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91 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is the best source of info about your resident?
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comprehensive care plan
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What is the most important thing a CNA does?
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observes and reports
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What is Continuity of Care?
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keeping same residents with the same nurses and cnas everyday
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How do you communicate effectively ?
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formulate the message
receive the message observe for feedback |
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How fast should you respond to a call light?
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immediately 3 to 5 seconds
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What should you always promote ?
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independence
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What do the residents have the right to refuse?
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anything
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To whom does the CNA report?
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to the nurse
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What is the difference between subjective and objective information?
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subjective is what they say, objective is what you see, feel, smell, hear.
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Do CNAS give informed consent?
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NO
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How do you maintain a residents privacy?
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close curtains, blinds, and doors and keep them covered
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What are the different types of abuse?
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verbal, involuntary seclusion, physical, mental, neglect, misappropriation, sexual
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V.I.P.M.N.M.S
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How often should you turn a resident
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every 2 hours
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What is the chain of infection links?
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1 . causative agent
2. reservoir 3. portal of exit 4. Mode of transmission 5. Portal of entry 6. Susceptible Host |
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What is the number one way to stop the spread of infection at work and home?
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washing your hands
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What are the different types of infection?
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systematic- through bloodstream
localized- specific part of body Healthcare associated - acquire in a healthcare setting |
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what are the five moments for hand hygiene ?
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1. before resident contact
2. before aseptic task 3. after exposure to blood/body fluids 4.after resident contact 5. after contact with resident surroundings |
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What are the types of personal protective equipment?
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gloves, gown, mask, goggles
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how should you handle clean linen and dirty linen?
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clean linen carry away from you, dirty linen place in a bag
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Describe direct contact which could spread infection
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touching residents
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describe indirect contact which could spread infection
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touching lights, doors, resident belongings
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name the different types of accidents
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1. falls/fainting
2. burns 3. poisoning 4. choking |
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What do you do if a resident begins to fall?
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never try to stop the fall, gently ease the resident to the floor and call for help immediately , keep the resident in the same position until the nurse examines the resident
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what are the different types of liquid consistencies
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1. nectar thick (thicker than water)
2. Honey thick (pours very slowly) 3. pudding thick (spoon should stand up straight) |
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what do you do if a resident has a seizure?
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1. call for nurse and stay with resident
2. place padding under head, move furniture away from resident 3. do not restrain resident or put anything in their mouth 4. loosen residents clothing especially around the neck 5. after seizure stops position resident on the side 6. note duration of seizure and areas involved |
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Guidelines in case of fire (RACE)
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1. Remove residents from area
2. Activate the fire alarm 3. Contain the fire (close doors) 4. Extinguish, if possible |
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Use of the fire extinguish (PASS)
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1. Pull the pin
2. Aim at the base of fire 3. Squeeze the handle 4. Sweep back and forth at the base of the fire |
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What is the purpose of side rail use?
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1. enabling independence
2. restrictive |
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What is the normal range for oral temperature ?
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97.6-99.6
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when should you not take oral temperature
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unconscious, on oxygen, confused/disoriented
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Where is axillary temp taken and what is the normal range?
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armpit. 96.6-98.6
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where is tympanic temp taken and what is the normal range ?
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ear. 98.6-100.6
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Where is the most accurate temp taken
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rectal
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what is pulse rate and what is the normal range
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heart beats per minute. 60-100
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What are the pulse points?
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Radial (wrist)
Apical (chest) Brachial (bend of elbow) Carotid (side of neck) |
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when taking pulse what do you note
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rate , rhythm, and force
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what are respirations and what's the normal range
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number of times a person inhales per minute. 12 to 20
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what do you note when taking respiratory rate
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rate, rhythm, sound
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if resident is agitated or sleeping how should you take the respiratory rate ?
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place hand on chest
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what is the normal value four blood pressure
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120/80
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if resident has a history of a mastectomy or has a dialysis access, where do you NOT take their blood pressure ?
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on the affected side
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if blood pressure is known where do you inflate the cuff? what If it's unknown?
