The Importance of Observation and Documentation

Contributor: Jetta Fuzy, RN, MS

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If you didn't document it, you didn't do it! This SourceBook will help your aides learn and remember the importance of observing and documenting accurately and thoroughly. Choose from lesson plans for ten learning objectives covering:

The aide's role in documentation
Common documentation forms
Confidentiality and legal aspects of documentation
Reasons for careful documentation
Basic observation skills
Signs and symptoms to observe
Important guidelines to follow
Spelling, grammar, and common abbreviations
Incident reporting and recording

Pages: 74
Learning Activities/Games: 8
Reproducible Handouts: 22
Transparency Masters: 15

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In-Service Sourcebooks include a site license to photocopy included handouts, assessments, and certificates for a single location.

US $	Retail single copy	5% off 2 copies	10% off 3-4 copies	15% off 5+ copies
In-Service SourceBooks	34.95	33.20	31.46	29.71

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