iate
tube
s an
d sl
ides
for
test
s or
dere
dC
hair
or e
xam
inin
g ta
ble
Tab
le to
sup
port
arm
Was
h ha
nds
Pos
ition
and
inst
ruct
pat
ient
App
ly to
urni
quet
and
sel
ect v
ein
Com
plet
e V
enip
unct
ure
proc
edur
eM
aint
ain
pres
sure
on
site
for
3-5
min
utes
afte
rne
edle
rem
oved
Ste
rility
of s
yrin
ge a
nd n
eedl
eC
ritic
al:
Syr
inge
mus
t be
dry
Cau
tion
mus
t be
used
dur
ing
entir
e pr
oced
ure;
do n
ot a
llow
nee
dle
to m
ove
whe
n pu
lling
back
on
plun
ger
Afte
r pa
lpat
ion,
rec
lean
are
a w
ith a
lcoh
olpr
ior
to p
enet
ratio
n of
the
skin
Cau
tion
in h
andl
ing
glas
s
Sep
sis
Tra
uma
to u
nder
lyin
g tis
sue
Con
tam
inat
ions
epsi
sH
emat
oma
Lace
ratio
n
DE
CIS
ION
S
Det
erm
ine
posi
tion
of p
atie
ntS
elec
t vei
nS
elec
t pro
per
need
le g
auge
CU
ES
Con
ditio
n of
pat
ient
phys
ical
and
men
tal
Siz
e an
d lo
catio
n of
vei
nS
mal
l vei
n w
ill r
equi
re h
ighe
r ga
uge
need
leth
an n
orm
ally
use
d
ER
RO
RS
Tra
uma
to p
atie
ntIn
abili
ty to
com
plet
e ve
nipu
nctu
reIn
abili
ty to
ent
er v
ein
or tr
a:is
fixin
g of
vei
n
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN B
LOO
D S
PE
CIM
EN
FR
OM
VE
IN W
ITH
SY
RIN
GE
AN
D N
EE
DLE
7CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
Ana
tom
y an
d ph
ysio
logy
of v
eins
Par
ticul
ar e
mph
asis
on
loca
tion
of v
eins
in a
nte
cubi
tal f
ossa
, for
e-ar
m a
nd h
ands
Clo
tting
mec
hani
sm o
f blo
odP
hysi
olog
y of
sen
sory
ner
ves
Pro
fess
iona
lism
Mai
ntai
n ca
paci
ty to
fost
er tr
ust
Mai
ntai
n ca
paci
ty to
fost
er c
onfid
entia
lity
Mai
ntai
n ca
paci
ty to
fost
er c
oope
ratio
nM
aint
ain
capa
city
to g
ener
ate
inte
grity
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
ly w
hen
enco
unte
ring
fast
chan
ging
, mul
tiple
, per
sona
l or
situ
atio
nal v
aria
bles
Exh
ibit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
cont
rol,
self-
relia
nce,
sel
f-re
spec
t and
ada
ptab
ility
Mea
sure
with
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
SLi
sten
ing/
Rea
ding
Spe
akin
g
Inst
ruct
ions
from
phy
sici
an
Inst
ruct
ions
to p
atie
nt
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Com
preh
ensi
on, R
ecom
men
datio
n re
port
s,P
rogr
ess
repo
rts
Ter
min
olog
y, E
nunc
iatio
n, C
larit
y of
exp
res-
sion
, Log
ic, G
estu
res,
Fac
ial a
nd b
ody
feat
ures
.
