LearningGuide_EB_Module5

LearningGuide_EB_Module5 - Learning Guide for Documentation...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
Learning Guide for Documentation 1. What are the purposes of documentation? a. Communication: among health care team members to promote continuity of care b. Quality assurance: provides evidence that professional & agency standards have been incorporated into the client’s care. c. Legal Accountability: verifies the need for interventions, verify type of care given,; allow examination of progress toward expected outcomes. i. The chart is a legal document and protects the client, the nurse, and the health care agency d. Reimbursement: can determine 3 rd party payments i. e. Research: 2. What are the dos and don’ts of charting? a. DO be sure to know the agency policies and procedures about documentation. b. DO check the name in the chart before making an entry. c. DO chart brief, concise, and complete entries. Eliminate all unnecessary words.
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 09/13/2011 for the course RNSG 1105 taught by Professor Cooper during the Spring '11 term at Austin Community College.

Page1 / 2

LearningGuide_EB_Module5 - Learning Guide for Documentation...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online