Unit 1 Lesson 1 & 2 Flashcards
Abbreviation for lactate ringers
LR
Abbreviation for 5% Dextrose in Water
D5/W
Sodium
Na
Drops
Gtt
Venipuncture
VP
Pounds per square inch
Psi
Potassium chloride
KCl
Measure of acidity
pH
Intravenous Piggy Back
IVPB
Chloride
Cl
The essential components of an Unusual Occurrence or Variance Report ,also known as an Incident Report, include:
Factual description of the event, physician notification, and outcome
What is the threefold purpose of documenting the nursing care provided?
Creating a legal record of the care provided, communicating pt status, and obtaining reimbursement for services
What form of documentation is composed of a story format?
Narrative
What documentary forms are used to document IV therapy procedures performed?
Nurse’s notes
Why should the word units be written out and not abbreviated as U?
It might accidently be read as zero
Ex. Of a subjective statement that is considered a common documentation error.
IV is dripping well
What charting formats tends to lead to greater opportunities for subjective rather than objective entries?
Narrative
The purpose of an unusual occurrence or variance report (incident report) is to
Provide factual, non judgmental accounts of unusual situations and their consequences