MOMENTAN AUSVERKAUFT
Über dieses Produkt
Product Identifiers
PublisherDavis Company, F. A.
ISBN-100803666624
ISBN-139780803666627
eBay Product ID (ePID)240043686
Product Key Features
Number of Pages416 Pages
LanguageEnglish
Publication NameGuide to Clinical Documentation
SubjectClinical Medicine, Medical History & Records, General, Nursing / General, Allied Health Services / Medical Assistants
Publication Year2018
TypeTextbook
Subject AreaMedical
AuthorDebra D. Sullivan
FormatTrade Paperback
Dimensions
Item Height0.8 in
Item Weight2.1 Oz
Item Length11 in
Item Width8.5 in
Additional Product Features
Edition Number3
Intended AudienceCollege Audience
LCCN2018-019472
Dewey Edition23
IllustratedYes
Dewey Decimal651.5/04261
Edition DescriptionRevised edition,New Edition
Table Of ContentI. 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
SynopsisLearning 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., 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., 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 NumberR697.P45
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