mod 15 Flashcards

(10 cards)

1
Q

What is data

A

pieces of info

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2
Q

Subjective versus objective

A

subjective: within self a hunch, not a fact
objective: “outside of self” a piece of data or fact

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3
Q

oral reporting

A

convey info about a resident care verbally to another healthcare worker

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4
Q

what should a oral report include

A

out of limits to nrs
help ease interaction between the caregiver and resident
- resident preferences
- update on cp
- new info during shfit

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5
Q

What does the cp include

A

5-step process
support by orally reporting to nurse and charting @ end of shift
Support by following cp

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6
Q

Other names for charting

A

flow sheet
nursing assistant charting
tracking form

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7
Q

what is a cp

A

official legal doc
status of physical and emotional stat
accurate info

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8
Q

Incident report

A

a report describing a specific occurrence or incident

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9
Q

What to remember with charting

A

If it was not charting, it never happened

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10
Q

Med term

A

shortened med word
unclear ask nurse
means more than 1 meaning
prefiX: start of word
word root: main part
suffix: end of word

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