The nursing instructor is reviewing documents with a group of students.Which parts of the problem-oriented medical record should be discussed? Select all that apply.
A)Database
B)Problem list
C)Plan of care
D)Progress notes
E)Incident reports

Question

Quizplus · Accepted Answer

The problem-oriented medical record (POMR) includes a database, problem list, plan of care, and progress notes. The database contains the patient's medical history and examination results. The problem list is a compilation of patient issues. The plan of care outlines the strategies for addressing the problems, and progress notes track the patient's progress and any changes in their condition. Incident reports are not part of the POMR; they are used to document any unusual events affecting a patient's care.

The Nursing Instructor Is Reviewing Documents with a Group of Students.Which