Chart documentation writing orders
Found 3 free book(s)CHAPTER 24 MEDICATION ADMINISTRATION (CHARTING ...
file.cop.ufl.eduDocumentation - why given and results 2. Use of PRNs ... refused with an explanation in writing on the back of the medication administration form, if known, as to why the medications were refused. ... physician refuses to change the orders, it shall be documented in the chart. Each
Advanced Nurse Practitioner Supervision Policy
j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.comis a chart which further describes the duties a NP can perform. Key Full Practice: ... admission, arrangements for diagnostic testing, and a plan for documentation of patient visits and interactions. The agreement must be reviewed and signed ... orders, records, or charts.
Medical-Legal & Ethical Issues in Nursing
www.urmc.rochester.eduChart is a persuasive witness because it’s a description of the facts at the time. Should be no unanswered questions to the patients chart that the plaintiff attorneys can use to construct their version of what happened. Documentation reflects: character, competency, and the care delivered by the nurse