When patients refuse care, the most important thing to document is:
a. their condition when you last saw them.
b. whether they were accompanied by anyone when you left them.
c. the names of witnesses to what you said to them.
d. that the patients understood and accepted the risks of refusal.
Question 2
The acronym FACTUAL-OEC helps OEC Technicians remember that good report writing should include which of the following groups of characteristics?
a. Factual information, local patrol terminology, unbiased information
b. Complete details, your determination of cause of accident, written legibly
c. Abnormal findings written in red, complete and accurate details, accepted medical terms
d. Accurate information, complete details, written in black or blue ink
Sharing patient information with colleagues is an important nursing role
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