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10 Cards in this Set

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