Kevin Rosas
Case Study Audit Trails (18-Competency II2)
1. Daily database status check: Does the database contain the current date? How many days are
there left until today? Any dates that are missing? Do any duplicates exist?
2. A list of all actions that should be assessed each day in accordance with this trigger criteria is
provided below: (For example, daily review is required, daily review is allowed, etc.)
3. List all nursing acts that should be examined on a daily basis in accordance with the following
trigger criteria: (Repositioning, treating wounds, performing preventive maintenance, etc.)
4. What are the ranges for all lab data from the monthly review? Exist any laboratories outside of
their purview? Where are they if so?
5. Has a lab report been created and/or is one due for the monthly review?
6. Is the quarterly review process being employed the same as the documentation in your
records? What other methods are employed to treat this patient?
7. Test findings from the quarterly review: Are any tests falling outside of expected ranges?
Where are they if so?
8. yearly review plan of care - Has this plan changed from the one that was approved at the time
it was put into effect? (For instance, nursing services, home care providers, and agency to
agency)
9. Annual Review of the Previous Care Plan – Are There Any Changes from the Approved Care
Plan at the Time of Implementation? (For instance, nursing services, home care providers, and
agency to agency)
10. Additional type codes or actions - Please explain additional activities that may need to be
examined for potential issues and how this trigger will carry out this examination procedure.
