The five skills used in physical assessment.
What is inspection, palpation, auscultation, percussion, and olfaction?
The form or place in the chart where the nurse documents his or her observations, care given and patient's responses.
What is nursing notes.
Yellow-orange discoloration.
What is jaundice?
This type of report occurs when there is an actual or potential injury; this report is not a part of the patient record.
What is an incident report?
Common position for surgical procedures and medical examinations involving the pelvis and lower abdomen.
What is lithotomy?
In military time, 9:00 pm is ___________.
What is 2100?
Expected outcome during a nursing eye exam.
What is PERRLA?
Five characteristics of quality documentation.
What is factual, accurate, complete, current, and organized?
What accreditation agency specifies guidelines for documentation?
What is the Joint Commision (TJC).