- University of New Mexico - Hospitals (Albuquerque, NM)
- …and/or family members in coordination with treatment team * CHARTING - Chart observations and other required documentation on assigned patients, behaviors, following ... prescribed procedures and standards; chart according to treatment plan; use electronic medical record when required * PHYSICAL NEEDS - Assist with the physical needs… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and/or family members in coordination with treatment team * CHARTING - Chart observations and other required documentation on assigned patients, behaviors, following ... prescribed procedures and standards; chart according to treatment plan; use electronic medical record when required * PHYSICAL NEEDS - Assist with the physical needs… more
- Christus Health (Texas City, TX)
- …orders and preprinted orders xrbllit and considerations for each Patient Chart Reading and Interpretation * Describes experiences in reading and interpreting ... patient charts for patients on unit and under own care * Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions * Recognizes unexpected readings and alerts nursing or medical staff * Relates examples of… more
- Helen Ross McNabb Center (Knoxville, TN)
- …Individual clinical documentation is completed within 2 business days. 15% of chart sample evidences that documented presenting problems and symptoms support DSM-5 ... diagnosis given. 15% chart sample evidences that notes are detailed in nature,...contain client quotes, and contain action oriented statements. 15% chart sample evidences that clients were screened for substance… more
- Christus Health (Texas City, TX)
- …standing orders and preprinted orders and considerations for each. Patient Chart Reading and Interpretation Describes experiences in reading and interpreting patient ... charts for patients on unit and under own care. Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions. Recognizes unexpected readings and alerts nursing or medical staff. Relates examples of mis-readings or… more
- The Laurels of Kent (Lowell, MI)
- …the interdisciplinary team Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, including ... physician, nursing, social services, therapy, dietary, and activity staff. Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Coordinates, identifies, and/or… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …may facilitate group therapy and/or education sessions * PATIENT CARE - Chart and report observed symptoms, reactions, treatments, and changes in the patients' ... conditions; collect and document data and information; may perform computerized data entry * PATIENT CARE - Perform nursing intakes, draw blood and other patient specimens; may perform or coordinate laboratory tests * PATIENT CARE - Educate patients and… more
- Regency at Whitmore Lake (Whitmore Lake, MI)
- …regulated time frames. Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, including ... physician, nursing, social services, therapy, dietary, and activity staff. Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Coordinates, identifies, and/or… more
- West Bloomfield Health and Rehabilitation Center (Bloomfield, MI)
- …regulated time frames. Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, including ... physician, nursing, social services, therapy, dietary, and activity staff. Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Coordinates, identifies, and/or… more
- Brittany Manor (Midland, MI)
- …regulated time frames Assesses resident through physical assessment, interview and chart review Discusses resident care needs with caregivers, including physician, ... nursing, social services, therapy, dietary, and activity staff Reviews information from hospitals, consults, and outside agencies and uses such information in the completion of the assessment and care planning Coordinates, identifies, and/or initiates… more
