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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   Add to cart

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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...

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  • August 20, 2024
  • 4
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CGAP - Certified Government Auditing Professional
  • CGAP - Certified Government Auditing Professional
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Denyss
8/20/24, 3:53 PM



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




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