The nursing staff is using a worksheet that contains information for change-of-shift report and facilitates access to information when referring to the patient's computerized record. Which document is the nursing staff using?
a. The graphic sheet
b. The nursing Kardex
c. The problem-oriented medical record
d. The Joint Commission standards
B
The nursing Kardex contains information for change-of-shift report and facilitates access to in-formation when referring to the patient's computerized record. It is not part of the patient's per-manent record and is often recorded in pencil so changes can be made to provide an updated sta-tus report of the patient. The graphic sheet contains places for frequently monitored situations done on a repeated basis such as vital signs, bathing, turning, and intake and output. The prob-lem-oriented medical record is a method of organizing data by the patient problem or diagnosis. Each member of the healthcare team can document on the same problems and add new ones. The Joint Commission sets the standards for documentation of health care but has not developed a specific form for everyone to use.
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