ELSC48
Module 48: Care Planning and Reporting (Optional)
Outcome
Examine how to plan, report and record patient care.
Indicators
(a) Identify the function of the care plan.
(b) Examine the steps in the care planning process in health care environments and in the community.
(c) Describe the supportive care provider’s role in the care planning process.
(d) Differentiate between objective data (i.e., information gathered based on sight, sound, smell) and subjective data (i.e., information based on patient’s report but not directly observed by others).
(e) Describe the criteria of an effective observation.
(f) Discuss the functions of a patient’s chart (e.g., communication, planning patient care, accountability).
(g) Identify the types of documents found in a patient’s chart (e.g., data forms, assessment forms, care plans, progress notes).
(h) Identify the types of information supportive care providers are expected to report (e.g., physical and psychological changes, nutrition, mobility, glucose-levels, report facts and not feelings).
(i) Demonstrate the use of the 24-hour clock.
(j) Explain how to respect confidentiality in all aspects of a patient’s care.
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