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CLIN 1115 MIDTERM REVIEW Terms in this set (32) OBJECTIVE CUES Things we can OBSERVE - BP -PHYSICAL FINDINGS, ETC SUBJECTIVE CUES Cannot be PROVED (Symptoms felt by the pt - PAIN LEVEL - TINGLING, ITCHING, ETC DOCUMENTATION - LEGAL DOCUMENTS -ACCURATE$8.99
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CLIN 1115 MIDTERM REVIEW Terms in this set (32) OBJECTIVE CUES Things we can OBSERVE - BP -PHYSICAL FINDINGS, ETC SUBJECTIVE CUES Cannot be PROVED (Symptoms felt by the pt - PAIN LEVEL - TINGLING, ITCHING, ETC DOCUMENTATION - LEGAL DOCUMENTS -ACCURATE
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Course
CGAP - Certified Government Auditing Professional
Institution
CGAP - Certified Government Auditing Professional
CLIN 1115 MIDTERM REVIEW
Terms in this set (32)
OBJECTIVE CUES Things we can OBSERVE
- BP
-PHYSICAL FINDINGS, ETC
SUBJECTIVE CUES Cannot be PROVED (Symptoms felt by the pt
- PAIN LEVEL
- TINGLING, ITCHING, ETC
DOCUMENTATION - LEGAL DOCUMENTS
-ACCURATE, COMPREHENSIVE, FLEXIBLE, REFL...
CLIN 1115 MIDTERM REVIEW
Jeremiah
Terms in this set (32)
Things we can OBSERVE
OBJECTIVE CUES - BP
-PHYSICAL FINDINGS, ETC
Cannot be PROVED (Symptoms felt by the pt
SUBJECTIVE CUES - PAIN LEVEL
- TINGLING, ITCHING, ETC
- LEGAL DOCUMENTS
DOCUMENTATION -ACCURATE, COMPREHENSIVE, FLEXIBLE, REFLECTIVE OF NURSING STANDARDS
- MUST BE KEPT CONFIDENTIAL
SOAP
S- SUBJECTIVE
O- OBJECTIVE
A- ASSESSMENT
P- PLAN
SOAPIE
DIFFERENT METHODS OF RECORDING S- SUBJECTIVE
PN'S O- OBJECTIVE
A- ASSESSMENT
P- PLAN
IE- INTERVENTION EVALUATION
PIE
P- PROBLEM
IE- INTERVENTION EVALUATION
- KNOW AREAS OF ENTRAPMENT
- RIGHT MATTRESS SIZE (with raised foam edges)
- CONTACT MANUFACTURER FOR SAFETY INFO + ENSURE REGULAR MAINTENANCE
USE OF SIDERAILS - LOWER SECTIONS OF THE BEDRAIL
- MONITOR REGULARLY
- BEWARE OF RESTRAINT (only to be used from an order from the doctor) as side rails
are considered a restraint
- NURSES ABLE TO ENTER DATA
- COMPUTERS GENERATE CARE PLANS & DOCUMENT CARE
EHR & CONFIDENTIALITY
- MANY ADVANTAGES ( more time w/ patients, faster, better access to info, etc)
-
S - SITUATION
B - BACKGROUND
SBAR
A - ASSESSMENT
R- RECOMMENDATION
ABSENCE OF DISEASE
MEDICAL ASEPSIS
- (CLEAN TECHNIQUE) reduces organisms
MEDICAL ASEPSIS
SURGICAL ASEPSIS
-(STERILE TECHNIQUE) destroys microorganism
+ spores
1/4
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