Sunday, March 1, 2015
Guide to Clinical Documentation
Guide to Clinical Documentation [Paperback]
Author: Amazon Prime - ISBN: 0803625839 - Language: English - Format: PDF, EPUB
DESCRIPTION
Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
This edition has been completely revised and upgraded with more in-depth coverage of documentation and its ramifications, more documentation samples to analyze and emulate, and even more learning tools. You’ll also find access to our special version of Amazing Charts, online at DavisPlus. Amazing Charts is a fully functional, Windows-based, professional EMR software package currently being used by more than 3,200 medical practices nationwide.
DETAILS
- Paperback: 320 pages
- Publisher: F.A. Davis Company; 2 edition (December 22, 2011)
- Language: English
- ISBN-10: 0803625839
- ISBN-13: 978-0803625839
- Product Dimensions: 10.7 x 8.4 x 0.6 inches
- Shipping Weight: 1.6 pounds (View shipping rates and policies)
- Amazon Best Sellers Rank: #8,328 in Books (See Top 100 in Books)
- #5 in Books > Medical Books > Allied Health Professions > Physician Assistants
- #6 in Books > Medical Books > Administration & Medicine Economics > Medical History & Records
- #6 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Medical History & Records
REVIEWS
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Documentation for an RN moving into a practitioner role can be daunting especially for me with 30+ years of charting in a nurse role. This book is a nice reference for a variety of clinical areas; acute care and primary care. I am glad I found it and am happy with the examples provided as I move into thinking and charting as a mid-level provider.
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