

Documentation in Healthcare - Worksheet
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KG
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Hard
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21 questions
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1.
FLASHCARD QUESTION
Front
What does documentation of type of care, time of care, and signature of the person prove?
Back
Interventions were implemented to meet the patient’s needs.
2.
FLASHCARD QUESTION
Front
Why is documentation especially significant in managed care?
Back
Institutions are reimbursed only for patient care that is documented.
3.
FLASHCARD QUESTION
Front
The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
Back
CBE
4.
FLASHCARD QUESTION
Front
What form explains the lapse when events are not consistent with facility or national standards of expected care?
Back
Incident report
5.
FLASHCARD QUESTION
Front
The staff from all disciplines is developing integrated care plans for a projected length of stay for patients of a specific case type. This is known as a:
Back
critical pathway.
6.
FLASHCARD QUESTION
Front
What makes home health care documentation unique?
Back
Different health care providers need access.
7.
FLASHCARD QUESTION
Front
What regulates standards for long-term care documentation?
Back
OBRA
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