Published Mar 31, 2009
bjbabs24
127 Posts
HI Everyone,
Can someone clarify evaluation of outcome/goal and interventions? Does there have to be a pt. response for both the eval. of the outcome/goal and eval. of the interventions?
THANKS!!!
Lunah, MSN, RN
14 Articles; 13,773 Posts
You have to indicate if the patient met the goal of whichever dx you choose as your primary dx (met, partially met, or did not meet), and you have to also document the patient's response to both interventions. If you look in the study guide in Appendix H, page H.9 has the exact form you'll use at the CPNE, and you'll see what I mean. Does that answer your question?
SuesquatchRN, BSN, RN
10,263 Posts
If you look in the study guide in Appendix H, page H.9 has the exact form you'll use at the CPNE, and you'll see what I mean. Does that answer your question?
I still bow to your knowledge of the study guide!
My PDF search-fu is strong.
Just to clarify. On page 320 sg it says to validate an "Effective" evaluation of the intervention by documenting the pt's response to the nursing intervention you performed. It doesn't state if we have to put a pt. response if not effective or unable to carry out. So, do we only put a pt. response only if effective or should we still put pt. response if not effective or unable to carry out. Example-unable to carry out pt. stated "I am too tired to walk today" or do we just put uable to carry out because pt. was too fatigued to ambulate?
THANKS!
I would document it no matter if it were effective or not ... my advice is to not leave anything blank on that page during the evaluation phase. And yes, a patient quote is always a strong thing!
THANKS!!!!!!
I agree. It would be pretty hard to argue against a pt. response so it would be more withstanding than anything else I would write.