r`IN
g
357
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN B
LOO
D S
PE
CIM
EN
FR
OM
VE
IN W
ITH
VA
CU
TA
INE
R S
ET
UP
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Vac
utai
ner
hold
erS
teril
e do
uble
-end
ed n
eedl
e fo
r ho
lder
appr
opria
te g
auge
and
leng
th o
r ad
apte
rne
edle
Vac
utai
ner
tube
s as
req
uire
dT
ourn
ique
tVel
cro
or r
ubbe
r tu
bing
Cot
ton
Alc
ohol
Adh
esiv
e st
ripS
lides
if d
iffer
entia
l blo
odsm
ear
orde
red
Cha
irT
able
to s
uppo
rt a
rm
Was
h ha
nds
Pos
ition
and
inst
ruct
pat
ient
App
ly to
urni
quet
and
sel
ect v
ein
Com
plet
e V
enip
unct
ure
proc
edur
eD
o no
t pen
etra
te v
acuu
m o
f tub
e un
til s
kin
has
been
pen
etra
ted
Rem
ove
tour
niqu
et b
efor
e ch
angi
ng tu
bes
durin
g pr
oced
ure
Hav
e ex
tra
Vac
utai
ners
ava
ilabl
e in
cas
eva
cuum
in tu
be fa
ils
Ste
rility
of n
eedl
e is
crit
ical
Cau
tion
mus
t be
used
dur
ing
entir
e pr
oced
uA
fter
palp
atio
n, r
ecle
an a
rea
with
alc
ohol
prio
r to
pen
etra
tion
of s
kin
Mai
ntai
n pr
essu
re o
n si
te fo
r 3
to 5
min
utes
afte
r ne
edle
is r
emov
edC
are
in h
andl
ing
glas
sD
o no
t allo
w n
eedl
e to
mov
e w
hen
push
ing
Vac
utai
ner
into
pos
ition
or
whi
lech
angi
ng tu
bes
Sep
sis
Tra
uma
to u
nder
lyin
g tis
sue
Con
tam
inat
ions
epsi
sH
emat
oma
Lace
ratio
n
DE
CIS
ION
S
Det
erm
ine
posi
tion
of p
atie
ntS
elec
t vei
nS
elec
t pro
per
need
le g
auge
CU
ES
Con
ditio
n of
pat
ient
phys
ical
and
men
tal
Siz
e an
d lo
catio
n of
vei
nS
mal
l vei
n w
ill r
equi
re h
ighe
r ga
uge
need
leth
an n
orm
ally
use
d
ER
RO
RS
Tra
uma
to p
atie
ntIn
abili
ty to
com
plet
e ve
nipu
nctu
reIn
abili
ty to
ent
er v
ein
or tr
ansf
ixat
ion
ofve
in
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN B
LOO
D S
PE
CIM
EN
FR
OM
VE
IN W
ITH
VA
CU
TA
INE
R S
ET
UP
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Ana
tom
y an
d ph
ysio
logy
of v
eins
Par
ticul
ar e
mph
asis
on
loca
tion
of v
eins
in a
nte
cubi
tal f
ossa
, for
earm
and
hand
sC
lotti
ng m
echa
nism
of b
lood
Phy
siol
ogy
of s
enso
ry n
erve
sU
nder
stan
d pu
mpi
ng a
ctio
n ca
used
by
vacu
ums
Pro
fess
iona
l:sm
Mai
ntai
n ca
paci
ty to
fost
er tr
ust
Mai
ntai
n ca
paci
ty to
fost
er c
onfid
entia
lity
Mai
ntai
n ca
paci
ty to
fost
er c
oope
ratio
nM
aint
ain
capa
city
to g
ener
ate
inte
grity
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
y w
hen
enco
unte
ring
fast
chan
ging
, mul
tiple
, per
sona
l or
situ
atio
nal v
aria
bles
Exh
ibit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
cont
rol,
self-
relia
nce,
sel
f-re
spec
t and
ada
ptab
ility
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
gS
peak
ing
Inst
ruct
ion
from
phy
sici
ans
Inst
ruct
ions
to p
atie
ntA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
icT
erm
inol
ogy,
Enu
ncia
tion,
Cla
rity
of e
xpre
s-si
on, L
ogic
, Ges
ture
s, F
acia
l and
bod
yfe
atur
es
,'4G
1
1 I
359
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E M
ICR
OH
EM
AT
OC
RIT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Cap
illar
y or
who
le b
lood
sam
ple
Fill
and
sea
l cap
illar
y tu
beU
se c
autio
n w
hen
hand
ling
capi
llary
tube
sH
epar
iniz
ed c
apill
ary
tube
sC
entr
ifuge
Out
er c
over
mus
t not
be
lifte
d un
til r
otat
ion
Sea
l-Eas
e (T
M)
(sea
ling
med
ium
)D
eter
min
e pe
rcen
t on
read
erha
s co
mpl
etel
y st
oppe
dM
icro
-hem
atoc
rit m
achi
neE
lect
rical
cor
dM
icro
-cap
illar
y re
ader
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Tra
uma
to o
pera
tor
Sho
ck
DE
CIS
ION
SC
UE
SE
RR
OR
SD
eter
min
e if
bloo
d sa
mpl
e is
pro
perly
col
lect
edP
hysi
cal a
ppea
ranc
eIn
corr
ect f
indi
ngs
Det
erm
ine
if bl
ood
sam
ple
is w
ell m
ixed
No
sepa
ratio
nIn
corr
ect f
indi
ngs
Det
erm
ine
if ce
ntrif
ugat
ion
is s
tand
ardi
zed
Inco
rrec
t fin
ding
s )R
1:62
t
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E M
I C
RO
H M
AT
OC
R IT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Hem
atoc
rit =
% v
olum
e of
pac
ked
red
bloo
d ce
llsU
sed
in e
valu
atio
n an
d cl
assi
ficat
ion
of a
nem
iaN
orm
al v
alue
sC
entr
ifuga
l foc
es d
evel
oped
by
bodi
es in
rot
atio
n
Rea
d an
d in
terp
ret c
hart
s, ta
bles
, and
/or
grap
hs
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SR
eadi
ng
Writ
ing
Writ
ten
inst
ruct
ions
Cha
rt in
form
atio
n
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
3 C
a
361
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M R
ED
BLO
OD
CE
LL C
OU
NT
US
ING
HE
MA
CY
TO
ME
TE
Rw
oorm
wo.
