Application: Master your documentation—it is a legal record. Select the most appropriate choice and insert the correct abbreviation where indicated on the line.

Question 1:
Patient complains of sticky eyelids with (Click to select) discharge, prescription eye drops prescribed to be given every four hours (Click to select) [abbreviation]. Diagnosis: (Click to select)

Question 2:
The optometrist (Click to select) [abbreviation] determined with the patient's vision now 20/40 in the right eye, with correction.

Question 3:
The (Click to select) for Mr. Baker is continued decreasing vision in his right eye if his diabetes remains uncontrolled and his (Click to select) worsens.

Question 4:
(Click to select) details.

Question 5:
Examination of the left eye reveals (Click to select) forming. (Click to select) angiography is ordered for more details. The (Click to select) determined that the patient's pupils are equal, round, and reactive to light and accommodation (Click to select) [abbreviation].

Using abbreviations in medical documentation can have serious consequences. It is important to follow guidelines to ensure accurate and clear communication.

Explanation:

Abbreviations should not be used when communicating medical information for documentation. The use of specific abbreviations can lead to misinterpretation and errors in patient care. It is crucial to avoid abbreviations listed on The Joint Commission's 'Do Not Use' list, which includes those with a double asterisk ().

Learn more about Medical Abbreviations here:

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