A nurse manager is working with staff nurses regarding the types and frequency of documentation required for clients being cared for in long-term care facilities
Which laws contribute to the specific documentation required for client's in long-term care facilities?
Select all that apply.
A) Kardex
B) Omnibus Budget Reconciliation Act (OBRA)
C) Health Care Financing Administration Act
D) Minimum Data Set (MDS)
E) Charting by exception (CBE)
Answer: B, C
Laws influencing the kind and frequency of documentation required are the Health Care Financing Administration and the Omnibus Budget Reconciliation Act (OBRA) of 1987. It is under the OBRA law that the Minimum Data Set (MDS) is identified. With charting by exception (CBE) only abnormal or significant findings or exceptions to norms are recorded. The Kardex is a system of organizing client information so it can be accessed quickly and is usually used in the acute care area.
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