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Documentation and Informatics: In a Nutshell (Nursing)
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Slides Documentation.pdf
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Review Sheet Medical Records Dos Don'ts Nursing.pdf
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Review Sheet Electronic Medical Record Nursing.pdf
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Reference List Fundamentals of Nursing Theory Nursing.pdf
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Download Lecture Overview
00:01 So let's wrap up the key points of documentation and informatics. 00:06 So remember to maintain patient confidentiality in observing HIPAA or ethical and legal responsibilities of the professional nurse. 00:16 We've got to remember with our documentation, keep it factual, accurate, complete, current and organized. 00:25 The EHR has allowed healthcare professionals to provide more collaboration and efficient care. 00:32 Thank you for listening today.
About the Lecture
The lecture Documentation and Informatics: In a Nutshell (Nursing) by Samantha Rhea, MSN, RN is from the course Patient Education, Documentation and Informatics (Nursing).
Included Quiz Questions
What are the characteristics of appropriate documentation within the medical record? Select all that apply.
- Accurate
- Complete
- Current
- Subjective
- Random
Author of lecture Documentation and Informatics: In a Nutshell (Nursing)
Samantha Rhea, MSN, RN
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