FPCC - JACOBS – DOCUMENTATION REVIEW TEST QUESTIONS WITH REVISED AND UPDATED ANSWERS
4 views 0 purchase
Course
FPCC - JACOBS
Institution
FPCC - JACOBS
FPCC - JACOBS – DOCUMENTATION REVIEW TEST QUESTIONS WITH REVISED AND UPDATED ANSWERS
MAR (Medication Administration Record) - Answer-What has been prescribed
Inpatient also tracks administration
Kardex - Answer-In the past, first place to look for quick info on client's care
Not permanent...
FPCC - JACOBS – DOCUMENTATION
REVIEW TEST QUESTIONS WITH
REVISED AND UPDATED ANSWERS
MAR (Medication Administration Record) - Answer-What has been prescribed
Inpatient also tracks administration
Kardex - Answer-In the past, first place to look for quick info on client's care
Not permanent part of patient's health record
Integrated Plan of Care Form - Answer-A combined charting and Care Plan form
"Occurrence" - Answer-An event we didn't expect to happen, Plan for, or hope for.
Reasons to report an "occurrence" - Answer-Analyze the event
Identify area for quality improvement
Formulate strategies to prevent
Where is the occurrence report placed in client's EHR? - Answer-It is not placed in the
client's EHR
Placed in a different electronic record
Hand-off Report - Answer-Change of shift
Handover to next nurse shift
Receiving nurse alerted to status or changes to planning
Bedside Hand-Off - Answer-Walking rounds
Introduction to patient and beginning of receiving nurse's assessment
Patient can participate
Face to Face (Oral) Hand-Off - Answer-Out-coming and In-coming Nurse
Whole shift
Time efficient
Recorded Report (Hand-off) - Answer-Audio recording for receiving nurse
Rounds can be continuous if planned properly
Two examples of oral reporting formats - Answer-PACE
SBAR
What shouldn't be included in a hand-off report? - Answer-Anything to prejudice the
receiving nurse against the client
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Perfectscorer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
