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12 Cards in this Set

  • Front
  • Back
Before a nurse releases signed & held orders for a new patient what other step needs to be done?
Confirm that the patient is showing up in the unit census list.
What does it mean to release signed and held orders.
They are make active and clinicans Rx etc start to work on them.
True or False documenting the patients vitals on the admission nav will also populate the vital signs in the doc flowsheet activity.
True, they will be updated in both places.
True or False, best practices notify clinicans of tasks they "must" perform for the patient.
False BPAs are just suggestions and can be selected or deselected as needed.
What are two ways that templates can be added to the care plans activity?
Best practice sets can be accepted, or you can go in manually and create them.
In patient education what should be done when all teaching points for a topic are complete?
Resolve the topic.
How can you tell when a teaching point is completed?
A green checkmark
True or False, while selecting multiple learners on an education topic, you can record different results for the different people being educated.
False, the result of multiple people being educated must have the same learning result. If not multiple "single" learning entries must be filed.
True or False, A care plan problem is the same thing as a medical diagnosis on the problem list.
False, care plan problems are for nurses or ancillaries. Examples are pain, or disorientation
How do you document an ongoing goal?
Highlight the goal and click document..select progressing etc.
How do you document that a care plan goal was not met?
highlight and select "not progressing" in the outcome field and then click add varience and describe the reasons.
How can a nurse modify a care plan to make it more specific to a particular patient?
highlight problem and click modify, from there you can make changes specific to the patient.