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Nurse Aide I L Terms
Nurse Aide I Module L Communicating with the Health Care Team Definiton List
| Term | Definition |
|---|---|
| Communication with the Health Care Team | involves clearly and accurately sharing information about residents’ care, condition changes, and concerns with nurses, doctors, and other team members to ensure safe and effective care. |
| HIPPA | is a federal law that protects the privacy and security of a person’s health information and ensures confidential handling of medical records. |
| Medical Record | a legal document that contains all the detailed information about a resident’s health history, care, treatments, and progress. |
| Objective Data | is information that can be observed, measured, or verified by the nurse aide, such as vital signs, skin color, or swelling. |
| Recording | is the process of accurately documenting all care given and observations made about a resident in their medical record. |
| Reporting | is the act of promptly informing the nurse or healthcare team about any changes in a resident’s condition, concerns, or incidents that require attention. |
| Subjective Data | is information reported by the resident about how they feel, such as pain, nausea, or dizziness, which cannot be directly observed or measured. |
Created by:
mdonovan8742
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