[DOC] [TLE] Insurance Handbook, Chapter 4 Flashcards | Quizlet [PAR] Chapter 4, Medical Documentation and Electronic Health Record Learn with ... 
space availabe. paper charting - initial correction. never erase, white, out or use 
self adhesive .... transfer of the total or specific care of a patient from physician to 
another for .... Document length of time spent on procedure, especially if of 
unusual... [DOC] [TLE] Documentation by the Nurse - Texas Department of Aging and ... [PAR] following question: If another nurse had to step in and ... It is a legal record of 
care that can be used in a court of law .... Do not use white out or corrective tape. [DOC] [TLE] Nursing Documentation [PAR] quality and timeliness of nursing care reflected in the individual's record. 4. ... 5. 
Normal and abnormal findings should be included in comprehensive assessment 
reports. ... Symptoms: Use the person's own words, communication gestures, .... 
Never use white-out, erase, or obliterate an entry in the individual's record. 11. [DOC] [TLE] CEUFast - Medical Documentation [PAR] Oct 2, 2015 ... Each facility rendering nursing care should have a system in place which ... is 
used for patient identification. EP.5. The medical record contains the ... blood 
pressure machine alarms on another client whose vital signs have been erratic. 
... manner and frequency of nursing documentation beyond the normal... [DOC] [TLE] reporting & documenting client care - Sanzie Healthcare Services, Inc. [PAR] 4. Rules of Good. Documentation. 5-7. Documentations in. Different Settings. 8 ... 
A Communication Skills Module: Reporting & Documenting Client Care ... Patient 
may get up AFAWG. .... Record what a client tells you by quoting his exact words. 
..... If you accidentally chart on the wrong client, you should use white-out to... [DOC] [TLE] Examples of HIPAA Violations - YourDictionary [PAR] Word Finder ... A patient has the right to release only parts of their medical record. 
... With these examples of common HIPAA violations, you can probably better .... 
The fact that someone's boss told another employee they are out sick does not ... 
We should never trust human beings, just because they wear white coats and... [DOC] [TLE] The Best Defense is a Good Documentation Offense Online Nursing ... [PAR] What Basic Information Should I Be Sure to Document in the Medical Record? a. 
... documentation in the medical record as yet another means of avoiding liability. 
... you from giving direct patient carebut in reality, documenting is patient care! 
..... Don't use white out or an eraser...if you make a mistake, draw a single line... [DOC] [TLE] Assessing and Addressing Health Literacy - American Nurses ... [PAR] Sep 30, 2009 ... A common reason for misunderstanding health instructions may be the patient's 
low .... A reading skills test measures a person's ability to decode words. .... 
Another way to assess for low health literacy is to ask patients to read their ... 
Healthcare providers should avoid using jargon and medical terminology. [DOC] [TLE] Keeping good nursing records: a guide [PAR] Keeping good records is part of the nursing care we give to our patients. ... 
Another important consideration is the legal significance of nursing records. ... 
The nursing record should include assessment, planning, implementation, and ... 
Write in dark ink (preferably black ink), never in pencil, and keep records out of 
direct... [DOC] [TLE] Professional Documentation: Safe, Effective, and Legal - RN.com [PAR] Nursing documentation is a critical component in high quality patient care and 
safe, ... unusual events, patient's personal property, and 24-hour record checks. 
.... such as Medicare, Medicaid, or another insurance carrier. 4. ..... Write out the 
word: unit. ..... Never erase an entry or use correction fluid, liquid paper, or white 
out. [DOC] [TLE] Section IV [PAR] List the Six Rights of medication administration (p 5) ... Remember: if you have a 
question or a concern, you should always ... After providing personal care ... 
Never re-use gloves for more than one individual and always wash ... gloves for

Question: Nurses should never use Wite-Out on this, the usual 5-letter word for a record of a patient's care
Answer: chart