2024 RN Boot Camp: Documentation: Sword & Shield (Post-Test)

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* 1. Full Name

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* 2. Email Address

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* 3. Please provide your registrant ID or reference number from your registration in Swoogo. This can be found by viewing your invoice, logging into your profile, or checking your email announcing post-tests are available to find the correct ID.

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* 4. The best time to document is:

At the end of the shift so that you can include all of the information.

When the state walks in the building.

Contemporaneously.

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* 5. “Resident found in bed with a huge amount of urine in brief so obviously they had not been checked every two hours last shift.” This note is:

Speculative

Objective

Subjective

All of the above

A and C, plus it points fingers which should not be included in the clinical record.

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* 6. If you delete an entry in the record, the surveyors or other government entities cannot ask you questions about the deleted entry.

True

False

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* 7. When making a late entry in an electronic record:

You do not have to document any time because the computer does it for you.

You only have to document that you are making a late entry, but you do not have to document the time.

You should document the specific time that any significant event takes place in the narrative of the note.

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* 8. Cutting and pasting in the medical record is a great work-around to save time

True

False