Validation and Documentation of H. A Data

• Validation of data

  It is the process of confirming or verifying that the subjective and objective data you have collected are reliable and accurate
• The primary reason for documentation of assessment data is to promote effective communication among multidisciplinary health team members to facilitate safe and efficient care
• Subjective data

  Biographical data, present health concerns, personal health history data and lifestyle and health practices information
• Objective data

  Data collected during physical examination through inspection, palpation, percussion and auscultation
• Initial Assessment Form

  Open-ended, cued or checklist, integrated cued checklist and nursing minimum data set
• Frequent or Ongoing Assessment Form

  Vital signs sheet and Assessment flow chart
• Focused or Specialty Area Assessment Form

  Cardiovascular or neurologic assessment documentation forms