Report should include
- medical terminology
- oral and written report/documentation.
Process/Skill Questions:
- What medical terminology might be used when reporting and documenting the client's medical record?
- What criteria are used to differentiate between subjective and objective reporting?
- How would one determine whether or not the nursing process had been applied in reporting?
- What lines of authority are followed when reporting client information?
- How would one make an oral report of pertinent client information?