Physician Assistants (PA)
Certified Nurse Midwives (CNM).
Patient’s condition and the cost of admission per day.
Facility policy and the patient’s distance from home.
Patient’s condition and the facility policy
Facility policy and patient’s request.
Obtain patient’s history.
Transcribe doctor’s orders
Obtain patient’s vital signs, height, and weight.
Absent without leave (AWOL).
On convalescent leave.
Discharged and an outpatient
Patient was likely off the unit having tests completed.
Patient is doing well and no problems were noted.
doctor probably changed the orders verbally.
Vital signs were not completed.
No documentation is required at shift change.
Document all totals in the Remarks section
Document in the Grand Total block.
Circle the last accumulated total.
An observable change in patient behavior.
A measurable change in the patient’s condition
A realistic and measurable statement of the end results of care planning
A realistic and measurable statement of the expected change in patient behavior.
Credentials of the surgeon.
Availability of a base chaplain
Professionalism and caring attitude of the staff
Number of nurses and technicians on staff.
Reduces the chance of infection.
Prevents contamination of the operating room (OR).
Allows for proper suturing of the incision.
Reduces pain when the surgical dressing is removed
Isolation is necessary.
No precautions are necessary
A lead apron is placed over the patient
Lead aprons are placed on other recovery patients.
Standing hamstring stretches
Turn, cough and deep breath (TC&DB).
Circles with the big toe
Standard Form 518.
Standard Form 3066
AF Form 2019
AF Form 3066.
100 cc units
250 cc units.
450 cc units.
500 cc units.
Continue to monitor; this is a normal side effect.
Place the patient on his or her left side
Administer 100 percent oxygen.
Stop the transfusion.
Application of transcutaneous electrical nerve stimulation (TENS) devices.
Injection of long duration local anesthetic into the incisional area.
Administration of oral analgesics.
Administration of narcotics