Hello talkers,
I'm looking for feedback on some basic questions. If you can point me in
the direction of anything written to support any of this, I'd appreciate
it.
Do you have both the generic and brand name with a diagnosis for each
med appear on your medication administration record and on the
physicians order for medication? Does the date of the original order
appear on the medication administration record every month it's carried
over? Do your new orders include these?
Do your treatment administration records show the stage, if applicable,
of the wound being treated, as well as measurements, description,
location? What kind of documentation do you do for wounds of all kinds?
With your stable long term care residents, who have no changes for
months at a time, how often do the nurses write a nurses note?
Thanks in advance to all who respond,
Dorothy
Dorothy Wolfe, BSN, MDS Coordinator
The Virginia Home
1201 Hampton St.
Richmond, VA 23220
804-359-4093
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