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Documenting occupational therapy practice / Karen M. Sames, OTD, MBA, OTR/L, FAOTA, Associate Professor of Occupational Science and Occupational Theraphy, St. Catherine University, St. Paul, Minnesota.

By: Sames, Karen M [author.].
Boston : Pearson, 2015Edition: Third edition.Description: xx, 290 pages : illustrations ; 28 cm.ISBN: 9780133110494.Subject(s): Occupational Therapy -- organization & administration | Medical Records -- standardsGenre/Form: Print books.
Contents:
Buzzwords, jargon, and abbreviations -- Professional communication -- Buzzwords, jargon, and abbreviations -- The occupational therapy practice framework and important other -- Documents -- Impact of models and frames of reference -- Document with care: general tips for good documentation -- Ethical and legal considerations -- Confidentiality and records retention -- Fraud and abuse -- Plagiarism -- Clinical documentation -- Electronic health record -- Client identification: referral and screening -- Evaluation reports -- Goal writing -- Intervention plans -- Soap and other methods of documenting ongoing intervention -- Discharge summaries -- School system documentation -- Procedural safeguards: notice and consent forms -- Individualized family service plans -- Individualized education program -- Administrative documentation -- Incident reports -- Appeal letters -- Meeting minutes -- Grant writing -- Policies and procedures -- Job descriptions.
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Current location Call number Status Date due Barcode Item holds
On Shelf RM735.4 .S264 2015 (Browse shelf) Available AU0000000003237
Total holds: 0

Includes bibliographical references and index.

Buzzwords, jargon, and abbreviations -- Professional communication -- Buzzwords, jargon, and abbreviations -- The occupational therapy practice framework and important other -- Documents -- Impact of models and frames of reference -- Document with care: general tips for good documentation -- Ethical and legal considerations -- Confidentiality and records retention -- Fraud and abuse -- Plagiarism -- Clinical documentation -- Electronic health record -- Client identification: referral and screening -- Evaluation reports -- Goal writing -- Intervention plans -- Soap and other methods of documenting ongoing intervention -- Discharge summaries -- School system documentation -- Procedural safeguards: notice and consent forms -- Individualized family service plans -- Individualized education program -- Administrative documentation -- Incident reports -- Appeal letters -- Meeting minutes -- Grant writing -- Policies and procedures -- Job descriptions.

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