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

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2
Q

Steps of Validation

A
  1. Deciding whether the data require validation
  2. Determining ways to validate data
  3. Identifying areas where data is missing
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3
Q

Conditions that Require Data to be Validated

A
  1. Discrepancies/gaps between the subjective and objective data (Patient-Nurse)
  2. Discrepancies/gaps between what the client says at one time then at another time (Patient-patient)
  3. Findings that are very abnormal and/or inconsistent with each other (Nurse-nurse)
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4
Q

Prevents omissions, misunderstandings, and incorrect inferences and conclusions

A

Validation

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5
Q

Methods of Validation

A
  1. Recheck your own data through a repeat assessment
  2. Clarify data with the client by asking additional questions
  3. Verify the data with another health care professional
  4. Compare your objective findings with your subjective findings
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