Types Of Reporting Flashcards

(4 cards)

1
Q

 Commonly occur at change of shift (or when client care is transfers to another health care provider).

A

Summary/Hand off report

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2
Q

 Occur in the client’s room Include Nursing, physician, interdisciplinary team.

A

Walkimg rounds report

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3
Q

 Used to document any unusual occurrence or accident in the delivery of client care.

A

Incident or occurance report

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4
Q

 Provide clear accurate and concise information .
 The nurse documents telephone report by including the following information:
 when the call was made
 who made the call/report
 who was called
 to whom information was given
 what information was given
 what information was received
 Only RN’s may receive telephone orders
 The order need to be verified by reporting it clearly and precisely.
 The order should be countersigned by the physician who made the order within the prescribed period of time (within 24 hours)

A

Telephone reports or orders

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