15/17 - Document/Communication Flashcards

1
Q

Intrapersonal

A

Occurs within an individual (self-talk or inner thought)

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2
Q

Interpersonal

A

One-to-one interaction between two people

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3
Q

Transpersonal

A

Interaction within a person’s spiritual domain

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4
Q

Small-group

A

Interactions with a small number of people

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5
Q

Public

A

Interaction with an audience

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6
Q

Referent

A

Motivates one to communicate with another

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7
Q

Electronic health record (EHR)

A

Enhances communication among health care providers and thus patient safety
Supports effective health care delivery
EHR versus electronic medical record (EMR)
Includes tools to guide medication administration
Aids in quality improvement efforts and health care research

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8
Q

SOAPIE charting

A

Subjective data—objective data—assessment—plan—intervention—evaluation

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9
Q

PIE charting

A

Problem—intervention—evaluation

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10
Q

Acuity Rating Systems

A

Acuity ratings determine the hours of care and number of staff required for a given group of patients every shift or every 24 hours.
For example, in an acuity system, bathing patients is classified from 1 (very independent) to 5 (totally dependent in all aspects of care).

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11
Q

Transfer reports

A

Patients may transfer from one unit to another to receive different levels of care

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12
Q

(SBAR) technique

A

Situation—background—assessment—recommendation

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