Problem Oriented Medical Record (POMR) method of documentation ...

[Bob-Dole]

Problem Oriented Medical Record (POMR) method of documentation includes which of the following sections? (Select all that apply.)
 
  1. Database
  2. Care plan
  3. Evaluations
  4. Problem list
  5. Interventions
  6. Progress notes

Question 2

The nurse realizes that effective nursing documentation encourages: (Select all that apply.)
 
  1. Safe nursing practice
  2. Continuity of client care
  3. Positive client outcomes
  4. Efficient time management
  5. Cost-conscious nursing care
  6. Effective nurse-client relationships

[Cnarkel]

Answer to Question 1

ANS: 1, 2, 4, 6
The POMR has the following major sections: database, problem list, care plan, and progress notes. Interventions and evaluations are documentation sections related to PIE (Problem, Inter-ventions, and Evaluation) charting.

Answer to Question 2

ANS: 1, 2, 4
Effective documentation ensures continuity of care, saves time, and minimizes the risk of errors. While important, the remaining options are not criteria for effective nursing documentation.

[Bob-Dole]

Thank you!

[Cnarkel]

Always glad to help...