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Red
blo
od c
ell d
ilutin
g pi
pet (
Tho
ma)
Asp
irato
r tu
bing
and
mou
thpe
ice
Blo
od s
ampl
eD
ilutin
g flu
idH
ayem
's, G
over
's s
olut
ion
Mec
hani
cal s
hake
rH
emac
ytom
eter
Hem
acyt
omet
er c
over
gla
ssA
lcoh
ol o
r xy
lene
Mic
rosc
ope
Cel
l cou
nter
Pip
et c
lean
ing
solu
tions
wat
er, a
lcoh
ol,
ace-
tone
Gau
ze
DE
CIS
ION
S
Det
erm
ine
if bl
ood
sam
ple
is w
ell m
ixed
Dilu
te b
lood
sam
ple
1:20
0M
ix a
nd c
harg
e he
mac
ytom
eter
Cou
nt r
ed b
lood
cel
ls in
% m
m2
on m
icro
-sc
ope
with
hig
h po
wer
obj
ectiv
eC
alcu
late
red
blo
od c
ells
/mm
3C
ount
cel
ls to
uchi
ng to
p an
d le
ft lin
esR
epea
t unt
il 10
% a
gree
men
t is
reac
hed
Cle
an p
ipet
s an
d he
mac
ytom
eter
Use
cau
tion
whe
n cl
eani
ng p
ipet
sN
ever
focu
s do
wn
on a
slid
eN
ever
focu
s w
ith c
oars
e ad
just
men
t und
erhi
gh p
ower
Ele
ctric
al c
ord
Cau
tion
with
gla
ssA
ccur
acy
and
relia
bilit
y of
res
ults
Asp
iratio
n of
che
mic
als
into
mou
thT
raum
aB
reak
slid
e, s
crat
ch, o
r br
eak
obje
ctiv
e
Clu
mpi
ng o
f cel
ls
CU
ES
Inco
rrec
t fin
ding
sF
aulty
equ
ipm
ent
Fau
lty te
chni
que
Cel
l dis
trib
utio
n
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M R
ED
BLO
OD
CE
LL C
OU
NT
US
ING
HE
MA
CY
TO
ME
TE
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of r
ed b
lood
cel
lsD
ecre
ase
red
bloo
d ce
lls =
ane
mia
Incr
ease
red
blo
od c
ells
= p
olyc
ythe
mia
Nor
mal
val
ues
Num
ber
of c
ells
cou
nted
x d
ilutio
n in
1/5
mm
_ R
ed b
lood
cells
/mm
30.
2 ar
ea x
0.1
dep
th
or n
umbe
r ce
lls c
ount
ed x
10,
000
[Mul
tiplic
atio
n of
who
le n
umbe
rs]
Rat
io a
nd p
ropo
rtio
n
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SR
eadi
ng
Writ
ing
Writ
ten
inst
ruct
ions
Cha
rt in
form
atio
n
Com
preh
ehsi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
:ICS
363
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M W
HIT
E B
LOO
D C
ELL
(W
BC
) C
OU
NT
US
ING
HE
MA
CY
TO
ME
TE
R...
..mm
ior
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Whi
te b
lood
cel
l dilu
ting
pipe
t (T
hom
a)A
spira
tor
tubi
ng a
nd m
outh
piec
eB
lood
sam
ple
Dilu
ting
fluid
2%
ace
tic a
cid
or 0
.1 N
itrog
enH
ydro
chlo
ric A
cid
(HC
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echa
nica
l sha
ker
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acyt
omet
er c
over
gla
ssA
lcoh
olM
icro
scop
erC
ell c
ount
erP
ipet
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anin
g so
lutio
nsG
auze
Dilu
te s
ampl
e 1:
20M
ix a
nd c
harg
e he
mac
ytom
ete.
