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10 Cards in this Set
- Front
- Back
cognitive skills
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intellectual skills that include problem solving,decision-making,critical thinking and creativity
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interpersonal skills
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verbal and nonverbal activies people use when communication directly with one another
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Delegation
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transfer of resp for the performance of an activity rom on person to antoher while retaining accountability for the outcome
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QA
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ongoing systematic process desired to eval and promote excellence in providing care
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source oriented clinical records
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record in whick each person/dept makes motations in separate area fo the record
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problem-oriented medical record
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client data are recorded and arranged according to the client's problem
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focus charting
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method of charting that uses key words on foci to decribe that is happening to the client
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PIE
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and acronym for a charting method that follow a recording sequence of problem,intervention, and evaluation of lthe effectiveness of intervention
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Case management model
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method for delivering nursing care in which the nurse is responsibe for a caseload across the health care continuum
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Kardex
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trade name for a method using a series of cards to organize and record client data and instruction for daily care
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