CRITICAL THINKING ACTIVITIES 35. Review the documentation samples below and then refer to Box 3.2, Basic Rules for Documentat

Show transcribed image text

Transcribed Image Text from this Question

CRITICAL THINKING ACTIVITIES 35. Review the documentation samples below and then refer to Box 3.2, Basic Rules for Documentation, and Table 3.2, Legal Guidelines for Documentation to identify errors and examples of poor documentation (44, 45) Sample #1 Sept, 2014 Patient had a good night status was escendially unchanged. Family in to visit and asked about storage of patient’s belongings. Reassured that diamond ring and gold watch were in the bedside table Patient went with family to cafeteria. S. Smith, LPN. Sample = 2 Sept. 24, 2014 2100 J. Jones RN gave a 500-ml SSE; patient assisted to CC for a return of 600 mL with brown formed stool noted. Procedure well tolerated. J. Jones said that patient had relief of adominal dis- tencion and discomfort. S. Smith, LPN
(Visited 2 times, 1 visits today)
Translate »