Автор:Joan Richards, James Keogh Год: 2008 Издание: [не указанo] Страниц: 189 ISBN: 0071498486 The CLEAR and ACCURATE way to navigate MEDICAL CHARTINGTrying to chart a course through the complex task of keeping patient records? Here's your lifeline! Medical Charting Demystified gives you the tools you need to prepare and update both computerized and written charts.You'll learn about chart components, what to write in a chart, and how to correct errors. Medical Charting Demystified covers entering vital signs, assessments, test results, medications, procedures, patient care plans, and more. Details on the legal aspects of medical charting, including confidentiality, HIPAA, malpractice, and informed consent, are also included. Hundreds of examples and illustrations make it easy to understand the material, and end-of-chapter quizzes and a final exam help reinforce learning.This fast and easy guide offers: Coverage of the five common charting systems--narrative, problem-oriented, problem-intervention-evaluation, FOCUS, and charting by exceptionDetails on the MAR and the KARDEXAn...
