Charts Flashcards
Nurse and case managers - ct health issues and needs , based on data form and other sources
Assessment forms
Details about social physical emotions intellectual health
Data forms
Contains goals and interventions bases on the assessment . Sometimes this and assessment are on same form
Care plan
Includes info on hygiene , food and fluids , rest and sleep , mobility , activity , social and interaction
Adl checklist
States care provided and service provided to ct ,
Summary reports
Summarizes info in charts. Ct current diagnosis, mess and tx , any special equipment needed and routine care measures. Quick info written on cards
Kerdex
Record frequent measurements and observations
Flow sheet
After accident , error or ex expected event
Incident report