Answer to Question 1
d
Answer to Question 2
Examples of guidelines for charting include recognizing the significance of charting, including the dietitian's full name and status when signing charts, being timely with charting, never charting for someone else, avoiding documenting procedures until after they have been completed, remembering that medical charts are legal documents and should be treated as such, using only black ink and writing legibly, using clear language while writing and avoiding unfamiliar abbreviations, and avoiding white space. Further, the clinician should document only information that has been observed with objective notes and avoid assumptions.
Taking a Patient’s Temperature with a Tympanic Thermometer
Patient education
Positioning the Patient in the Fowler’s Position
A pacemaker in a patient’s chest.
Pneumonia patient’s chest x-ray. Note the irregular areas of density.
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient.