Y khoa, y dược - Chapter 11: Nurse note documentation

Tài liệu Y khoa, y dược - Chapter 11: Nurse note documentation: Chapter 11Nurse Note DocumentationLevel 3© 2012 The McGraw-Hill Companies, Inc. All rights reserved.McGraw-HillChapter 11 ContentLO 11.1 Teaching (Patient Education)LO 11.2 EvaluationLO 11.3 ReassessmentLO 11.4 F/U-REM (Follow-up Reminders/ToDo List)LO 11.1 TEACHING (PATIENT EDUCATION)LO 11.1 Teaching (Patient Education)Patient educationKey intervention for nursing SpringCharts has specific area focused on documentation of instructionIntervention component of SOAPIERLO 11.2 EVALUATIONLO 11.2 EvaluationEvaluationPatient progress toward meeting outcomes must be evaluated routinely Determine if nursing interventions are effectiveDetermine if outcomes have been met or if the plan of care requires revisionLO 11.3 REASSESSMENTLO 11.3 ReassessmentReassessmentResponse to interventionAnalgesicDiureticsPost-procedureSurgeryHeart catheterizationLO 11.4 F/U-REM (FOLLOW-UP REMINDERS/TODO LIST)LO 11.4 F/U-REM (Follow-up Reminders/ToDo List)Follow-up remindersAllows nurse to set reminders for f...