Nursing Assistant
About This Book
1.5 Documenting and Reporting Guidelines for Documentation Accurate documentation and reporting are vital to proper client care. Reporting is oral communication between care providers that follows a structured format and typically occurs at the start and end of every shift or whenever there is a significant change in the resident. Documentation is a legal record of patient care completed in a paper chart or electronic health record (EHR). It is also referred to as charting. Checklists and flowch
| Category | health-sciences |
|---|---|
| Subject | Nursing and ancillary services, Geriatric nursing, Medical assistants / Physicians’ assistants |
| Year | 2023 |
| Authors | |
| Chapters | 10 |
| Word Count | |
| Price | |
| Institution | Chippewa Valley Technical College |
| License | Creative Commons - Attribution - https://creativecommons.org/licenses/by/4.0/ |
Chapters
- 1.5 Documenting and Reporting
- 4.1 Introduction to Adhere to Principles of Infection Control
- 4.2 Chain of Infection
- 4.9 Skills Checklist: Hand Hygiene With Alcohol-Based Hand Sanitizer
- 4.11 Skills Checklist: Donning/Doffing PPE Without a Mask
- 5.1 Introduction to Provide for Personal Care Needs of Clients
- 5.4 Pre- and Post-Procedural Steps
- 7.9 Skills Checklist: Pulse
- 8.5 Assisting With Ambulation
- 9.9 Skills Checklist: Range of Motion (ROM) Exercises for the Shoulder