Report patient/client information and observations.

Reporting should include

  • routine care
  • subjective and objective
  • data changes in patient/client status
  • protocol to report changes.

Process/Skill Questions:

  • What are three examples of a subjective observation? Objective observation? How would you record each?
  • What are three examples of possible changes in patient status? To whom would you report these, and what documentation might be required?
  • What tasks are included in routine morning care? Hour of sleep (H.S.) care?