:C
ount
whi
te b
lood
cel
ls in
four
cor
ner
squa
rem
m w
ith lo
w p
ower
obj
ectiv
eC
alcu
late
whi
te b
lood
cel
ls/m
m3
Cou
nt c
ells
touc
hing
top
and
left
lines
Rep
eat t
o ag
reem
ent w
ithin
500
/mm
3C
lean
equ
ipm
ent
Use
cau
tion
whe
n cl
eani
ng p
ipet
sN
ever
focu
s do
wn
on a
slid
eN
ever
focu
s, w
ith th
e co
arse
adj
ustm
ent u
ndor
high
pow
erE
lect
rical
cor
dC
autio
n w
ith g
lass
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Asp
iratio
n of
che
mic
als
into
mou
thT
raum
aB
reak
slid
e or
scr
atch
or
brea
k ob
ject
ive
DE
CIS
ION
S
Det
erm
ine
if bl
ood
sam
ple
is w
ell m
ixed
Clu
mpi
ng o
f cel
ls
CU
ES
Fau
lty e
quip
men
tF
aulty
tech
niqu
eC
ell d
istr
ibut
ion
ER
RO
RS
(TA
SK
ST
AT
EM
EN
1)P
ER
FO
RM
WH
ITE
BLO
OD
CE
LL (
WB
C)
CO
UN
T U
SIN
G H
EM
AC
YT
OM
ET
ER
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Whi
te b
iood
cel
ls a
re n
eces
sary
to fi
ght i
nfec
tion
For
mat
ion
of w
hite
blo
od c
ells
Incr
ease
= le
ukoc
ytos
isD
ecre
ase
= le
ukop
enia
Effe
cts
of d
ilutin
g flu
id o
n w
hite
blo
od c
ells
Nor
mal
val
ues
Num
ber
cells
cou
nted
x d
ilutio
n of
blo
od=
Whi
te b
lood
cel
ls /m
m3
Vol
ume
(are
a x
dept
h)or
num
ber
coun
ted
times
50
Rat
io a
nd p
ropo
rtio
n
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SR
eadi
ng
Writ
ing
Writ
ten
dire
ctio
ns
Cha
rt in
form
atio
n
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
RC
?
365
(TA
SK
ST
AT
EM
EN
T)
US
E U
NO
PE
TT
E (
TM
) F
OR
WH
ITE
BLO
OD
CE
LL C
OU
NT
US
ING
HE
MA
CY
TO
ME
TE
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
INE
MN
IIMM
EN
IW
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Uno
pette
for
whi
te b
lood
cel
lsB
lood
sam
ple
Hem
acyt
omet
erH
emac
ytom
er c
over
gla
ssA
lcoh
olM
icro
scop
eC
ell c
ount
erG
auze
Pre
pare
and
dilu
te s
peci
men
with
Uno
pette
Mix
and
cha
rge
hem
acyt
omet
erC
ount
whi
te b
lood
cel
ls in
four
cor
ner
squa
rem
m w
ith lo
w p
ower
obj
ectiv
eC
alcu
late
whi
te b
lood
cel
ls/m
m3
Cou
nt c
ells
Nev
er fo
cus
dow
n on
a s
lide
Nev
er fo
cus
with
the
coar
se a
djus
tmen
t und
erhi
gh p
ower
Ele
ctric
al c
ord
Car
e in
han
dlin
g gl
ass
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Bre
ak s
lide
or s
crat
ch o
r br
eak
obje
ctiv
eT
raum
aS
hock
DE
CIS
ION
SD
eter
min
e if
bloo
d sa
mpl
e is
wel
l mix
edC
lum
ping
of c
ells
CU
ES
ER
RO
RS
Fau
lty e
quip
men
tF
aulty
tech
niqu
eC
ell d
istr
ibut
ion
-,9i
,".fi
(TA
SK
ST
AT
EM
EN
T)
US
E U
NO
PE
TT
E (
TM
) F
OR
WH
ITE
BLO
OD
CE
LL C
OU
NT
US
ING
HE
MA
CY
TO
ME
TE
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Whi
te b
lood
cel
ls a
re n
eces
sary
to fi
ght i
nfec
tion
For
mat
ion
of w
hite
blo
od c
ells
Incr
ease
= le
ukoc
ytos
isD
ecre
ase
= le
ukop
enia
Effe
cts
of d
ilutin
g flu
id o
n w
hite
blo
od c
ells
Nor
mal
val
ues
Num
ber
of c
ells
cou
nted
x d
ilutio
n of
blo
od=
Whi
te b
lood
cells
/mm
3V
olum
e (a
rea
x de
pth)
or n
umbe
r co
unte
d tim
es 5
0R
atio
and
pro
port
ion
CO
MM
UN
ICA
TIO
NS
Rea
ding
Writ
ing
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
S_
SK
ILLS
/CO
NC
EP
TS
Writ
ten
dire
ctio
ns
Cha
rt in
form
atio
n
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
R6(
4
367
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M H
EM
OG
LOB
IN D
ET
ER
MIN
AT
ION
WIT
H H
EM
OG
LOB
INO
ME
TE
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Hem
oglo
bino
met
erC
ompl
ete
bloo
d ch
ambe
rH
emol
ysis
app
licat
ors
Cap
illar
y bl
ood,
usu
ally
Gau
ze s
pong
e
Fill
and
mix
spe
cim
en w
ith h
emol
ysis
app
li-ca
tor
until
spe
cim
en is
a c
lear
red
whi
chin
dica
tes
hem
olys
is is
com
plet
eO
pera
te h
emog
lobi
nom
eter
Cha
rt a
nd c
lean
equ
ipm
ent
Col
or m
atch
ing
shou
ld b
e re
peat
edto
che
ckfin
ding
s
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inco
rrec
t fin
ding
s
R7C
5
Det
erm
ine
if sp
ecim
en is
wel
l mix
ed
(TA
SK
ST
AT
EM
EN
T)
PE
FIF
OR
M H
EM
OG
LOB
IN D
ET
ER
MIN
AT
ION
WIT
H H
EM
OG
