NR 361-we understand that standardized terminology is critical in the stora

June 26, 2020

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we understand that standardized terminology is critical in the storage and retrieval of information (data). Describe one example of a daily nursing care activity from your experience that impacts nurse sensitive outcomes. What key words would you identify in that activity if you were going to build an electronic charting system that would allow the facility to track nursing care related to the outcomes for which the CMS is refusing to reimburse? How might this documentation impact the outcome?

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