ANSWERS | VERIFIED | UPDATED 2025
what is the difference between data collection and assessment? who does what?
- ✔✔data collection:yes or no
assessment: the extend.
what is the role of pct prior to treatment initiation? - ✔✔data collection notify
nurse of any abnormalities
what is the role of the licensed nurse prior to treatment initiation? - ✔✔nurse
assessment
when us a pre-treatment assessment by the licensed nurse required? - ✔✔if vitals
were abnormal
,when is post treatment assessment by the licensed nurse required? - ✔✔up
normalities during treatment.
note about bp - ✔✔squeezing the auto blood pressure cuff to speed deflation can
damage machine internal bp module.
why do we document in the medical record? 4 reasons - ✔✔1.proof that care was
rendered
2.provide data continuity
3.permnent legal record
4.communication tool
list 6 occurrences when to chart? - ✔✔1.change from baseline assessment
2.change in patient condition
3.procedure for treatment
4.medication given
, 5.patient teaching n
6.care plan review and intervention
n n n n
pre-treatment data collection/ assessment - ✔✔before treatment intuition
n n n n n n n
assessment within one hour if pt is stable for nurse
n n n n n n n n n n
post treatment data collection/assessment - ✔✔post treatment only
n n n n n n n
what are possible consequence of proof or incomplete documentation? -
n n n n n n n n n
✔✔poor or incomplete documentation can open an attack on your care
n n n n n n n n n n n
what are the 6 items included in charting administered - ✔✔1.medication dosage
n n n n n n n n n n n
2. data and time
n n
3. route for administeration
n n
4. pt response
n