Documents used in charts and care Flashcards
1
Q
Kardex
A
Abbreviated version of the chart usually on cardstock
2
Q
ADL checklist
A
Tick sheet
3
Q
Task sheet
A
used in community based settings to record care provided
4
Q
Care plan
A
Contains goals and interventions
5
Q
Home assessment form
A
identify changes that need to be made in a home
6
Q
Data sheet
A
Lists the clients health problems interests medications, and treatments.
7
Q
Graphic sheets
A
used to document vital signs
8
Q
assessment forms
A
Identifies problem areas
9
Q
Incident report
A
Used to document accidents.
10
Q
Red swollen throat
A
Objective
11
Q
DAR
A
Data, action, response
12
Q
DIPPS
A
Dignity, Independence, Preferences, Privacy, Safety
