This abbreviation means every and is often followed by a number (ex. every 4 hours).
What is Q?
What is DNR?
This type of documenting only documents unexpected or unusual findings.
What is charting by exception (CBE)?
This is the ability to understand the feeling of another.
What is empathy?
This focuses on the client's verbal and nonverbal messages.
What is active listening?
This abbreviation means as needed.
What is PRN?
This abbreviation means at once, immediately.
What is STAT?
This acronym is used to help nurses with proper documentation practices.
What is FACT?
Positive comments that help build the receiver's confidence.
What is affirmations?
This paraphrases what the clients says to ensure understanding.
What is restating?
This abbreviation indicated something is given by mouth.
What is PO?
This medical abbreviation refers to the abdomen.
What is ABD?
This is a systemic digitalized documentation system used to improve medical records.
What is electronic health records?
This is a Response to a message, either positive or negative.
What is feedback?
What is reflection?
This abbreviation indicates the patient has no known drug allergies.
What is NKDA.
This abbreviation is used when a patient says they are experiencing complaints of a symptom or symptoms.
What is c/o?
This type of charting centers on specific health care problems and the change in condition, client events and concerns. These 3 items must be documented which are data, action and response (DAR).
What is focus charting?
This is a therapeutic communication technique where one person mirrors back the message of the speaker to encourage further sharing.
What is reflection?
This is a technique used to get clients to disclose more information.
What is Open-ended questions?
This abbreviation means the patient is to receive nothing by mouth.
What is NPO?
This abbreviation means before meals.
What is ac?
This was established by the federal government with the goal of making healthcare more efficient.
What is Health Insurance Portability and Accountability Act (HIPAA)?
Techniques used to improve communication, such as active listening.
What is therapeutic communication?
This type of question is stated by the nurse "what is on your mind today?"
What is open-ended question?