간호 차트 기술에 대한 영문 파워포인트 프레젠테이션

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간호 차트 기술에 대한 영문 파워포인트 프레젠테이션

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본문내용

USES FOR THE MEDICAL RECORD
PERMANENT RECORD
WRITTEN IN CHRONOLOGICAL ORDER
FILED IN MEDICAL RECORDS DEPT FOR FUTURE USE/REFERENCE

USES FOR THE MEDICAL RECORD
SHARING INFORMATION
FACILITATES EXCHANGE OF INFORMATION BETWEEN STAFF
PREVENTS DUPLICATION ERRORS
(MEDS, DRESSING CHANGE, ACTIVITY, DIETS, ETC.)

USES FOR THE MEDICAL RECORD
PATIENT CONFIDENTIALITY
NEVER LEAVE CHART IN A PUBLIC PLACE.
DISCUSS CONTENTS ONLY WITH PERSONS DIRECTLY INVOLVED IN THE PATIENT’S CARE OR THOSE THAT ARE AUTHORIZED BY THE PATIENT. THESE PEOPLE SHOULD BE LISTED BY NAME.

<중 략>

CHANGE OF SHIFT REPORT

PERSON TO PERSON
BE PREPARED
AVOID GOSSIP/SOCIALIZATION
TAPE RECORDER

INCIDENT REPORTS
OBJECTIVE
DO NOT BLAME OR ADMIT LIABILITY
WHAT DID YOU DO?
DO NOT INCLUDE NAMES/ADDRESSES OF WITNESSES
DOCUMENT TIME/NAME OF DOCTOR
DO NOT FILE IN CHART
DO NOT WRITE “INCIDENT REPORT MADE”

참고 자료

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