The "D" in the DAR model stands for this, which includes objective and subjective information at the time of an event.
What is Data?
Staff must always sign their notes with this specific name and letter combination.
What is your first name and last initial?
The shorthand abbreviation used for an Administrator.
What is Admin?
To maintain an objective & nonjudgmental perspective on a resident's behavior or mood, staff should describe behavior using this specific word.
Ex: Resident _______ to be angry, __ ________ __ ...
What is "appeared" and "as evidenced by"?
Employees must start their meal break by the end of this hour.
What is the fifth hour?
This section of the DAR model details exactly what the staff did or the intervention they took.
What is Action?
To ensure accuracy, the time recorded in it's own column before the note should reflect this, rather than the time the event occurred.
What is the time you are writing/reporting the incident?
The two-letter abbreviation representing a Program Manager.
What is PM?
Including these direct elements from a resident is highly encouraged because it helps capture their emotional state and severity of behavior.
What are quotes?
This specific type of jewelry is not allowed for safety reasons.
What are facial jewelry and hoop earrings?
This component captures the resident's immediate or follow-up reaction to the caregiver's intervention.
What is Response?
A professional standard when documenting is for the person documenting to refer to themselves using this word.
What is "writer"?
The shorthand titles used for a Licensed Vocational Nurse.
Pacing, clenching fists or jaw, and a reddening face are objective descriptions used to document this emotion.
What is anger or anxiety?
This is the maximum allowable length for fingernails under the professional appearance policy
What is one-quarter of an inch?
DAR documentation is utilized in this specific section of the Daily Report.
What is the Daily Log/Notes section?
A common mistake when documenting is simply writing "management notified" or "conservator notified". This additional information should be included when describing who was notified.
What is the person's name and title?
The shorthand title used for a Public Guardian, who is also referred to as a conservator.
What is PG?
It is vital to document observations on new admits so that staff can establish this for future reference.
What is a baseline of behavior?
This is the only acceptable item allowed as an adornment on an employee uniform.
What is a nametag?
Complete documentation paints a vital picture for these four entities/groups of individuals involved in resident care and/or investigation of resident & facility issues.
Who are Licensing, Patients' Rights Advocate/Ombudsman, Conservators, and Management?
This specific type of report must be filled out and turned into management on the same day if an event is unusual, potentially unsafe, and/or accessed outside resources like police, ambulance, ER.
What is a Psynergy Incident Report?
If you make a mistake when documenting, a common mistake is to scribble through the mistake making it illegible. What is the correct way to document a mistake?
One line through the mistake, initials of staff making the correction, write "error".
Because notes must be impartial and nonjudgmental, staff must avoid these three subjective phrasing starters.
What are "I think," "I feel," and "I know"?
Despite state laws, this specific substance is still considered an illegal drug under federal law and is not accommodated.
What is marijuana?