STP - PATIENT HEALTH RECORDS AND PLAN OF CARE Flashcards
In the STP, the facility shall maintain an individual ___ ___ for each patient.
- Bed and lamp
- Medication Card
- Clothes Closet
- Health Record
- Health Record
In the STP, the individual health record shall include:
- A list of pt care needs
- The plan for meeting behavioral objectives
- Development and implementation of individual care plan
- All the above
- All the above
In the STP, the plan for meeting behavioral objectives shall include but not be limited to:
- Resources to be used
- Frequency of plan review and updating
- Persons responsible for carrying out plans
- All the above
- All the above
In the STP the development and implementation of an individual care plan is based on ___ patient care needs.
- Suspected
- Identified
- Modified
- Defined
- Identified
In the STP, the care plan shall indicate which of the following?
- Care to be given
- Objectives to be accomplished
- Professional discipline responsible for each element of care
- All the above
- All the above
In the STP, the care plan objectives shall be ___.
- Believable
- Achievable
- Measurable
- Measurable
In the STP, the care plan shall be reviewed at least every ___ days.
- 30 days
- 60 days
- 90 days
- 120 days
- 90 days
In the STP, the care plan is updated as necessary by which of the following
- Nursing Staff
- Housekeeping
- Other professional personnel
- 1 & 3
- 1 & 3
In the STP, the care plan is reviewed at least every 90 days, but can be updated?
- When the pt is discharged
- When the pt changes rooms
- If there is a change in the pt condition
- None of the above
- If there is a change in the pt condition.
In the STP, the care plan shall be approved, signed and ___ by the physician.
- Initialed
- Dated
- Copied
- None of the above
- Dated
In the STP, there shall be at least ___ progress notes in the patient record.
- Weekly
- Monthly
- Quarterly
- Annually
- Monthly
In the STP setting, the monthly progress notes shall be specific to the needs of the pts and the program ___ and plans.
- Objectives
- Dates
- Documents
- Policies
- Objectives
In the STP, at the time of reassessment there shall be a ___ of the progress of the patient in the program, the appropriateness of the program objectives and the success of the plan.
- Definition
- Policy
- Summary
- All the above
- SUMMARY