Clinical Document Policy And Nursing Document Orientation

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| By Junell
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Junell
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Quizzes Created: 26 | Total Attempts: 67,128
| Attempts: 144
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  • 1/5 Questions

    Documentation promotes continuity of care through intra/inter-professional communication, it demonstrates Tulip Health Care staff’s commitment to providing safe, competent and ethical care.

    • True
    • False
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About This Quiz

This quiz assesses knowledge in clinical and nursing documentation policies at Tulip Health Care. It covers the importance of accurate documentation for patient care continuity and legal compliance, and correct procedures for handling documentation errors.

Clinical Document Policy And Nursing Document Orientation - Quiz

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  • 2. 

    What is the best action when you made a mistake on patient progress note?

    • Use the eraser and write in the same space again.

    • Underline the sentence.

    • Underline the word/ words, write a word error above the word and write your initial.

    Correct Answer
    A. Underline the word/ words, write a word error above the word and write your initial.
    Explanation
    When a mistake is made on a patient progress note, the best action is to underline the word/words that contain the error, write a word error above the word, and then write your initials. This ensures that the mistake is clearly identified and attributed to the correct person. Using an eraser and writing in the same space again may cause confusion and make it difficult to identify the correction. Underlining the sentence alone does not specify which word is incorrect, making it less effective in correcting the mistake.

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  • 3. 

    It is the responsibility of the THC staff to maintain their knowledge in documentation and management of health care records consistent with the requirements of this policy.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because it states that it is the responsibility of the THC staff to maintain their knowledge in documentation and management of health care records. This means that the staff members are expected to stay up to date with the policies and requirements for handling health care records. By doing so, they can ensure that the records are managed properly and in accordance with the guidelines set forth in the policy.

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  • 4. 

    Determine the admission date of the patient with MRN 2015-11-057.

    • November 2015

    • May 2015

    • May 2016

    • November 2016

    Correct Answer
    A. November 2015
    Explanation
    The admission date of the patient with MRN 2015-11-057 is November 2015.

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  • 5. 

    What are the important details need to write in Daman Attendance Sheet Sub-form A?

    • Name and Signature of the patient or Patient's relative

    • Name, Profession and the license number of the Staff Nurse

    • Patient's Name and Patient's Daman ID

    • Scoring Grid Score

    Correct Answer(s)
    A. Name and Signature of the patient or Patient's relative
    A. Name, Profession and the license number of the Staff Nurse
    A. Patient's Name and Patient's Daman ID
    Explanation
    The important details that need to be written in Daman Attendance Sheet Sub-form A include the name and signature of the patient or patient's relative, the name, profession, and license number of the staff nurse, and the patient's name and Daman ID. These details are necessary for accurate record-keeping and identification purposes.

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Quiz Review Timeline (Updated): Mar 20, 2023 +

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  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 27, 2017
    Quiz Created by
    Junell
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