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Shelby Rhodes
on Oct 11, 2024

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Which entry will require follow-up by the nurse manager?

A) 0800: Patient states,"Fell out of bed." Patient found lying by bed on the floor.Legs equal in length bilaterally with no distortion,pedal pulses strong,leg strength equal and strong,no bruising or bleeding.Neuro checks within normal limits.States,"Did not pass out." Assisted back to bed.Call bell within reach.Bed monitor on.
-------------------Jane More,RN
B) 0810: Notified primary care provider of patient's status.New orders received.
-------------------Jane More,RN
C) 0815: Portable x-ray of L hip taken in room.Patient states,"I feel fine."
-------------------Jane More,RN
D) 0830: Incident report completed and placed on chart.
-------------------Jane More,RN

Incident Report

A documented account of an unusual, unsafe, or unexpected event, often used in the context of health care or workplace safety.

Neuro Checks

Short for neurological checks; these are assessments made to evaluate a person's neurological status, including consciousness, motor function, and sensory abilities.

Hematoma

A localized collection of blood outside the blood vessels, usually in liquid form within the tissue.

  • Utilize leading practices for ethical and legal documentation, taking into account the protection of privacy and confidentiality.
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QL
Queen LewisOct 14, 2024
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