Guide to clinical documentation

by Sullivan, Debra D.

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Title Statements

Full title :Guide to clinical documentation / Debra D. Sullivan.

Edition Statements

Publication Date:©2012.
Edition:2nd ed

Publication Statements

Publisher(s):F.A. Davis Co
Place of Publication:Philadelphia
Language:eng
Publication Date:©2012.

Notes

The Physical Object

Description:1 online resource (xiv, 286 pages) : : illustrations

Edition Identifiers

ISBN:9780803629974, 0803629974
oclc:ocn818663744
LC Classification:R697.P45
Dewey Decimal:651.5/04261

Medicolegal principles of documentation -- The comprehensive history and physical examination -- Adult preventive care visits -- Pediatric preventive care visits -- SOAP notes -- Outpatient charting and communications -- Admitting a patient to the hospital -- Documenting daily rounds and other events -- Discharging patients from the hospital -- Prescription writing and electronic prescribing.

Subjects

Assistants médicaux Clinical Protocols Dossiers médicaux Forms and Records Control -- methods MEDICAL -- Medical History & Records Medical protocols medical records Medical Records -- standards Physician Assistants Physicians' assistants Protocoles médicaux