TY  - BOOK
AU  - Sullivan,Debra D.
AU  - Sullivan,Debra D.
TI  - Guide to clinical documentation
SN  - 9780803629974 (electronic bk.)
AV  - R697 .P45 S85 2012eb
U1  - 651.5/04261 22
PY  - 2012///
CY  - Philadelphia
PB  - F.A. Davis Co.
KW  - Physicians' assistants
KW  - Medical records
KW  - Medical protocols
KW  - Forms and Records Control
KW  - methods
KW  - Medical Records
KW  - standards
KW  - MEDICAL / Medical History & Records
KW  - bisacsh
KW  - Electronic books
N1  - 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
N2  - Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions
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ER  -