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?