Flashcards in SLPs & the Dysphagia Team Deck (17):
RN, LVN, CNA
Radiology Technicians, Respiratory Therapist, Recreational Therapist
Example of physician orders
Adverse Drug Reactions
What is the purpose of the patient care plan?
Purpose is for all disciplines to identify problem areas to allow the staff to address the problems (interdiscipline) using the following:
Dates of onset, target, and completions
What information is in Nursing Progress Notes?
Find vital statistics, pt. changes from baseline, & daily care provided by nursing.
Medicine Administration Record (MAR)
Treatment Administration Record (TAR)
What information is in Physician Progress Notes?
Procedure and Test summaries
Admission, transfer, and discharge summaries
Daily/weekly/monthly progress notes
What information is in lab work?
Renal Parameters (BUN, Creatinine, Electrolytes)
Nutritional Parameters (Albumin, Anemia panel)
Blood Glucose Monitors (fasting blood glucose, HgbA1c, Oral glucose tolerance test)
Parts of the chart: Radiology - what information is found here?
MRI/CT scan results
What information is found in tx records?
Speech Therapy Reports & Notes
OT Reports & Notes
PT Reports & Notes
Audiology Reports & Notes
What does an OT tx?
Strengthening; use of adaptive techniques/equipment/assistive devices; increase/improve independence: ADL/self-care (dressing, bathing, toileting, hygiene/grooming), Seating/positioning, Wheelchair mobility, Cognitive skills, Feeding