N222 FINAL EXAM Questions With Guaranteed Pass Solutions.
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Course
N222
Institution
N222
methods of documentation - Answer -Source-oriented records
-Problem-oriented medical records
-PIE charting (problem, intervention, evaluation)
-Focus charting
-Charting by exception; provides quick access to abnormal findings
-Case management model
-Computerized documentation/Electronic he...
N222 FINAL EXAM Questions With
Guaranteed Pass Solutions.
methods of documentation - Answer -Source-oriented records
-Problem-oriented medical records
-PIE charting (problem, intervention, evaluation)
-Focus charting
-Charting by exception; provides quick access to abnormal findings
-Case management model
-Computerized documentation/Electronic health records (EHRs)
-SBAR/ISBAR
source oriented records - Answer each health care group keeps data on its own separate form
-progress/narrative notes
-observation of patients, patient complaints, patient teaching, etc.
problem oriented medical records (SOAP/SOAPIE) - Answer S: Subjective data
O: objective data
A: assessment
P: Plan
I: Intervention
E: Evaluation
-organized around a patients problem; health care professions work together to identify list of problems
then collaborate to establish plan of care
PIE charting - Answer P: problem
I: intervention
E: evaluation
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