Guide to clinical documentation [electronic resource]
Debra D. Sullivan.
- 2nd ed.
- Philadelphia F.A. Davis Co. c2012.
- 1 online resource (xiv, 286 p.) ill. 28 cm.
Rev. ed. of: Documentation for physician assistants / Debra D. Sullivan, Lynnette J. Mattingly. c2004.
Includes bibliographical references (p. 277-282) and index.
Medicolegal principles of documentation -- The comprehensive history and physical examination -- Adult preventive care visits -- Pediatric preventive care visits -- SOAP notes -- Outpatient charting and communications -- Admitting a patient to the hospital -- Documenting daily rounds and other events -- Discharging patients from the hospital -- Prescription writing and electronic prescribing.
9780803629974 (online)
2011014762
101558028 DNLM
Physicians' assistants Medical Records--standards. Forms and Records Control--methods. Medical protocols. Medical Records