Guide to clinical documentation / Debra D. Sullivan, PhD, RN, PA-C, Lead Advanced Practice Provider, Academic Urology and Urogynecology of Arizona, Litchfield Park, AZ, Owner, Sullivan Consulting Services, Medicolegal Consulting, Glendale, AZ.
By: Sullivan, Debra D [author.].
Publisher: Philadelphia : F.A. Davis Company, ©2019Edition: Third edition.Description: xxi, 393 pages : illustrations ; 28 cm.Content type: text Media type: unmediated Carrier type: volumeISBN: 9780803666627 (pbk.).Subject(s): Physicians' assistants | Medical records | Medical protocols | Forms and Records Control -- methods | Medical Records -- standardsGenre/Form: Print books.| Current location | Call number | Status | Date due | Barcode | Item holds |
|---|---|---|---|---|---|
| On Shelf | R697.P45 S85 2019 (Browse shelf) | Available | AU00000000018029 |
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| R697.P45 C56 2021 Essential clinical procedures / | R697 .P45 P488 2013 Introduction to research and medical literature for health professionals / | R697.P45 S85 2012 Guide to clinical documentation / | R697.P45 S85 2019 Guide to clinical documentation / | R699 .N63 2012 Nobel prizes that changed medicine / | R702 .N63 2017 From anesthesia to X-rays : innovations and discoveries that changed medicine forever / | R702 .P48 2016 Bacteria and bayonets : the impact of disease in American military history / |
Includes bibliographical references (pages 377-385) and index.
Medicolegal principles of documentation -- The comprehensive history and physical examination -- SOAP notes -- Prenatal care visits and newborn physical examination -- Pediatric preventive care visits -- Adult preventive care visits -- Older adult visits -- Outpatient charting and communication -- Prescription writing and electronic prescribing -- Admitting a patient to the hospital -- Documenting inpatient care -- Discharging patients from the hospital.