What is electronic documentation in nursing?

What is electronic documentation in nursing?

Electronic documentation includes such skills as electronic data entry and data extraction for preparing care plans, planning patient care and education, and discharge planning; it is rapidly becoming a major practice competency.

What is defensive documentation?

The term “defensive documentation” refers to a thoroughly accurate accounting of the circumstances surrounding a resident issue. It’s documentation that’s undertaken with the sensitivity that individuals on the outside may be reviewing the records looking for fault at a later date.

What is computerized documentation?

Computerized clinical documentation systems (CDS) provide for the documentation of patient care using computers. For example, the CDS records the vital signs directly from the cardio-respiratory monitors, while other documentation, such as nursing assessments are entered by the clinician.

What are the types of nursing documentation?

The documentation in the health system takes place in order to fulfill administrative and clinical purposes, while in the bibliography various nursing documentation types are reported: notes of narrative type, the files which are directed to the problem, the files which are directed to the source, the recording by …

How does proper documentation protect nurses?

Documentation provides a picture of the patient’s condition and how they respond to treatment, which influences the decisions that subsequent providers will make regarding the patient’s care. It is also a legal record that reflects the quality of care you provided.

What is defensive practice in nursing?

▪Defensive practice occurs whenever a practitioner gives a. higher priority to self protection from blame than to the best. interests of the patient.

What is effective documentation in nursing?

Documentation is the written and legal recording of the interventions that concern the patient and it includes a sequence of processes. Documentation is established with the personal record of the patient, which constitutes a base of information on the situation of his health.

What kind of specification does jsonrpclib support?

This library is an implementation of the JSON-RPC specification. It supports both the original 1.0 specification, as well as the new (proposed) 2.0 spec, which includes batch submission, keyword arguments, etc.

Is there a Python JSON RPC for jsonrpclib?

GitHub – joshmarshall/jsonrpclib: A Python JSON-RPC over HTTP that mirrors xmlrpclib syntax. Use Git or checkout with SVN using the web URL. Work fast with our official CLI. Learn more . If nothing happens, download GitHub Desktop and try again. If nothing happens, download GitHub Desktop and try again.

Which is the best principle for nursing documentation?

11 Nursing Documentation Principles Principle 1. Documentation Characteristics Principle 2. Education and Training Principle 3. Policies and Procedures Principle 4. Protection Systems Principle 5. Documentation Entries Principle 6. Standardized Terminologies 15 Recommendations for Nursing Documentation Practicing Registered Nurses

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