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Guide to Clinical Documentation Debra D. Sullivan

Guide to Clinical Documentation By Debra D. Sullivan

Guide to Clinical Documentation by Debra D. Sullivan


$69.59
Condition - Very Good
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Summary

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.

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Guide to Clinical Documentation Summary

Guide to Clinical Documentation by Debra D. Sullivan

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

Table of Contents

  • 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. Prenatal Care Visits and Newborn Physical Examination
  • 5. Pediatric Preventive Care Visits
  • 6. Adult Preventive Care Visits
  • 7. Older Adult 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

    Additional information

    CIN0803666624VG
    9780803666627
    0803666624
    Guide to Clinical Documentation by Debra D. Sullivan
    Used - Very Good
    Paperback
    F.A. Davis Company
    20180816
    416
    N/A
    Book picture is for illustrative purposes only, actual binding, cover or edition may vary.
    This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in very good condition, but if you are not entirely satisfied please get in touch with us

    Customer Reviews - Guide to Clinical Documentation