Reporting observations
LTC Nursing Assistant Trainer, April 14, 2004
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Resident observations are only effective when CNAs report them properly, accurately, and on a timely basis. A good report is brief and objective. When writing observations in a report, CNAs should include the following: - The resident's name and room and bed number - The date and time of the observation - A description of any significant changes in the resident's condition - Measurements, such as blood pressure, temperature, pulse, and respiration, if taken - Comments or questions expressed by the resident Remind caregivers that they should only include facts they observe in the report, rather than opinions or possible treatments.
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