Validation and Documentation Flashcards
1
Q
Process of confirming or verifying that the
subjective and objective data you have
collected are reliable and accurate.
A
Validation
2
Q
Steps of Validation
A
- Deciding whether the data require validation
- Determining ways to validate data
- Identifying areas where data is missing
3
Q
Conditions that Require Data to be Validated
A
- Discrepancies/gaps between the subjective and objective data (Patient-Nurse)
- Discrepancies/gaps between what the client says at one time then at another time (Patient-patient)
- Findings that are very abnormal and/or inconsistent with each other (Nurse-nurse)
4
Q
Prevents omissions, misunderstandings, and incorrect inferences and conclusions
A
Validation
5
Q
Methods of Validation
A
- Recheck your own data through a repeat assessment
- Clarify data with the client by asking additional questions
- Verify the data with another health care professional
- Compare your objective findings with your subjective findings