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answers
Who is able to access an EMR? (electronic medical record)
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people with appropriate need for access with a login username
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and password |\
Why should medications be documented immediately after they
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are given? |\
To avoid confusion and double dosing.
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If a mistake is made while paper documenting how should you
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proceed?
Draw a line through and write error above or after the entry
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along with the nurses initials followed by the correct entry
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SBAR
Situation
Background
Assessment
Recommendation
Orientation or introductory phase |\ |\ |\
• Making introductions, establishing professional role boundaries
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(formally or informally) and expectations, and clarifying the role
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of the nurse
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• Observing, interviewing, and assessing the patient, followed by
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validation of perceptions |\ |\
• Identifying the needs and resources of the patient
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working phase |\
, development of a contract or plan of care |\ |\ |\ |\ |\ |\ |\
enhancing trust |\
collaborating among nurse and patient |\ |\ |\ |\
Termination phase |\
Alerting pt of impending closure of relationship
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evaluating the outcome achieved |\ |\ |\
concluding the relationship and transitioning patient care to
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another caregiver |\
What should you do before obtaining a health history from the
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patient?
Make sure they are alert and oriented
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order of abdomen assessment
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Inspect, Auscultate, Percuss, Palpate
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normal order of assessment
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Inspect, Palpate, Percuss, Auscultate
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How often should orders for restraints be renewed
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every 24 hours|\ |\
Macule/patch
Small, flat, non-palpable skin color change
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Ex: flat mole
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Papule/plaque
Solid, elevated lesion
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Example: wart or psoriasis |\ |\ |\
Nodule
solid, raised lesion
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Example: lipomas, squamous cell cancers
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Tumor