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Jasmine Narcisse
on Oct 26, 2024

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The nurse prepares information to document a client's care.What should the nurse do to ensure that the documentation is complete?

A) Review the medical record for new prescriptions.
B) Ask nursing assistive personnel for report on delegated tasks.
C) Use the mnemonic F-A-C-T-U-A-L as a reminder when charting.
D) Complete all documentation immediately before hand-off communication.

Mnemonic

A device such as a pattern of letters, ideas, or associations that assists in remembering something.

Documentation

The process of systematically recording, retaining, and managing patients’ personal and health information in healthcare.

Charting

The process of making entries into a patient's medical record to document the care and treatment provided.

  • Recognize the importance of documentation in patient care.
  • Identify best practices in nursing documentation and ensuring complete, accurate, and timely medical records.
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Grant BrownNov 02, 2024
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