LOB
INO
ME
TE
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Lysi
s of
blo
od c
ells
Cha
nge
of p
H c
ausi
ng h
yper
toni
c co
nditi
onM
easu
re w
it 1
Met
ric a
nd E
nglis
h sy
stem
and
con
vert
bet
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n th
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iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n an
d/or
acc
urac
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ith r
espe
ct to
rel
ativ
e er
ror,
and
sig
nific
ant d
igits
[Mea
sure
inot
her
than
line
ar, s
quar
e, a
nd c
ubic
]
CO
MM
UN
ICA
TIO
NS
PE
R'iO
RM
AN
...E
MO
DE
S2X
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
gW
ritin
gO
rder
from
phy
sici
an(T
han
info
rmat
ion
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
:17-
1
369
(TA
SK
ST
AT
EM
EN
T)
In:.R
FO
RM
HE
MO
GLO
BIN
DE
TE
RM
INA
TIO
N B
Y S
OH
LIA
DA
MS
ME
TH
OD
TO
OLS
; EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
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Blo
od s
peci
men
Hem
omet
er tu
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yedr
oppe
rS
ohli
pipe
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spira
tor
tubi
ng a
nd m
outh
piec
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1 N
itrog
en H
ydro
chlo
ric A
cid
(HC
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tirrin
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dH
emom
eter
Dis
tille
d w
ater
Gau
ze s
pong
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atch
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Pla
ce H
CI i
n H
emom
eter
tube
Pip
et b
lood
and
mix
in H
erno
met
er tu
beT
ime
Dilu
te, s
tir a
nd c
heck
col
or, m
atch
for
prop
erco
ncen
trat
ion
of h
emog
lobi
nR
ead
in g
ram
s
Cau
tion
with
gla
ssw
are
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Lace
ratio
n
Dr.
CIS
ION
SC
UE
S
Do
not f
orm
air
bubb
les
whe
n tin
ting
Acc
urac
y is
crit
ical
ER
RO
RS
0-1,
, 1..1
)PC
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M H
EM
OG
LOB
IN D
ET
ER
MIN
AT
ION
BY
SO
HLI
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S M
ET
HO
D
SC
IEN
CE
MA
TH
NU
MB
ER
SY
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EM
S
Phy
siol
ogy
of r
ed b
lood
cel
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mog
lobi
nR
elat
ed p
atho
logy
Rel
ated
med
ical
term
inol
ogy
Lysi
s of
blo
od c
ells
Cha
nge
of p
H c
ausi
ng h
yper
toni
c co
nditi
on
Mea
sure
of t
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nd d
ry m
easu
res
Rea
d an
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terp
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hart
s, ta
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, and
/or
grap
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easu
re w
ith th
e M
etric
and
Eng
lish
syst
em a
nd c
onve
rt b
etw
een
them
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
gW
ritin
g
EX
AM
PLE
SIn
stru
ctio
n fr
om p
hysi
cian
Cha
rt in
form
atio
n
SK
I L L
S/C
ON
CE
PT
SA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
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min
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gy, L
ogic
I
371
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M H
EM
OG
LOB
IN B
Y C
YA
NM
ET
HO
GLO
BIN
ME
TH
OD
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
Spe
ctro
phot
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rabk
in's
rea
gent
(fr
esh)
Cuv
ette
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ipet
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Soh
li pi
pet
TuL
gno
trid
mou
thpi
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Sem
i-log
gra
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aper
Blo
od s
ampl
eS
trai
ght e
dge
Sta
ndar
dize
pho
tom
eter
usi
ng c
omm
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alst
anda
rds
Dra
w c
alib
ratio
n cu
rve
Dilu
te b
lood
1:2
51 (
5 m
l. re
agen
t .02
blo
od)
