Improving Your Observation and Documentation Skills

Films Media Group, (film distributor.). National Educational Video, Inc., (production company.).

Summary: This instructional video for caregivers covers how to use all of the senses when evaluating each client. It helps caregivers gain an understanding of how to "read" the patient based on her verbal cues and body language. Making careful observations helps the other members of the care team provide better care and ensures a reliable medical record. Included are explanations and examples of objective and subjective observations, types of documentation, basic recording rules, the Patient Bill of Rights, and ways to maintain professionalism and high customer service levels.

Record details

Physical Description: 1 online resource (1 video file (27 min. 26 sec.)) : sound, color.
remote
electronic resource
Publisher: [Place of publication not identified] : National Educational Video, Inc, [2013]
Distributor: New York, N.Y. : distributed by Films Media Group, 2015.
Copyright: ©2013

Content descriptions

General Note:	Streaming video file encoded with permission for digital streaming by Films Media Group on June 26, 2015.
Formatted Contents Note:	Observation and Documentation Overview (1:46) -- Making Objective Observations (2:03) -- Objective Observation Scenario (1:57) -- Observing Physical Details (2:34) -- Observing Body Fluid Details (1:02) -- Observing ADLS (0:54) -- Observing Subjective Details (2:15) -- Observing Body Language (2:10) -- Reporting Observations (1:51) -- Recording Observations (2:03) -- Basic Medical Recording Rules (1:34) -- Patient Bill of Rights (1:55) -- Maintaining Professionalism (2:24) -- Customer Service (1:57) -- Credits: Improving Your Observation and Documentation Skills (0:27)
Restrictions on Access Note:	Access requires authentication through Films on Demand.
Target Audience Note:	11 & up.
System Details Note:	System requirements: FOD playback platform.
Language Note:	Closed-captioned.
Source of Description Note:	Title from distributor's description (Films Media Group, February 13 2016)