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NC-CLEX Forum » NC-CLEX Training Modules » Charting and Documentation Simple,Solid,Suplemental, Systematic, Scientific, Selective, Sharp and Situational (2 DAYS) » Module (Breakdown Structure)

Module (Breakdown Structure)

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1Module (Breakdown Structure) Empty Module (Breakdown Structure) Mon Jul 06, 2009 9:13 pm

Admin

Admin
Admin
Admin

Reflections of the Assessment
Findings to Charting

3 C's of Charting - Clarity, Conciseness and Consistency
Basic of Charting - Nurse Practice Acts/Accreditation
(JCAHO) Federal Guidelines (PRO/CQI/OBRA)
Reimbursement - DRG/CQI
Legal Considerations (Malpractice/Negligence)
Ethical - Advance Directives/Living Will
Formats of Charting - Narrative/POMR/SOAP/
SOAPIE/SOAPIER PIE/FACT/CBE - Charting by
Exception
Hazards of Charting

Assessment/IV and Treatment Chartings
Special Charting
(Neurological/Mechanical Ventilator)
Use of Flow Sheets
Transcribing order to MAR, KARDEX, CARE PLANS
Computerized/Automated Charting
General Validation/Evaluation

Face the Reality/Reporting Mechanism

http://ncclex.com

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NC-CLEX Forum » NC-CLEX Training Modules » Charting and Documentation Simple,Solid,Suplemental, Systematic, Scientific, Selective, Sharp and Situational (2 DAYS) » Module (Breakdown Structure)

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