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Guide to Clinical Documentation by Debra D. Sullivan (2018, -ACCEPTABLE
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Located in: Nashville, Tennessee, United States
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eBay item number:236501952912
Item specifics
- Condition
- ISBN
- 9780803666627
About this product
Product Identifiers
Publisher
Davis Company, F. A.
ISBN-10
0803666624
ISBN-13
9780803666627
eBay Product ID (ePID)
240043686
Product Key Features
Number of Pages
416 Pages
Language
English
Publication Name
Guide to Clinical Documentation
Subject
Clinical Medicine, Medical History & Records, General, Nursing / General, Allied Health Services / Medical Assistants
Publication Year
2018
Type
Textbook
Subject Area
Medical
Format
Trade Paperback
Dimensions
Item Height
0.8 in
Item Weight
2.1 Oz
Item Length
11 in
Item Width
8.5 in
Additional Product Features
Edition Number
3
Intended Audience
College Audience
LCCN
2018-019472
Dewey Edition
23
Illustrated
Yes
Dewey Decimal
651.5/04261
Edition Description
Revised edition,New Edition
Table Of Content
I. Foundations of Documentation 1. Medicolegal Principles of Documentation 2. The Comprehensive History and Physical Examination 3. SOAP Notes II. Documentation Related to Outpatient Care 4. Documenting Prenatal Care and Visits and Newborn Physical Examination Perinatal Events 5. Pediatric Preventive Care Visits 6. Adult Preventive Care Visits 7. Older Adult Preventative Care Visits 8. Outpatient Charting and Communication 9. Prescription Writing and Electronic Prescribing III. Documentation Related to Inpatient Care 10. Admitting a Patient to the Hospital 11. Documenting Inpatient Care 12. Discharging Patients from the Hospital Appendices A. Document Library B. A Guide to Sexual History Taking C. ISMP's List of Error-Prone Abbreviations, Symbols, and Dose Designations Bibliography Index
Synopsis
Understand the when, why, and how! Here's your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward 'how-to' approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You'll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand. See what practitioners and students are saying online... Definitely worth the purchase. "This is a guide which will stay with you during your whole nursing program...so do not rent you must buy it and think of it as a documentation bible!" - Barbie Great resource for NP/PA school. "Purchased this for my NP program. The book made writing SOAP notes and H&Ps very simple! Would recommend as a great resource" - Dr. Jon Love this! "Right down to it charting instructions and guidance. Even discusses codes and other factors of charting I had not taken into such deep account before. ... this book helped me understand how much more charting, other than SOAP's, must be completed for compliance standards. I feel this book is for just about everyone who is learning to chart as a reimbursable provider." - D. Conley, Learning objectives in each chapter to help you recognize important concepts at the beginning of the chapter, and reinforce what is summarized at the end of each chapter Coverage of -problem-oriented medical records, patients with multiple complaints or multiple conditions Hands-on, problem-based exercises Worksheets at the end of each chapter Examples of "good" and "bad" documentation for evaluation Real-life case studies that illustrate the potential consequences of poor or inaccurate documentation. Explanations of use and terminology of ICD-10-CM codes in billing Boxes highlighting medicolegal considerations., Understand the when, why, and how! Here's your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward 'how-to' approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You'll find a wealth ......, Understand the when, why, and how! Here's your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward 'how-to' approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You'll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand. See what practitioners and students are saying online... Definitely worth the purchase. "This is a guide which will stay with you during your whole nursing program...so do not rent you must buy it and think of it as a documentation bible!" --Barbie Great resource for NP/PA school. "Purchased this for my NP program. The book made writing SOAP notes and H&Ps very simple! Would recommend as a great resource" --Dr. Jon Love this! "Right down to it charting instructions and guidance. Even discusses codes and other factors of charting I had not taken into such deep account before. ... this book helped me understand how much more charting, other than SOAP's, must be completed for compliance standards. I feel this book is for just about everyone who is learning to chart as a reimbursable provider. --D. Conley
LC Classification Number
R697.P45
Item description from the seller
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