Documenting On The Care Plan

Question 0

How do u document a goal not met

Answer 0

Enter not progressing in the outcome field

Document variance nightlight the goal select add variance and fill out appropriate fields

Question 1

How do u document on an ongoing goal

Answer 1

Highlight select document mark it as progressing or met

Question 2

T or F most care plan documentation is done on an intervention level

Answer 2

F most documentation is done on a goal level

Interventions are documented on other activities

Question 3

How do you modify the care plan to make it more specific to the pt

Answer 3

Highlight the problem
Select modify problem
Problem editor window opens
Make changes