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Fpcc - Jacobs – Documentation Questions And Answers With Verified Solutions Latest Updated 2024
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Fpcc - Jacobs – Documentation Questions And Answers With Verified Solutions Latest Updated 2024
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Fpcc - Jacobs – DocumentationQuestions And Answers With Verified
Solutions Latest Updated 2024
Documentation - ANSWER✔✔ Act of recording patient status/care in written or
electronic form (or both)
Synonyms of "documenting" - ANSWER✔✔ Recording
Charting
Eight purposes for maintaining the client's health record - ANSWER✔✔
Communication
Continuity of Care
Quality improvements
Planning/Evaluation of patient outcomes
Legal Documentation
Professional standards of care (maintenance and development)
Reimbursement & Utilization (of money) Reviews
Education & Research
Advantages of Electronic Health Records - ANSWER✔✔ Enhanced
communication/collaboration
Improved access to information
Saves time
Improved quality of care
Privacy
, Advantages of Paper Health Records - ANSWER✔✔ Familiar format
No "downtime"
Inexpensive
Admission form - ANSWER✔✔ Benchmark
Information of the client's support system
Critical information
Discharge Form - ANSWER✔✔ Last Entry
Started electronically during any point
What patient will need when they are discharged
Flow sheet/graphic forms - ANSWER✔✔ Visual of what trends are
Checklist forms - ANSWER✔✔ Checking off specific options
MAR (Medication Administration Record) - ANSWER✔✔ What has been
prescribed
Inpatient also tracks administration
Kardex - ANSWER✔✔ In the past, first place to look for quick info on client's care
Not permanent part of patient's health record
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