Guide to Clinical Documentation

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★★★★★ 4.4
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Published date August 16, 2018
Author Debra D. Sullivan PhD RN PA-C
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Description

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.

See what practitioners and students are saying online…

Definitely worth the purchase. “This is a guide which will stay with you during your whole nursing program...so do not rent you must buy it and think of it as a documentation bible!” —Barbie

Great resource for NP/PA school. “Purchased this for my NP program. The book made writing SOAP notes and H&Ps very simple! Would recommend as a great resource” —Dr. Jon

Love this! “Right down to it charting instructions and guidance. Even discusses codes and other factors of charting I had not taken into such deep account before. … this book helped me understand how much more charting, other than SOAP's, must be completed for compliance standards. I feel this book is for just about everyone who is learning to chart as a reimbursable provider. —D. Conley

Specifications

FormatEPUB, PDF
Pages416
LanguageEnglish
ISBN-13978-0803666627

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Reviews

4.4★★★★★ 536
5★84%4★11%3★3%2★1%1★1%
J Joana K. Verified
★★★★★The diagrams do the teachingSeeing the concept drawn before the notation appears changed everything for me.
M Marcus T. Verified
★★★★★A set text for my classThe problem sets are graded properly and the solutions are complete.
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