Nursing home documentation examples

    • [DOC File]Nursing Assessment Checklist and Documentation of …

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      Nursing Assessment Checklist and Documentation of Completion. For Development of an Emergency Care Plan. This is a checklist to track your progress as you develop and implement Emergency Care Plans. Do not document information on this form that should be in narrative in the nurse notes of the student chart. SCHOOL YEAR - _____

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    • [DOC File]Head-to-Toe Narrative Assessment Example

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      10/4/96 2100. 86 y.o. male admitted 10/3/96 for L CVA. V/S 99.2 T, 100, 20, 140/76. Vital signs assessed q 2 hrs, Nursing Assessments every 4 hours, Neuro Checks q 4 hrs. Alert and oriented x 3. Responds appropriately to verbal stimuli. PERL, 2-3 mm bilateral. No slurring of speech.

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    • [DOC File]Standing Order Template

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      Admission to a nursing home or boarding care home Administer two-step TST. Admission to a correctional facility (i.e., jail, prison) Administer TST. Administer two-step TST to offenders that will be incarcerated for one year or more. Pre-employment screening for healthcare workers and correctional facility staff Administer two-step TST.

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    • [DOC File]FOOD ACCEPTANCE METHODS OF MEASUREMENT - Home - …

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      Examples. Breakfast: Juice, coffee, milk, toast, eggs, oatmeal. The resident drinks all the fluids and eats the eggs and toast. The percentage would be 75% intake for the breakfast meal. Lunch: Tea, milk, potatoes, chicken, bread and dessert. The resident eats all of the potatoes and dessert. The percentage would be 50% intake for the lunch meal.

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    • [DOCX File]Sample of Person-Centered Care Plans for Activity, Nursing ...

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      Nursing Person-Centered Care Plan Manual Table of Contents. Care Plan Manual. PERSON-CENTERED GENERAL CARE PLANS. Activity Challenges (Previously: Activity Intolerance) Anxiety. Aspiration, High Risk for. Bowel Incontinence. Confusion, Chronic. Constipation. Diarrhea. Disues Syndrome. Falls, High Risk for. Fatigue. Deficient Fluid Volume ...

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    • [DOC File]Review of Systems (ROS) Assessment Guide - Nursing Professor

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      Title: Review of Systems (ROS) Assessment Guide Author: Seton Hall University Last modified by: Pat Camillo Created Date: 8/4/2012 7:58:00 PM Company

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    • [DOC File]Department of Veterans Affairs M-5, Part II

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      The following is a list of areas of observation of nursing home care, defined by Department of Veterans Affairs (VA) Community Nursing Home (CNH) staff over the past 10 years, which, when applied with professional judgment, can be indicators of the quality of care and the quality of life in nursing homes. 1. Physical Environment . a.

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    • [DOC File]SAMPLE COMPLAINTS POLICY - Riviera Care Group - Home …

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      Riviera Care Group believes that if a service user wishes to make a complaint or register a concern they should find it easy to do so. It is each establishment’s policy to welcome complaints and look upon them as an opportunity to learn, adapt, improve and provide better services.

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    • [DOC File]Skin Observation Protocol Sample Documentation

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      The text in this sample documentation can be considered an outline to use when you follow the Skin Observation Protocol. Each client’s response to the Skin Observation Protocol will be unique to that client and should reflect their individualized assessment and care needs.

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    • [DOCX File]Required In-service Training for Nursing Homes

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      A nursing home must provide an in-service training program in rehabilitation for all nursing personnel to promote ambulation; aid in activities of daily living; assist in activities, self-help, the maintenance of range of motion, and proper chair and bed positioning; and in …

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