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Overview
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.
Debra D Sullivan (Author)
Lead Advanced Practice Provider
Academic Urology and Urogynecology of Arizona
Litchfield Park, AZ
Owner, Sullivan Consulting Services
Medicolegal Consulting
Glendale, AZ
Table of Contents
Below is the complete table of contents offered inside Guide to Clinical Documentation 3rd Edition PDF:
Part 1: Foundations of Documentation
Chapter 1 Medicolegal Principles of Documentation
Chapter 2 The Comprehensive History and Physical Examination
Chapter 3 SOAP Notes
Part II: Documentation Related to Outpatient Care
Chapter 4 Documenting Prenatal Care and Perinatal Events
Chapter 5 Pediatric Preventive Care Visits
Chapter 6 Adult Preventive Care Visits
Chapter 7 Older Adult Preventive Care Visits
Chapter 8 Outpatient Charting and Communication
Chapter 9 Prescription Writing and Electronic Prescribing
Part III: Documentation Related to Inpatient Care
Chapter 10 Admitting a Patient to the Hospital
Chapter 11 Documenting Inpatient Care
Chapter 12 Discharging Patients from the Hospital
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Product Details
Below are the technical specifications of Guide to Clinical Documentation 3rd Edition PDF:
- Book Name : Guide to Clinical Documentation
- Edition : 3rd Edition | | ISBN: 0803666624
- Author Name : Debra D Sullivan
- Category : Medical
- Format / Pages : PDF – 417 Pages
Guide to Clinical Documentation 3rd Edition PDF Free Download
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