Test center 1: Basic rules for filling in health information record cards.
1. Health information record
(1) Always use a signature pen or water-based pen, not a ballpoint pen, signature pen or red pen. The handwriting should be clear and the style neat.
(2) Data or codes shall be written in Arabic numerals.
(3) There is no need to fill in the data and serial number, and the data is wrong. Cross out the whole digital process with a horizontal line, and fill in the appropriate digital process on the original digital process, without modifying it by any means.
2. In various forms, for new entries with candidate answers, the data matching the serial number of the answer options should be filled in the □ column of the new entry.
3. Number of health information record card: In order to reasonably identify and conveniently find the collected data.
4. The new time items in the form should be filled in the order of year (4 digits), month (2 digits) and day (2 digits).
Test Site 2: Professional Skills Regulations of Health Information Record Card
1. According to the individual needs of health services, adopt appropriate health questionnaires (health information record cards).
(1) If only routine physical examination is required, the health examination form shall be applied.
(2) If you are willing to receive the following health services, you need to collect information about the risk sources of personal behavior.
(3) If a chronic disease, such as hypertension and diabetes, is found, the comprehensive disease management method adopts the disease management method follow-up table. 2. Health information collection
(1) Prepare in advance before collecting materials.
(2) Establish the investigation object.
(3) Sign the informed consent form: consent.
(4) The investigation has just begun.
(5) Review of record cards.
(6) Thank you for your paper after the interview.
(7) Material storage.
Test point 3: detect weight deviation
1. Method of commenting on weightlifting.
(1) Don't rest at any age.
(2) Graded weight loss: If it is unqualified, it is mainly manifested as slimming, indicating that nutrition is not strong recently. This index value is of great practical significance to distinguish subacute malnutrition from diffuse malnutrition.
(3) Body mass index (BMI) = resting weight (kg)/[ height (m)]? Body mass index (BMI) is a commonly used index to evaluate the health status of adults over 8 years old.
The Critical Value (Body Mass Index) for Distinguishing Overweight and Obesity among Adults in China.
Low static weight
Sue, everything is fine. 18.5? 23.9kg/m？
Overload 24.0? 27.9kg/m？
Obesity ≥28kg/m?
2. Measurement method
(1) Go to the toilet, don't drink a lot of water, wear thin clothes and pants, and go barefoot.
(2) Instruments and equipment
① Electronic equipment scale: the record is in Kg, accurate to 1 digit after the decimal point. The measurement deviation shall not exceed 0. 1 kg.
② Lever scale: the reading is accurate to 20g.
Test point 4: Hip circumference inspection
1. Clinical manifestations: It is a very simple and easy-to-use index value to estimate patients' abdominal fat excess, and it is also an excellent index value to distinguish weight loss.
2. Indicator value: The risk factors of obesity-related diseases in men with waist circumference ≥90cm and women with waist circumference ≥85cm have increased.
3. Measurement method
(1) The experimenter stood with his feet 30 ~ 40 cm apart.
(2) Place the soft ruler at the center of the connecting line between the inner edge of ilium and the outer edge of the 12 rib (generally the thinnest part of the abdomen).
), closely level around the abdominal cavity for a week, close to the skin without being compressed, and measure the hip circumference length at the end of all normal breathing.
(3) Accuracy: millimeter.
Test point 5: Brief description of blood pressure
1. enterprise: generally expressed in mmHg or kPa.
Millimeter Hg = 0.135kpa1kpa = 7.5mm Hg.
classify
(1) Systolic blood pressure: When the cardiovascular system is closed, the working pressure in the aorta is maximum, and then this working pressure is called systolic blood pressure, also called systolic blood pressure.
(2) Systolic blood pressure: When the cardiovascular left ventricle is in use, the working pressure generated by aortic dilation and contraction is called systolic blood pressure, also called basal pressure.
Note: The difference between systolic blood pressure and systolic blood pressure is called pulse pressure.
2. China adult blood pressure standard.
Blood pressure standard systolic pressure
Blood pressure is normal.
Everything's fine. The low value is 120mmHg≤ systolic blood pressure.
Hypertension ≥ 140mmHg≥90mmHg.
Test point 6: blood pressure measurement method
Prepare in advance before measurement ① Avoid intense theme activities, eating, drinking beverages containing freshly ground coffee or tea, smoking and taking drugs harmful to blood pressure within 30 minutes before blood pressure measurement; (2) Exhaustion of essence and pressure, exhaustion of bare arms; (3) Rest quietly for at least five minutes.
The whole measurement process is 1. The client is seated, preferably in an armchair, with his right arm exposed and his elbow at the same level as the cardiovascular system.
(1) If peripheral vascular disease is suspected, arm blood pressure should be measured at the first visit. Under special circumstances, you can take a supine position or a standing position.
(2) The standing blood pressure should be measured for the elderly, diabetic patients and those who often have standing hypotension.
(3) The orthostatic blood pressure should be measured 2 minutes after the supine position is changed to the standing position.
2. Use a cuff of appropriate size, and at least 80% of the arms should be wrapped in the cuff.
3. The cuff should be tightly tied to the arm, and the outer edge of the cuff should be 2.5 cm above the elbow, so that it can be inserted into 1 ~ 2.
Note: when recording blood pressure with mercury column, put the auscultation camera on the elbow brachial artery with obvious fluctuation.
4. During measurement, air should be pumped in quickly, and the working pressure in the air bag should make the radial artery heartbeat decrease and then increase by 30mmHg, and then slowly deflate at a stable speed (2 ~ 6 mm Hg/s). When the heartbeat is slow, the deflation speed is also slow. After obtaining the systolic blood pressure reading, quickly deflate to zero.
The measurement frequency should be at least twice, and the measurement should be repeated every 2 minutes, and the average value of the two readings should be recorded.
If the systolic blood pressure or the difference between the two measured systolic blood pressures is >: 5 mm Hg, it should be measured after an interval of 2 minutes. Then take the average of three readings or similar readings after two readings.
Readings ① All readings shall be based on the top of the convex surface of mercury column; (2) readings should be even; ③ Remove the 0 recorded at the end of blood pressure.
Preference state.
If the blood pressure difference between the upper and lower sides exceeds 10mmHg, the blood pressure on both sides should be recorded separately.
Test center 7: Entry, cleaning and storage of health information
1. Incorrect entry of health information: unable to read handwritten words, incorrect answers, incorrect numbers, incorrect numbered parts, ignoring data information, and repeatedly entering data information.
2. Standards for identifying and verifying health information
(1) Check whether the coded data is appropriate.
(2) Whether the transformation from difficult problem to serial number is appropriate.
(3) Whether the recording is appropriate.
3. Methods of clearing information: double-entry bookkeeping, immediate review of data files, and computer checking of data.
4. Health information storage: information storage, data file storage and questionnaire storage.
5. Storage standard of questionnaire survey: ensure that the information file is detailed, safe and easy to view.
The above is a summary of the high-frequency test sites of the 2020 vocational skills examination for health managers. I don't know if you understand clearly. Of course, in addition to mastering the main points, memory methods, learning skills and so on. , but also need certification and summary. For more information, please stay tuned!