Complete Guide To Documentation
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Complete Guide To Documentation
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Author : Lippincott Williams & Wilkins
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2008
Complete Guide To Documentation written by Lippincott Williams & Wilkins and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
Complete Guide To Documentation
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Author : LIPPINCOTT
language : en
Publisher:
Release Date : 2012-05-01
Complete Guide To Documentation written by LIPPINCOTT and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-05-01 with Medical categories.
Everything the nurse needs to know to make documenting patient care better, faster, safer, comprehensive, yet concise. Clear, practical documentation guidelines for all current documentation systems, including electronic medical records EMRs and all practice settings. Hundreds of filled-in sample forms and examples show specific content and wording, legal and ethical dos and donts.
Guide To Clinical Documentation
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Author : Debra Sullivan
language : en
Publisher: F.A. Davis
Release Date : 2011-12-22
Guide To Clinical Documentation written by Debra Sullivan and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-12-22 with Medical categories.
Develop 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.
Guide To Clinical Documentation
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Author : Debra D Sullivan
language : en
Publisher: F.A. Davis
Release Date : 2018-07-25
Guide To Clinical Documentation written by Debra D Sullivan and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-25 with Medical categories.
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.
Documentation Practices
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Author : Carol DeSain
language : en
Publisher:
Release Date : 1996
Documentation Practices written by Carol DeSain and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with categories.
Documentation Practices demystifies the documentation process and provides an accurate and meaningful understanding of manual document management requiremenst for FDA, GMP, QSR, ISO 13485 regulated medical product industries.
A Guide To Documenting Learning
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Author : Silvia Rosenthal Tolisano
language : en
Publisher: Corwin Press
Release Date : 2018-01-06
A Guide To Documenting Learning written by Silvia Rosenthal Tolisano and has been published by Corwin Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-06 with Education categories.
A new approach to contemporary documentation and learning What is learning? How do we look for, capture, reflect on, and share learning to foster meaningful and active engagement? This vital resource helps educators answer these questions. A Guide to Documenting Learning facilitates student-driven learning and helps teachers reflect on their own learning and classroom practice. This unique how-to book Explains the purposes and different types of documentation Teaches different “LearningFlow” systems to help educators integrate documentation throughout the curriculum Provides authentic examples of documentation in real classrooms Is accompanied by a robust companion website where readers can find even more documentation examples and video tutorials
Clinical Documentation Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-03-12
Clinical Documentation Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-12 with Medical categories.
It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.
Documentation Practices
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Author : Carol DeSain
language : en
Publisher: Advanstar Marketing Services
Release Date : 1996-01-01
Documentation Practices written by Carol DeSain and has been published by Advanstar Marketing Services this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996-01-01 with Medical instruments and apparatus categories.
Complete Guide To Loan Documentation
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Author : Peter S. Clarke
language : en
Publisher: Prentice Hall
Release Date : 1986
Complete Guide To Loan Documentation written by Peter S. Clarke and has been published by Prentice Hall this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Business & Economics categories.
Docbook 5 The Definitive Guide
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Author : Norman Walsh
language : en
Publisher: "O'Reilly Media, Inc."
Release Date : 2010-04-20
Docbook 5 The Definitive Guide written by Norman Walsh and has been published by "O'Reilly Media, Inc." this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-04-20 with Computers categories.
If you need a reliable tool for technical documentation, this clear and concise reference will help you take advantage of DocBook, the popular XML schema originally developed to document computer and hardware projects. DocBook 5.0 has been expanded and simplified to address documentation needs in other fields, and it's quickly becoming the tool of choice for many content providers. DocBook 5: The Definitive Guide is the complete, official documentation of DocBook 5.0. You'll find everything you need to know to use DocBook 5.0's features-including its improved content model-whether you're new to DocBook or an experienced user of previous versions. Learn how to write DocBook XML documents Understand DocBook 5.0's elements and attributes, and how they fit together Determine whether your documents conform to the DocBook schema Learn about options for publishing DocBook to various output formats Customize the DocBook schema to meet your needs Get additional information about DocBook editing and processing