why is it important to document? - ANSWERproves what you have done for the patient in order to have good outcome, if it wasn't charted it wasn't done!
Explain focus charting - ANSWERfocuses on patients concerns instead of a problem list
What are safety measures a nurse should use with the EMR...
why is it important to document? - ANSWERproves what you have done for the patient in order to
have good outcome, if it wasn't charted it wasn't done!
Explain focus charting - ANSWERfocuses on patients concerns instead of a problem list
What are safety measures a nurse should use with the EMR to ensure HIPAA compliance? -
ANSWERRecord ownership and access, confidentiality, log off computers, limit access to pt records
that are not your patient
Describe DARE charting - ANSWERData - subjective and objective information obtained
Action - planning and implementation
Response - evaluation
Education/pt teaching
Describe SOAPE charting - ANSWERSubjective - what pt says
Objective - visual information
Assessment - body systems reviewed
Plan - notify MD or apply MD order
Evaluation - how the patient reacted
Explain critical pathways - ANSWERclinical management tool that helps medical professionals to
coordinate care with for particular case types and conditions
Explain OBRA - ANSWEROmnibus Budget Reconciliation Act of 1987, revision of federal standards for
nursing homecare, creation of Medicare and Medicaid
Review of a medical record will include what information? - ANSWERgives a clear picture of
important information regarding pts medical history and problems
, why is hand hygiene important - ANSWERreduces hand contamination by 70-80%, reduces cross
contamination if properly used, protects pts and healthcare workers from infection
what increases patient risks for falls? - ANSWERHX of falls, Age, unfamiliar environment, sedatives,
unstable gait, balance problems, BP problems, vertigo, etc.
explain medical asepsis vs surgical asepsis - ANSWERMedical Asepsis - clean technique, object or
area is clean, non-pathogens may be present
Surgical Asepsis - sterile technique, absence of ALL microorganisms within any type of invasive
procedure, it is to KILL microorganisms and spores
what is the relationship between a virus and antibiotics? - ANSWERvirus - nonliving organism, live in
s human cell, only grows and reproduce inside host cells they infect, aka systemic infection
bacteria - living organisms, can live in many places, usually confined to ONE part of the body, AKA
localized infection
explain what a Healthcare Associated Infection is and provide 2 examples. - ANSWERinfections
people get while receiving healthcare for another condition, examples: UTI, respiratory pneumonia,
surgical site wound infection, etc.
how should hot food and beverages be provided to the older adults? - ANSWERfill cups half full
what steps should be taken in the event og a mercury spill? - ANSWERevacuate room, ventilate aread
by closing doors and opening windows, do not vacuum spill, Mop floor with specific cleanser, dispose
accordingly to environment safety regulations
what risks are associated with the application of a Safety Reminder Devices? - ANSWERincreased
immobility, skin impairment, impaired circulation, incontinence
What is PASS? - ANSWERPull, Aim at base, Squeeze, Sweep side to side
what is the adults body weight in water? - ANSWERpercent body weight depends on age, for adults it
is 50-60%
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