So Many Bosses
Nursing Assessments
So Much Charting, So Little Time
You Don't Have to Go "Home"...
#Patient_Goals
100
These regulate the practice of nurses in individual states.

What are nurse practice acts?

100

"My stomach hurts."

What is an example of subjective data?

100

Includes Vital signs on a graph so trends can be seen over time

What are graphic flow sheets?

100

This process begins upon admission.

What is discharge planning?

100

Heart rate 60-100

What is a normal heart rate?

200

This agency states that the RN must assess patients’ needs for nursing care within 24 hours of inpatient admission. Also known as "TJC".

What is the Joint Commission?

200

Patient's lips are cyanotic.

What is an example of objective data?

200

Electronic Medical Record

What is an EMR?

200

The care of dying patients without focusing on a cure. 

What is palliative/hospice/end of life care?

200

K 3.5- 5.0 meQ

What is a normal potassium level?

300

Nurses are responsible for the assignment and delegation of any tasks to this group.

What are Unlicensed Assistive Personnel? 

300
"Tell me more."

What is an example of an open ended statement?

300

MS, .1, 1.0, U

What are examples of unapproved abbreviations?

300

emphasize older people's continuing participation in social, economic, cultural, spiritual and civic affairs

What is a livable or age friendly community?

300

side rails up x's 2-4, call light within reach, toileting needs met, rounding on patients every hour

What are ways to prevent patient falls?

400
Responsible group for publishing the "To Err is Human" report. 

What is the Institute of Medicine?

400

"Do you like eggs?"

What is an example of a closed type of question?

400

1,000 mL NS IV

200 mL water

_______

1,200 mL total (INPUT)

What is an intake and output log?

400

Family, friends, counseling, people who share common interests

What is a support system? 

400

A goal that, if achieved, would demonstrate problem resolution or improvement

What is an example of an essential goal?

500

Quality of Safety and Education in Nursing

What is QSEN?

500

History and Physical

Head to Toe Assessment

What are examples of a comprehensive assessment?

500

respiratory: Within Defined Limits (WDL)

What is an example of charting by exception?

500

A patient who must go to a higher level of care that a particular facility cannot provide

What is a transfer patient?

500

specific, concrete, observable, valued by the patient, should not conflict with the medical treatment plan

What patient coals should be?