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Clinical Assessment 523 > Assessment > Flashcards

Assessment Flashcards

1
Q

How do we document? -SOAP

A

Subjective data
Objective data
Assessment
Plan - the plan

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2
Q

What is a SMART goal?

A 
Specific 
Measurable 
Attainable/Achievable 
Realistic/Relevant 
Time bound
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3
Q

What is SBARR?

A 
Situation 
Background 
Assessment 
Recommendation
Response
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4
Q

What is the nursing process?

A 
Assessment 
Diagnosis
Goals/patient outcomes 
Nursing actions/interventions
Evaluation

Then document!

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Clinical Assessment 523 (9 decks)

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