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P.S.S Module 5
| Question | Answer |
|---|---|
| What can be observing for the documentation as the P.S.S? | Vital signs, weight gain/loss, skin color, temperature, moisture, appetite, level of activities increase/decrease, complains of pain, ambulation, breathing, mood, realtionship with others, behavior, hearing, vision, self-care ability, & symtoms. |
| What are vital signs? | Measure of pulse, pain level, blood pressure, and respotry. |
| What also you have to look out for at skin? | Any brusies, cuts, lumps, or rashes. |
| What is mood? | If you are happy/sad/anger/frustrated/etc. |
| What symptoms there are? | Any person conplains of a headache, sewelling anywhere in body-especailly in feet and legs, sore throat, etc. |
| What is a objective observation? | observation is one that is measuravle or factual in nature, for example a consumer temptures, sometimes you have to figue it out on your own for the consumer. And you yousing all your senses. |
| What are all your senses doing objective observation? | Sight: Any you see blood in urine or on body, serlling, or bruises. Hearing: If you hear strage breathing, crying, or couthing. Nose: If you smell urine or body order. & Touch: If you fell any lumps under/above the skin,change in pulse,&temputure(skin). |
| What is subjectve observation? | A statement or complaint from a consumer about symptomes that only he/she can describe. For example "I have a headache." |
| You must report_______! | Imenetly. |
| What are the rules when you do in a report? | Be complete and detailed, do not draw conclusions; report only the facts, if written make sure it's neat and easy to read, & never use meducak terms or abbrecuatuions unless you are sure the meaning and apporiate for your audience. |
| What are incident reports? | Documents that record any unsual happenings. Any consumer that fight, injury, missing poseesions, cosumer runs away(elopement), meddication error & yourself injury. |
| What is it called the P.S.S must fill a card that record there time in/out? | Time card. |
| What are the rules for any documention? | (There are 12 rules, I can't fit it all in this card see book on pg 92) |
| Make sure you put a note of ___ of care or treatment in documention, make sure you try at least three or more times befor you note it. | refusal. |
| Always maintain _______ for the consumer documention. No frieds, family, or vistors must see the documention. | Confidentiality. |
Created by:
Yugipie
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