Charting process that focuses on patient status, emphasizing the problem-solving approach to patient care.
Charting by _______ is based on the assumption that all standards of practice are carried out and met with a normal or expected response unless otherwise documented.
Also called "charting"
_______charting is directed at a nursing diagnosis, a patient problem, a concern, a sign, a symptom, or an event.
Down
Computerized comprehensive record of a patient's history and care across all facilities and admissions.
Programs that are used to evaluate nursing care delivered to patients.
As a legal record, the medical record's contents are _________.
Judgment of the effectiveness of the intervention or plan and is a collaborative process.
This type of documentation follows the nursing process and used nursing diagnosis while placing the plan of care within the nurses' progress notes.
The examination of a series of patient records to determine whether nursing care of those patients met particular standards and particular outcomes
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This will get all the words on the grid about 90% of the time, depending on the word list. For the other 10%, you will get an alert explaining that the words that did not fit were added to the scratchpad.
It prints on two pages.
Big puzzles won’t always print on one page — the clues and grid are the smallest we could make them while keeping them readable for everyone.
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