Allo
w c
olor
dev
elop
men
tR
ead
perc
ent t
rans
mitt
ance
on
phot
omet
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eter
min
e co
ncen
trat
ion
from
cal
ibra
tion
curv
eR
inse
Sah
li pi
pets
SA
FE
TY
HA
ZA
RD
Dra
bkin
's r
eage
nt is
poi
sono
usD
o no
t get
rea
gent
ont
o sk
inor
clo
thin
g(f
lood
with
wat
er a
nd s
odiu
m b
icar
bona
teso
lutio
n)E
lect
ric c
ord
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Bur
nsS
hock
Inha
latio
n of
fum
es
DE
CIS
ION
SD
eter
min
e r
sols
to b
e ut
ilize
d to
che
ck te
ch-
niqu
e, e
quip
men
t, re
agen
ts
CU
ES
Tec
hniq
ue, e
quip
men
t, re
agen
t sta
bilit
y, g
lass
-w
are
clea
nlin
ess
ER
RO
RS
Inco
rrec
t fin
ding
s
R74
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M H
EM
OG
LOB
IN B
Y C
YA
NM
ET
HO
GLO
BIN
ME
TH
OD
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Fun
ctio
n of
hem
oglo
bin
Ana
r iia
dec
reas
e in
qua
lity
and
quan
tity
ofre
d bl
ood
cells
and
hem
o-gl
obin
Dra
bkin
s an
d bl
oodc
yanm
etho
glob
inB
eer's
Law
Liqu
id a
nd d
ry m
easu
res
Rat
io a
nd p
ropo
rtio
nR
ead
and
inte
rpre
t cha
rts,
tabl
es, a
nd/o
rgr
aphs
Mea
sure
with
the
Met
ric a
nd E
nglis
hsy
stem
s an
d co
nver
t bet
wee
n th
emG
iven
an
inst
rum
ent o
f mea
sure
, det
erm
ine
prec
isio
n an
d/or
acc
urac
yw
ith r
espe
ct to
rel
ativ
e er
ror,
and
sig
nific
ant d
igits
(Mea
sure
inot
her
than
line
ar, s
quar
e, a
nd c
ubic
)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
ding
Writ
ing
EX
AM
PLE
SW
ritte
n in
stru
ctio
ns
Cha
rt in
form
atio
n
SK
ILLS
/CO
NC
EP
TS
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
373
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E B
LOO
D S
ME
AR
1T
OO
LS, E
QU
IPM
EN
T, M
AT
ER
IALS
,O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Cap
illar
y bl
ood
sam
ple
Pre
clea
ned
glas
s sl
ides
Spr
eade
r sl
ide
Pen
cil
VIIM
IIMIN
IIIIII
IIMIII
IrD
EC
ISIO
NS
Det
erm
ine
Det
erm
ine
if bl
ood
is c
onta
min
ated
with
tiss
ueflu
id o
r an
tisep
tics
Det
erm
ine
if sm
ear
is g
ood
I
Spr
ead
drop
of b
lood
with
spr
eade
r sl
ide
Aird
ry s
mea
rM
ake
two
smea
-sLa
bel a
ccur
atel
y :n
blo
od if
pla
in s
lide
oron
fros
ted
end
CU
ES
Fea
ther
edg
e in
dica
tes
good
sm
ear-
-sm
ooth
,m
oder
atel
y th
in
Car
e in
han
dlin
g gl
ass
Tra
uma
ER
RO
RS
Clu
mpi
ng o
f cel
lsIn
accu
rate
find
ings
;
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E B
LOO
D S
ME
AR
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
SI
Use
sS
tudy
mor
phol
ogy
of r
ed a
nd w
hite
blo
od c
ells
Ver
ifies
hem
oglo
bin
and
red
bloo
d ce
llsC
heck
ret
ic, i
ndic
es, p
late
lets
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Vie
win
gS
mea
rV
isua
l ana
lysi
s, D
escr
ibin
g, L
ogic
, Det
ail/I
nfer
-en
ce
'177
375
(TA
SK
ST
AT
EM
EN
T)
ST
AIN
BLO
OD
SM
EA
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
-S
AF
ET
YH
AZ
AR
D
Blo
od s
mea
rW
right
's s
tain
Pho
spha
te b
uffe
r (p
H 6
.4)
Wat
erS
tain
ing
rack
Tim
er
Fix
sm
ear
with
Wrig
ht's
sta
inA
dd b
uffe
r to
sta
inW
ash
with
wat
erW
ipe
dye
off b
ack
of s
lide
Air
dry,
sta
ndin
g on
end
Pro
tect
clo
thin
gC
are
in h
andl
ing
glas
s
Sta
inT
raum
a
0
DE
CIS
ION
S
Det
erm
ine
corr
ect t
imin
gD
eter
min
e co
rrec
t pH
Det
erm
ine
relia
bilii
/ of
buf
fer
CU
ES
Tim
ing
varie
s w
ith e
ach
batc
h of
rea
gent
sM
etal
lic s
heen
sho
uld
form
with
buf
fer
Dis
tort
ions
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
ST
AIN
BLO
OD
SM
EA
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Che
mic
al a
ffini
ty o
f tis
sues
for
stai
npH H
ypot
onic
Hyp
erto
nic
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
SV
iew
ing
Sm
ear
Vis
ual a
naly
sis,
Des
crib
ing,
Log
ic, D
etai
l/Inf
er-
ence
34
377
(TA
SK
ST
AT
EM
EN
T)
EX
AM
INE
ST
AIN
ED
BLO
OD
SM
EA
R
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NPERFORMANCE KNOWLEDGE
SAFETY
HAZARD
Sta
ined
blo
od s
mea
rM
icro
scop
eIm
mer
sion
oil
Blo
od c
ell c
alcu
lato
r
?
