Asked by
Jasmine Narcisse
on Oct 26, 2024Verified
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.
Verified Answer
GB
Learning Objectives
- Recognize the importance of documentation in patient care.
- Identify best practices in nursing documentation and ensuring complete, accurate, and timely medical records.