Description: About this productProduct InformationDevelop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions. This edition has been completely revised and upgraded with more in-depth coverage of documentation and its ramifications, more documentation samples to analyze and emulate, and even more learning tools.Product IdentifiersPublisherDavis Company, F. A.ISBN-100803625839ISBN-139780803625839eBay Product ID (ePID)109068471Product Key FeaturesAuthorDebra D. SullivanPublication NameGuide to Clinical DocumentationFormatTrade PaperbackLanguageEnglishPublication Year2011TypeTextbookNumber of Pages320 PagesDimensionsItem Length11inItem Height1inItem Width8inItem Weight26.5 OzAdditional Product FeaturesLc Classification NumberR697.P45s85 2012Edition DescriptionRevised Edition,New EditionEdition Number2Table of ContentMedicolegal Principles of Documentation The Comprehensive History and Physical Adult Preventative Care Visits Pediatric Preventative 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 Appendices Adult Prevention Care Timeline A Guide to Sexual History Taking Suggestions for Dictating Medical Records ISMP's List of Error-Prone Abbreviations, Symbols, and Dose Designations Worksheet Answer Key Bibliography IndexCopyright Date2012Target AudienceCollege AudienceTopicClinical Medicine, Medical History & Records, General, Allied Health Services / Medical Assistants, Nursing / GeneralLccn2011-014762Dewey Decimal651.5/04261Dewey Edition23IllustratedYesGenreMedical
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Edition: 2
Publish Year: 2011
Updated ISBN1: 0803666624
Updated ISBN2: 9780803666627
Book Title: Guide to Clinical Documentation
Number of Pages: 320 Pages
Language: English
Publication Name: Guide to Clinical Documentation
Publisher: Davis Company, F. A.
Subject: Clinical Medicine, Medical History & Records, General, Nursing / General, Allied Health Services / Medical Assistants
Item Height: 1 in
Publication Year: 2011
Type: Textbook
Item Weight: 26.5 Oz
Author: Debra D. Sullivan
Item Length: 11 in
Subject Area: Medical
Item Width: 8 in
Format: Trade Paperback
