Communication
Question that helps the patient expound or talk
Open ended
Purpose of documentation
Permanent record Accountability
What does introduce self foster
Trusting relationships
Using assignment to assess patient
Assigned a menial task
How do you refrain from giving opinions
Restate
Yes or no question
Closed ended question
What type of documentation do you not do
Complete sentences
Patient states
Subjective
15-20 second
Friction
Push up sleeves
Hand hygiene
Understand the patient feelings but being objective
Empathy
Change of shift report
Provide continuity of care
When do you document findings on an assessment
Immediately
You observe
Objective
Neither complete healthy or ill
Health illness continuum
Cliches, personal questions, disapproval, standing over a person
Barrier to communication
How do you verify your communication was understood
Obtain feedback
Statement about the patient
States what the patient said in quotes
The whole person
Mind, body, spirit
Holistic
Match communication to the
Reading level
Hearing impaired
Facing
Speak to the patient
Eliminate background
Communication with a person lying down
Eye level
Correction of an error
Draw a line through it Error Initial
Confidentiality act
HIPPA
2147
9:47 pm
Chart med error
Injury
Something out of the ordinary
Incident report