Purposes of pt record - Study guides, Class notes & Summaries
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NUR 342 Exam 2 Review Questions and Correct Answers
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Purposes of PT record communication care planning quality improvement research education regulation reimbursement legal and historical documentation 
Characteristics of effective documentation consistent with professional and agency standards complete accurate concise factual organized and timely legally prudent confidential 
Elements of documentation content timing format accountability confidentiality 
What is confidential ALL PATIENT INFORMATION 
Potential breaches in patient confidentiality ...
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The Nursing Process/Vital Signs/Documentation/Admission, transfer, discharge (Unitek) Quiz 3&4: Latest Update Graded A+
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The Nursing Process/Vital 
Signs/Documentation/Admission, 
transfer, discharge (Unitek) Quiz 3&4: 
 
Latest Update Graded A+ 
 
5 Purposes for Patient Records 1) Documented Communication 
2) Permanent Record for Accountability 
3) Legal Record of Care 
4) Teaching 
5) Research and Data Collection 
 
A 65 year old man has a history of emphysema resulting from 30 years of cigarette smoking. He 
frequently reports dyspnea. What is dyspnea? difficulty breathing 
 
A client has not achieved satisfact...
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Jurisprudence PT Exam Questions and Answers Already Passed
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Jurisprudence PT Exam Questions and 
 
Answers Already Passed 
 
If performed by a person who is adequately trained PT includes.... 1) The design, fabrication, 
revision, education, and instruction in the use of various ADs 
2) The administration of topical drugs that have been prescribed by a licensed health professional 
authorized to prescribe drugs 
3) Physiotherapy: physical measures include massage, heat, cold, air, light, water, electricity, 
sound, and the performance of test of neuromus...
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Clinical Practice of the Dental Hygienist Test 2 Questions and Answers
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Discuss the significance and purposes of the medical/dental history 
Ans- Oral conditions reflect the general health of pt 
General health factors influence response to treatment 
The state of the pits health is constantly changing 
Discuss the reasons for obtaining a medical/dental history prior to treatment 
Ans- To provide info pertinent to the etiology and diagnosis of oral conditions 
and total pt care plan. 
Reveal conditions that necessitate precautions, modification, or adaptations 
du...
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PNR 104 Exam 2 (Answered) Verified Solution
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PNR 104 Exam 2 (Answered) Verified Solution 
Steps of the nursing process in order 
Assessment, nursing dx, planning, implementation, and evaluation 
Assessment and nursing DX 
RN's are responsible for this part of the nursing process 
Data Collection 
LPN's main role in nursing process 
Documentation of the plan 
Should be constructed right after the admission database is collected. Must be readily available to each nurse who is assigned to the patient. (Reviewed & updated once every 24 hrs.)...
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NSC 114 Exam 2 Questions with Complete Solutions
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NSC 114 Exam 2 Questions with Complete Solutions 
 
Ethical and legal considerations - Answer-- Confidentiality of all patient information 
- Client's record protected legally as a private record of client's care 
- HIPAA regulations 
- Responsibility in using records for the purpose of education and research 
- dont chart for another nurse 
- do not leave computer unattended 
- only look at your pts charts 
 
Purposes of Client Records - Answer-*communication - prevents delay in care 
*plann...
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Colorado MPJE Exam Questions and Answers 100% Pass
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Colorado MPJE Exam Questions and 
Answers 100% Pass 
Always pick answer on the stricter law - Correct Answer ️️ -State vs. Federal differ 
NO Pt info of any kind unless... 
-- Auth. Pt Rep 
-- Practitioner 
-- PharmD 
-- Intern 
-- Auth. by law 
-- Auth. by Pt 
-- Pharm. Tech 
-- Police etc. 
-- Federal Auth. 
-- Payers 
Prof. Judge. to release infor to Pt and their Agents. - Correct Answer ️️ -Confidentiality 
No form of payment from Rx Outlet or PharmD to... 
-- Providers 
-- Hx care f...
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Florida PT Jurisprudence Exam Latest Update Graded A
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Florida PT Jurisprudence Exam Latest Update Graded A 
what is Chapter FS 456? Florida Statues, Health Professions and Occupations: General Provision 
What is Chapter FS 486? Florida Statues, Physical Therapy Practice Act -laws that govern safe practice in PT in Florida 
Rule 64B-17 Florida Administrative Code, Physical Therapy Rules - specific rules used to enhance the interpretation of the practice act 
486.015: Legislative intent Practice ensures that every physical therapist and physical ther...
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Ohio PT Laws and Rules, Physical therapy Jurisprudence Exam Questions And Correct Answers |100% Guaranteed Success |Verified
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Physical Therapy - Evaluation and treatment of a person by physical measures and the use of 
ther ex, and rehab procedures, with or without AD for the purpose of preventing, correcting, or 
alleviating any disability. 
Physical therapy includes: - -Design, fabrication, revision, education and instruction in the use 
of various AD's including braces, splints, ambulatory, locomotion devices, w/c's, prosthetics and 
orthotics 
-Administration of topical drugs that have been prescribed by a licens...
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Ohio PT Laws and Rules, Physical therapy Jurisprudence Exam Study Guide Top Graded 2024
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Physical Therapy - Evaluation and treatment of a person by physical measures and the use of therapeutic exercise, and rehabilitative procedures, with or without assistive devices for the purpose of preventing, correcting, or alleviating any physical disabilities. Includes physiotherapy. 
 
Physical therapy includes: - - Establishment and modification of PT programs, treatment planning, patient education and instruction, and consultative services 
- Determining a PT diagnosis in order to treat th...
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