Precise documentation skills are important in defending a healthcare provider. As a nurse practition. Question
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Precise documentation skills are important in defending a healthcare provider. As a nurse practitioner (NP), critical to your documentation should be the skills of documenting only that which is clinically relevant information and of documenting in an objective form.
Clinically relevant information is information that another healthcare provider needs to provide care for purposes of continuity. Other key documentation skills are putting a date on each page, legible writing, recording the time of entry, using approved abbreviations, and making late or supplemental entries timely and correctly.
Let’s suppose you found a patient in your clinic lying on the floor; however, you did not witness what caused the patient to be on the floor. How would you document this incident from a legal perspective?
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SCIENCE
HEALTH SCIENCE
NURSING
NR 506
Precise documentation skills are important in defending a healthcare provider. As a nurse practition
