Abbreviations
FWB
What is Full Weight Bearing
Bias means this
What is Prejudice
1453 military time is this in regular time
What is 2:53pm
You document in these 2 colors of pens
What is black or blue
It's ok to touch a resident when you've done this
What is ask the resident's permission
AC
What is Before Meals
This is the inability to control Bowel or Bladder
What is Incontinence
1847 military time is this in regular time
What is 6:47pm
We should avoid this question
What is "Why"
We give this many steps for direction when a resident is confused
What is 1-step
TPR
What is Temperature, pulse and respirations
This means a loss of function or ability
What is Impairment
9:03am is this in military time
What is 0903
Always approach the resident from this side
What is front
You use this method when explaining the location of things on a plate
What is imaginary clock
DX
What is Diagnosis
This means difficulty swallowing
What is Dysphagia
1922 military time is this in regular time
What is 7:22pm
Always ask these types of questions
What is open ended questions
This kind of information includes what a person sees, touches, hears or smells
What is objective information
NKDA
What is No Known Drug Allergies
This means an unexpected event that results in death or serious harm
What is Sentinel Event
12:01am is this in military time
What is 0001
Doing this protects us from liability
What is document
This type of information is something a person cannot or did not observe
What is subjective information