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known 20mm above the usual reading
unknown 160mm or higher if needed |
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when are vital signs taken?
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when they're first admitted and once a month
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where do you place pillows when a resident is in lateral position
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back, between legs, under arm on top
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when should you never place a resident in supine
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when they have a feeding tube
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when transferring what side do you place the wheelchair on
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the unaffected side
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when assisting resident to walk what side do you stand on
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the weak side
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what are proper body mechanics
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1. place feet shoulder width apart
2. bend knees, keep back straight 3. keep the weight of the resident close to you 4. lift using thigh muscles 5. never lift and twist at the same time |
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when using a cane or Walker what do you check first
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rubber stops
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when performing perineal care which direction do you wipe
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female, front to back. male, downwards in a circular motion
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where do you store dentures
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in a labeled container with cool water
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when doing oral care what should you check first
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if resident has any swallowing precautions
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when doing oral care what are you checking for
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check teeth mouth gums for odor, cracking, sores,bleeding and discoloration
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what position is oral care for the unconsciousness done in
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always in lateral
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how do you remove dentures
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remove upper dentures by gently moving them up and down, remove lower dentures by turning them slightly to lift out of mouth
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what are the only two things you put in sink when cleaning dentures
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towel and water
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when should you not use an electric razor
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pacemaker, oxygen, water
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POW
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what do you report when doing fingernail care
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color swelling cuts or splits
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when dressing a resident when should you dress/undress the affected side
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dressed first undressed last
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what do you observe in urine/feces
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COCA color, odor, character, amount
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what are the clean areas of the room
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bedside stand,over bed table, and back of chair
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what are the dirty areas of the room
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foot of bed, seat of chair
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I need what order do you collect linen
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in order of use: drape, fitted sheet, top sheet, blanket, pillowcase
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what nutrient is necessary to heal wounds
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protein
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what is the most essential nutrient for life
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water
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what should you do before giving food to resident
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check the diet card
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what are signs of dehydration
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thirst, loss of appetite, dry skin, fatigue, increased vitals, muscle cramps, difficulty breathing
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when feeding a resident who has had a stroke what side so you feed on
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the strong side
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when feeding a blind resident, how should you place their food
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in the position of a clock, main dish at 6:00
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what is the largest organ of the body
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the integumentary system aka skin
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where are the bony prominences areas
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ankles, hips, knees, elbows
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what are areas of skin to skin contact
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ears, under the breasts, and under the scrotum
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what is a Braden scale used for
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predicting pressure sore risk
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what are the rules of restraint
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1.check resident every hour
2. take off restraint every 2 hours and do an activity 3. must have doctor order to use |
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nursing assistants never do what with oxygen
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stop, adjust, or initiate the use of oxygen
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what are TED hose used for
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to help with circulation in the lower legs and decrease the risk for bloodclots
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what are some types of prosthetic devices
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artificial limbs, hearing aids, artificial eyes, eyeglasses, dentures
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what are signs of infection
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redness, swelling, pain
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what are signs and symptoms of pain
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change in vitals, nausea, vomiting, sweating, tightening jaw, grinding teeth
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what do you do if a resident becomes violent
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step out of reach
block blows do not strike back call for help stay calm identify triggers and remove, if possible |
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how do you cool hot foods
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stir, never blow
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what makes up the urinary system
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kidneys, ureters, urinary bladder, urethra
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Function of the kidneys
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filter waste products from blood and produce urine
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functions of the ureters
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carry urine from kidneys to bladder
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function of the urinary bladder
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stores urine
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function of the urethra
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carries urine from bladder out of body
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what are the 2 functions of the urinary system
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eliminates waste products through urine, maintains water balance in the body
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what is cheyne Stokes specific to?
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end of life
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what are the 5 stages of grieving
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disbelief, anger, bargaining, depression, acceptance
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how do you correct an error in documentation
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single line through error, write error. initial and date correction
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what information should be communicated to the oncoming shift during report
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any condition that will need attention
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