what is the difference between data collection and assessment? who does what?
data collection:yes or no
assessment: the extend.
what is the role
... [Show More] of pct prior to treatment initiation?
data collection notify nurse of any abnormalities
what is the role of the licensed nurse prior to treatment initiation?
nurse assessment
when us a pre-treatment assessment by the licensed nurse required?
if vitals were abnormal
when is post treatment assessment by the licensed nurse required?
up normalities during treatment.
note about bp
squeezing the auto blood pressure cuff to speed deflation can damage machine internal bp module.
why do we document in the medical record? 4 reasons
1.proof that care was rendered
2.provide data continuity
3.permnent legal record
4.communication tool
list 6 occurrences when to chart?
1.change from baseline assessment
2.change in patient condition
3.procedure for treatment
4.medication given
5.patient teaching
6.care plan review and intervention
pre-treatment data collection/ assessment
before treatment intuition
assessment within one hour if pt is stable for nurse
post treatment data collection/assessment
post treatment only
what are possible consequence of proof or incomplete documentation?
poor or incomplete documentation can open an attack on your care
what are the 6 items included in charting administered
1.medication dosage
2.data and time
3.route for administeration
4.pt response
5.signiture of teammate adminsteration
6.allergies always check the allergy screen in screen in falcon for a list of your pt.
how do you document charting errors
single line sign and date
what does SMART communication stand for
Simple and clear
Meaningful
Actual
Read
Teach
what are the 5 w's to be used when completing an AOR
what
where
who
when
why
what are the four consequence of sodium loading during dialysis
.thirst
2.fuid intalle
3.idwg;headaches +hypertenstion
4.ufr
what treatment factors decreases K?
not waiting 3-5 minutes after giving Heprin [Show Less]