Documentation Complete Detail Complete Detail Complete Detail Allergies: Codeine: Allergies: Codeine: Allergic to strawberries. rash. Latex: rash. rash, Latex: rash. Notice no reaction Strawberries: Strawberries Notice reported and drug tongue swells. that all allergies are allergies are not Denies all other reported and most documented. environmental reactions are allergies. Notice recorded as well, but Complete Organization that all categories the documentation are reported and does not include all 100 mg constipation reaction is information. medicine 1-2 tabs. recorded in depth. Reporting is disorganized Complete and missing the drug Complete Organization name. Organization Colace 100 mg tabs Professional Language As needed for by mouth, constipation: 1-2, as needed for Said that she doesn’t use Colace 100 mg 1-2 constipation. All pot. Unprofessional tabs by mouth pieces of drug data language. When daily. Notice that are here, but the discussing substance use, the indication reporting could be the student should have leads the improved by starting referred to specific medication. This is with the indication substances professionally an improved leads. and avoided using slang. method of reporting Professional medications. Language Professional Colace 100 mg tabs Language by mouth, 1-2, as needed for Denies substance constipation. All abuse: alcohol, pieces of drug data tobacco, illegal are here, but the drugs. Notice there reporting could be is excellent improved by starting 0 PTS categorical with the indication information leads. followed by information.
Documentation Complete Detail Allergies: Codeine: rash. Latex: rash. Strawberries: tongue swells. Denies all other environmental allergies. Notice that all categories are reported and reaction is recorded in depth. Complete Organization As needed for constipation: Colace 100 mg 1-2 tabs by mouth daily. Notice that the indication leads the medication. This is an improved method of reporting medications. Professional Language Denies substance abuse: alcohol, tobacco, illegal drugs. Notice there is excellent categorical information followed by information. Complete Detail Allergies: Codeine: rash, Latex: rash. Strawberries Notice that all allergies are reported and most reactions are recorded as well, but the documentation does not include all information. Complete Organization Colace 100 mg tabs by mouth, 1-2, as needed for constipation. All pieces of drug data are here, but the reporting could be improved by starting with the indication leads. Professional Language Colace 100 mg tabs by mouth, 1-2, as needed for constipation. All pieces of drug data are here, but the reporting could be improved by starting with the indication leads. Complete Detail Allergic to strawberries. Notice no reaction reported and drug allergies are not documented. Complete Organization 100 mg constipation medicine 1-2 tabs. Reporting is disorganized and missing the drug name. Professional Language Said that she doesn’t use pot. Unprofessional language. When discussing substance use, the student should have referred to specific substances professionally and avoided using slang. 0 PTS
Practice-Giving-Empowering-and-Effective-Student-Feedback-.docx