Get Daily Skilled Documentation Guideline1.doc

Filling out the DAILY SKILLED DOCUMENTATION GUIDELINE1.doc is an essential task for documenting patient care accurately and effectively. This guide will provide you with clear, step-by-step instructions to help you complete each section of the form online.

Follow the steps to fill out the form accurately and efficiently.

1. Click the ‘Get Form’ button to access the form and open it in the editor.
2. Begin with the 'Lung assessment' section. In this field, note observations such as any wheezing, rales, or crackles noted during the assessment. Include details on supplemental oxygen used and vital signs, such as oxygen saturation.
3. Proceed to the 'Anticoagulation therapy' section. Record the type of medication used and any signs or symptoms observed, such as bruising or changes in urine color. Document resident or caregiver education provided regarding these observations.
4. Navigate to the 'IV therapy' section. Document the type of IV line and its location, as well as the solution type and rate. Observe the IV site for any abnormalities and record your findings.
5. Move on to fill out the 'Total hip or total knee replacement' section. Detail pain levels, the condition of the surgical site, and any relevant education provided to residents or caregivers.
6. If applicable, complete the section for UTIs by noting symptoms such as burning or changes in urination patterns. Document any antibiotics ordered and their effects.
7. In the 'Renal failure with dialysis' section, describe the type of dialysis used, along with the condition of the shunt or catheter and any patient responses.
8. Complete the 'CVA' section by assessing consciousness levels, vital signs, and ability to perform activities of daily living.
9. Once all sections are filled out, review the document for accuracy. After confirming all information is correct, you can save changes, download, print, or share the completed document as needed.

Start filling out your DAILY SKILLED DOCUMENTATION GUIDELINE1.doc online today!