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4 Cards in this Set
- Front
- Back
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Assessment documents: forms/screens |
Admission record Med history & physical Nursing admission history Minimum Data Set Lab record Consultation |
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Plans for care & treatment |
Problem list Physicians orders Nursing care plan Teaching plan Clinical care path Consents for treatment |
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Progress records: forms/screens |
Flow sheet Medication administration record Progress note |
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Plans for continuity of care form/screen |
Teaching record Transfer form/screen Discharge/transfer summary |
