||Licensed Practical and Licensed Vocational Nurses
- Administer prescribed medications or start intravenous fluids, noting times and amounts on patients' charts.
- Observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action.
- Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, or respiration.
- Record food and fluid intake and output.
- Perform and document an initial exam, evaluating data to identify problems and determine a diagnosis prior to intervention.
- Record prognosis, treatment, response, and progress in patient's chart or enter information into computer.
- Test and measure patient's strength, motor development and function, sensory perception, functional capacity, or respiratory or circulatory efficiency and record data.
- Identify and document goals, anticipated progress, and plans for reevaluation.
- Document evaluations, treatment plans, case summaries, or progress or other reports related to individual clients or client groups.
- Observe and document client reactions, progress, or other outcomes related to music therapy.
- Gather diagnostic data from sources such as case documentation, observations of clients, or interviews with clients or family members.
||Radiologic Technologists and Technicians
- Take thorough and accurate patient medical histories.
- Record, process, and maintain patient data or treatment records and prepare reports.
- Obtain and record patients' medical histories.
- Maintain accurate case histories of patients.
- Take and record measures of patients' physical condition, using devices such as thermometers or blood pressure gauges.
- Interview new patients to complete admission forms, to assess their mental health status, or to obtain their mental health and treatment history.
||Medical Records Specialists
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Identify, compile, abstract, and code patient data, using standard classification systems.
||Nuclear Medicine Technologists
- Calculate, measure, and record radiation dosage or radiopharmaceuticals received, used, and disposed, using computer and following physician's prescription.
- Record and process results of procedures.
||Diagnostic Medical Sonographers
- Obtain and record accurate patient history, including prior test results or information from physical examinations.
- Maintain records that include patient information, sonographs and interpretations, files of correspondence, publications and regulations, or quality assurance records, such as pathology, biopsy, or post-operative reports.
- Interview patients to document symptoms and health histories.
- Document patients' histories, including identifying data, chief complaints, illnesses, previous medical or family histories, or psychosocial characteristics.
- Record patients' medical information and vital signs.
- Monitor, record, and report symptoms or changes in patients' conditions.
- Obtain information from medical records, medical staff, family members and the patients, themselves, to assess patients' capabilities, needs and interests.
- Observe, analyze, and record patients' participation, reactions, and progress during treatment sessions, modifying treatment programs as needed.
- Obtain, compile, and record patient medical data, including health history, progress notes and results of physical examination.
- Visit and observe patients on hospital rounds or house calls, updating charts, ordering therapy, and reporting back to physician.
||Orthotists and Prosthetists
- Maintain patients' records.
- Examine, interview, and measure patients to determine their appliance needs and to identify factors that could affect appliance fit.
- Collect and document patients' pre-anesthetic health histories.
- Monitor and document patients' progress during post-anesthesia period.
- Record and review patient medical histories.
- Chart conditions of decay and disease for diagnosis and treatment by dentist.
- Collect medical histories and general health and lifestyle information from patients.
- Maintain detailed and complete records of health care plans and prognoses.
- Document findings of physical examinations.
- Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
||Ophthalmic Medical Technicians
- Take and document patients' medical histories.
- Measure and record lens power, using lensometers.
- Observe and document client reactions, progress, or other outcomes related to art therapy.
- Gather client information from sources such as case documentation, client observation, or interviews of client or family members.