Eva
luat
e sm
ear
qual
ity w
ith lo
wpo
wer
obj
ectiv
eE
stim
ate
whi
te c
ount
and
sca
n fo
r ab
norm
alce
lls (
tow
pow
er)
Iden
tify
and
coun
t 100
whi
te b
lood
cel
ls (
oil
imm
ersi
on)
Exa
min
e re
d bl
ood
cells
mor
phol
ogy
(oil
imm
er.
sion
)R
epor
t abn
orm
aliti
es a
nd p
erce
nt o
f eac
h ty
peof
whi
te b
lood
cel
ls
Ele
ctric
al c
ord
Car
e in
han
dlin
g gl
ass
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Sho
ckT
raum
a
DE
CIS
ION
S
Det
erm
ine
if sm
ears
sho
uld
be r
evie
wed
by
path
.logi
st
CU
ES
Any
que
stio
ns r
egar
ding
cel
l mor
phol
ogy
ER
RO
RS
Inac
cura
te fi
ndin
gs
(TA
SK
ST
AT
EM
EN
T)
EX
AM
INE
ST
AIN
ED
BLO
OD
SM
EA
R
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Typ
es o
f whi
te b
lood
cel
lsA
ppea
ranc
e of
nor
mal
red
blo
od c
ells
and
whi
te b
lood
cel
lsB
lood
cel
l dev
elop
men
tal s
erie
sA
bnor
mal
red
blo
od c
ells
con
ditio
nsR
elat
ed m
edic
al te
rmin
olog
yN
orm
al v
alue
s
Add
ition
of w
hole
num
bers
Fin
ding
a p
erce
nt o
f a n
umbe
r an
d w
hat p
erce
nt o
ne n
umbe
r is
of
anot
her
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
n th
e nu
mbe
rlin
e(s
eque
ntia
l ord
erin
g)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
SR
eadi
ng
Writ
ing
Writ
ten
inst
ruct
ions
Cha
rt in
form
atio
n
Com
preh
ensi
on, D
etai
l/Inf
eren
ce, D
efin
ition
,T
erm
inol
ogy
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
"IN
1
379
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
N E
RY
TH
RO
CY
TE
SE
DIM
EN
TA
TIO
N R
AT
E (
ES
R)
(WIN
TR
OB
ELA
ND
SB
ER
G M
ET
HO
D)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Win
trob
e se
dim
enta
tion
rack
Win
trob
e tu
bes
Pip
ette
Sed
imen
tatio
n ra
te c
alcu
lato
rB
lood
spe
cim
enG
auze
spon
geT
imer
Tes
t tub
e co
ntai
ning
dou
ble-
oxal
ate
mix
ture
DE
CIS
ION
S
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Mix
blo
od a
nd a
ntic
oagu
lant
Pip
et b
lood
, fill
Win
trob
e tu
be a
nd p
lace
inra
e.T
he te
st m
ust b
e se
t up
in a
Win
trob
e tu
bew
ithin
g tw
o ho
urs
afte
r bl
ood
is d
raw
nR
ead
corr
ect a
nd r
ecor
d fin
ding
s at
pro
per
time
CU
ES
Cau
tion
with
gla
ssw
are
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Lace
ratio
n
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
N E
RY
TH
RO
CY
TE
SE
DIM
EN
TA
TIO
N R
AT
E (
ES
R)
(WIN
TR
OB
ELA
ND
SB
ER
G M
ET
HO
D)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of r
ed b
lood
cel
lsP
lasm
a pr
otei
nsR
oule
aux
Pat
holo
gy a
ffect
ing
ES
RN
orm
al v
alue
s
Mea
sure
of t
ime
Liqu
id m
easu
res
Mea
sure
with
Met
ric a
nd E
nglis
h sy
stem
s an
d co
nver
t bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
gW
ritin
gIn
stru
ctio
n fr
om p
hysi
cian
Cha
rt in
form
atio
nA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Ter
min
o-lo
gy, L
ogic
RS
:4
381
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
N E
RY
TH
RO
CY
TE
SE
DIM
EN
TA
TIO
N R
AT
E (
ES
R)
(WE
ST
ER
GR
EN
)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Ant
icoa
gula
nt (
Seq
uest
rene
or
doub
le o
xala
te)
Tes
t tub
eB
lood
spe
cim
enW
este
rgre
n tu
beT
imer
Pip
ette
Mix
blo
od a
nd a
ntic
oagu
lant
whi
ch n
ot o
nly
prev
ents
clo
tting
but
pre
serv
es th
e sh
ape
and
volu
me
of th
e re
d bl
ood
cells
Fill
pip
et a
nd v
ertic
ally
pla
ce in
rac
kS
et u
p in
a c
lean
Wes
terg
ren
pipe
t with
ing
two
hour
s af
ter
bloo
d is
dra
wn
Rea
d an
d re
cord
find
ings
Cau
tion
with
gla
ssw
are
Acc
urac
y an
d re
liabi
lity
of r
esul
ts
Lace
ratio
n
DE
CIS
ION
S
Det
erm
ine
prop
er te
mpe
ratu
re
CU
ES
Blo
od m
ust b
e at
roo
m te
mpe
ratu
re
ER
RO
RS
Tem
pera
ture
and
vib
ratio
ns c
an a
ffect
the
ES
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
N E
RY
TH
RO
CY
TE
SE
DIM
EN
TA
TIO
N R
AT
E (
ES
R)
(WE
ST
ER
GR
EN
)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Phy
siol
ogy
of r
ed b
lood
cel
lsP
lasm
a pr
otei
nsR
oule
aux
Pat
holo
gy a
ffect
ing
ES
RN
orm
al v
alue
s
Mea
sure
of t
ime
Liqu
id m
easu
res
Mea
sure
with
Met
ric a
nd E
nglis
h sy
stem
s an
d co
nver
t bet
wee
n th
em
CO
MM
UN
ICA
TIO
NS
PE
R F
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
gW
ritin
g
Inst
ruct
ion
from
phy
sici
anC
hart
info
rmat
ion
Aud
itory
dis
crim
inat
ion,
Con
cent
ratio
n, L
ogic
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, T
erm
ino-
logy
, Log
ic
ZS
383
(TA
SK
ST
AT
EM
EN
T)
US
E C
OLO
RIM
ET
RIC
ST
RIP
TE
ST
FO
R B
LOO
D G
LUC
OS
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Blo
od s
peci
men
Tes
t str
ip fo
r gl
ucos
e e.
