WebInadequate documentation may not only impede the quality of patient care, it can also hinder the nurse’s legal defense in the event of a malpractice lawsuit and can even lead to a … WebAmerican Healthtech Smart Charting is implemented for point of care medical charting. This smart technology allows the staff to document patient information that is accessible from …
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WebSep 24, 2024 · Proper Cna Documentation. There is no one definitive answer to this question. However, some considerations for proper CNA documentation may include clarity, conciseness, and accuracy. Additionally, all required information should be included, and any relevant details that may help to explain a situation should be included as well. WebJun 13, 2012 · 25 Posts. Specializes in Inpatient Obstetrics Certification. Has 38 years experience. Jun 13, 2012. With electronic documentation CNA's should be able to chart vital signs and basic patient care. RN 's are able to view their documentation. The person doing the care should be the one documenting it. ct to houston flights
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WebDon'ts. Don’t chart a symptom such as “c/o pain,” without also charting how it was treated. Never alter a patient’s record - that is a criminal offense. Don't use shorthand or abbreviations that aren't widely accepted. Don't write imprecise descriptions, such as "bed soaked" or "a large amount". Don't chart excuses, such as "Medication ... WebHandy tips for filling out Cna charting sheets online. Printing and scanning is no longer the best way to manage documents. Go digital and save time with signNow, the best solution … WebLaundry. The long term care Kardex system is part of the base NetSolutions system, but is also one of the first pages that is seen in CNA POC charting for each resident when using the point of care charting system. Aspects of the Kardex flow in and out of various areas within the system and can all be edited using a simple form. ct to houston