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2019 - Best Practices in Nursing Documentation: Writing Effective and Legal Proof Notes



VenueOnline Event, USA - United States USA - United States

KeywordsNursing documentation; Electronic health records; Nursing proof notes


Topics/Call fo Papers

Aspects of E.H.R and how it impacts documentation in positive and negative fashions
Time sequence of documentation ; it’s importance and how to enter related information after the event
Late entries ; why they happen and how to manage them
Signatures what their significance is and why a signature page or record is required to support your electronic signature
Co-signatures ; importance of correct use , how to modify an entry when co-signing documentation
Fact’s versus opinions; the significance of accuracy of reporting without interpretation of events
Need for response documentation ; what happened because of the treatment /action provided
Communication with MD’s /Families and other groups ; why it is essential to include in the medical record

Last modified: 2019-03-19 20:38:24