g. D
extr
ostix
(T
M),
(Am
es C
ompa
ny)
Was
h ba
ttle
with
wat
erB
asin
Wat
ch w
ith s
econ
d ha
ndA
ppro
pria
te c
olor
cha
rt
Pla
ce la
rge
drop
of w
hole
blo
od o
n st
ripT
ime
Rea
d an
d ch
art
Fol
low
rin
se in
stru
ctio
ns c
aref
ully
for
accu
rate
test
res
ults
Acc
urac
y an
d re
liabi
lity
of r
esul
tsC
are
in h
andl
ing
glas
s
Lace
ratio
n
DE
CIS
ION
SC
UE
SE
RR
OR
S
;r4F
ig
(TA
SK
ST
AT
EM
EN
T)
US
E C
OLO
R IM
ET
RIC
ST
RIP
TE
ST
FO
R B
LOO
D G
LUC
OS
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Blo
od g
luco
seE
ffect
s of
:D
iabe
tes
Hyp
ogly
cem
iaC
hem
ical
rea
ctio
n w
ith b
lood
Mea
sure
of t
ime
Rea
d an
d in
terp
ret c
hart
s, ta
bles
, and
/or
grap
hsM
easu
re w
ith M
etric
and
Eng
lish
syst
em a
nd c
onve
rt b
etw
een
them
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
List
enin
gW
ritin
gIn
stru
ctio
ns fr
om p
hysi
cian
Cha
rt in
form
atio
nA
udito
ry d
iscr
imin
atio
n, C
once
ntra
tion,
Log
icP
enm
ansh
ip, S
pelli
ng, C
lass
ifica
tion,
Ter
min
olan
d Lo
gic
,f4S
7
385
4
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
BLE
ED
ING
TIM
E (
DU
KE
'S M
ET
HO
D)
1
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Lanc
etA
lcoh
olC
otto
n ba
llF
ilter
pap
erS
topw
atch
or
wat
ch w
ith s
econ
d ha
nd
Util
ize
earlo
be o
r fin
gert
ipP
unct
ure
3mm
dee
pT
ime
as s
oon
as b
leed
ing
begi
ns
Qua
lity
of s
kin
wou
nd c
ritic
alC
are
in h
andl
ing
lanc
etN
o no
t man
ipul
ate
part
Inac
cura
te fi
ndin
g w
hich
can
be
mis
lead
ing
diag
nost
ical
ly to
the
phys
Jian
Pun
ctur
e w
ound
or
lace
ratio
n
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E A
BLE
ED
ING
TIM
E (
DU
KE
'S M
ET
HO
D)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Clo
tting
mec
hani
sms
of b
lood
Rel
ated
pat
holo
gyN
orm
al v
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,,
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Acc
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DE
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and
cub
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proc
edur
eIn
stru
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hysi
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plet
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rms,
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rtin
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min
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nunc
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larit
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c, G
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ody
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ogic
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Cla
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xpre
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413
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ook
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ards
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.,.41
es:
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CO
MM
UN
ICA
TIO
NS
Writ
ing
PE
RF
OR
MA
NC
E M
OD
ES
IE
XA
MP
LES
SK
ILLS
/CO
NC
EP
TS
Rec
ord
inve
ntor
y
Com
mun
icat
ions
to s
uppl
y ho
uses
Pen
man
ship
, Spe
lling
, Cla
ssifi
catio
n, D
escr
iptio
n,Lo
gic
Bus
ines
s le
tters
, Cla
rity
of e
xpre
ssio
n
421
415
