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Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. It contains information in accordance with the steps of the nursing process. Nursing documentation is the principal clinical information source to meet legal ...
Emergency nursing. Emergency nurses and physicians care for a trauma patient. Emergency nursing is a specialty within the field of professional nursing focusing on the care of patients who require prompt medical attention to avoid long-term disability or death. In addition to addressing "true emergencies," emergency nurses increasingly care for ...
The Magnet Recognition Program is a recognition program operated by the American Nurses Credentialing Center that allows nurses to recognize nursing excellence in other nurses. It is considered the highest recognition for nursing excellence. [1] The program also offers an avenue to disseminate successful nursing practices and strategies.
SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1] [2] Documenting patient encounters in the medical record is an integral part of practice ...
Sentinel event. A sentinel event is "any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness". [1] Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely ...
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". [1] Nurses practice in many specialties with ...
An adverse event ( AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom ...
Analytic journalism is a field of journalism that seeks to make sense of complex reality in order to create public understanding. It combines aspects of investigative journalism and explanatory reporting. Analytic journalism can be seen as a response to professionalized communication from powerful agents, information overload, and growing ...