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Question
Answer
Cardinal Rule of Documentation?   If it was not documented, it was not done.  
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What are the 6 general times to document?   1Admission 2Transfer 3Discharge,4Ongoing care per policy 5Change in condition 6Communication  
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What are drawbacks of verbal orders?   Increase Risk of error, Not accepted by students. MUST READ ORDER BACK  
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What is VORB   Verbal Order Read Back.  
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t/F Incident reports are a part of a Pt's chart   False. Do not reference incident on chart.  
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What is I-SBAR-R   Introduction Situation Background Assessment Recommendation Read back  
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What is the most common method of reporting?   Face-to-face reporting  
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