PN 1001- Canadian fundamentals Ch.15 Exam with
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Terms in this set (34)
a 7-point Likert score representing the likelihood of a
patient experiencing a cardiac arrest or ICU transfer
Acuity ratings within the next 24 hours, was obtained from
physicians and midlevel practitioners at the time of
sign-out.
Model that emphasizes the coordination of an array of
health services and links them to patients and their
case management
families while streamlining costs and maintaining
quality.
Report that occurs between two scheduled nursing
work shifts. Nurses communicate information about
change of shift report
their assigned patients to nurses working on the next
shift of duty.
Charting methodology in which data are entered only
Charting by exception
when there is an exception from what is normal or
(CBE)
expected; reduces time spent documenting.
, Has a range of computerized tools such as built-in
reminders and alerts that help the health care
provider select the most appropriate medication or
Clinical Decision Support
diagnostic test or remind the practitioner about drug
System
interactions, allergies, and the need for subsequent
orders; can potentially help to reduce medication
errors and adverse medication-related events.
is an information system designed specifically for use
in the critical care environment, such as in an Intensive
Clinical Information
Care Unit (ICU). ... It draws information from all these
Systems
systems into an electronic patient record, which
clinicians can see at the patient's bedside.
One type of order entry system gaining popularity in
Computerized provider many larger hospitals; a process by which the
order entry (CPOE) physician or nurse practitioner directly enters orders
for patient care into the hospital information system.
Involves seeking the expertise of a specialist, such as
a nurse educator, registered nurse (RN), or clinical
nurse specialist to identify ways of approaching and
managing the planning and implementation of
consultation
therapies; can occur at any step in the nursing
process, but it occurs most often during planning and
implementation, when problems necessitating
additional knowledge, skills, or resources arise.
Multidisciplinary treatment plans that outline
critical pathways treatments or interventions that patients may require
for treatment of a condition.
A type of documentation note that includes data (D;
both subjective and objective), action or nursing
Data, action, response,
intervention (A), and response (R) of the patient (i.e.,
plan (DARP) notes
evaluation of effectiveness); these notes are part of
focus charting.
material that provides official information or evidence
documentation
or that serves as a record.
Correct Answers
Save
Terms in this set (34)
a 7-point Likert score representing the likelihood of a
patient experiencing a cardiac arrest or ICU transfer
Acuity ratings within the next 24 hours, was obtained from
physicians and midlevel practitioners at the time of
sign-out.
Model that emphasizes the coordination of an array of
health services and links them to patients and their
case management
families while streamlining costs and maintaining
quality.
Report that occurs between two scheduled nursing
work shifts. Nurses communicate information about
change of shift report
their assigned patients to nurses working on the next
shift of duty.
Charting methodology in which data are entered only
Charting by exception
when there is an exception from what is normal or
(CBE)
expected; reduces time spent documenting.
, Has a range of computerized tools such as built-in
reminders and alerts that help the health care
provider select the most appropriate medication or
Clinical Decision Support
diagnostic test or remind the practitioner about drug
System
interactions, allergies, and the need for subsequent
orders; can potentially help to reduce medication
errors and adverse medication-related events.
is an information system designed specifically for use
in the critical care environment, such as in an Intensive
Clinical Information
Care Unit (ICU). ... It draws information from all these
Systems
systems into an electronic patient record, which
clinicians can see at the patient's bedside.
One type of order entry system gaining popularity in
Computerized provider many larger hospitals; a process by which the
order entry (CPOE) physician or nurse practitioner directly enters orders
for patient care into the hospital information system.
Involves seeking the expertise of a specialist, such as
a nurse educator, registered nurse (RN), or clinical
nurse specialist to identify ways of approaching and
managing the planning and implementation of
consultation
therapies; can occur at any step in the nursing
process, but it occurs most often during planning and
implementation, when problems necessitating
additional knowledge, skills, or resources arise.
Multidisciplinary treatment plans that outline
critical pathways treatments or interventions that patients may require
for treatment of a condition.
A type of documentation note that includes data (D;
both subjective and objective), action or nursing
Data, action, response,
intervention (A), and response (R) of the patient (i.e.,
plan (DARP) notes
evaluation of effectiveness); these notes are part of
focus charting.
material that provides official information or evidence
documentation
or that serves as a record.
