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Call Light
A patient safety mechanism that allows patients to signal or alert nursing staff or caregivers when they are in need of assistance.
Chart Entry
The act of recording patient information, clinical findings, interventions, and other relevant data into their medical record, consistent with healthcare documentation practices.
SOAP Format
A structured method for documenting patient care, standing for Subjective, Objective, Assessment, and Plan.
Subjective Data
Information derived from an individual's personal opinions, feelings, and perspectives, often collected during medical history taking or interviews.
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