Medical Documentation / 3.0 Online Hours

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Course Content

Purpose, Goals and Introduction

Purpose, Goals and Introduction

Nursing diagnoses, interventions, and outcomes

Health Insurance Portability and Accountability Act (HIPAA)

Vocabulary, Description and Advance charting

Timely charting, Writing and Making corrections

Correct forms, Physician orders and Time

Client identification, Signature, Allergies and sensitivities

Spelling/grammar/spelling, Omissions and Continued notes

Spaces, Late entries and Medication/treatment errors

Types of documentation P1

Types of documentation P2

Types of documentation P3

Summary and References

Exam

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Membership Annual

$40/Ye

By purchasing this subscription, you'll have full access to all of our continuing education courses. Immerse yourself in a comprehensive educational experience and take advantage of the opportunity to expand your knowledge in various areas. Your training journey starts here! ________________________________________________________________________________________________________________________________ Al adquirir esta suscripción, tendrás acceso completo a todos nuestros cursos de formación continua. Sumérgete en una experiencia educativa integral y aprovecha la oportunidad de ampliar tus conocimientos en diversas áreas. ¡Tu formación empieza aquí!

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Intermediate
Enrollment validity: 360 days
Certificate of completion

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DIVERSE TRAINING CENTER, was founded by Leysi Casanova on November 14, 2018, with the goal of helping the community of students seeking to prepare for their future.

Medical Documentation / 3.0 Online Hours

Course Content

Purpose, Goals and Introduction

Purpose, Goals and Introduction

Nursing diagnoses, interventions, and outcomes

Nursing diagnoses, interventions, and outcomes

Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Portability and Accountability Act (HIPAA), Charting guidelines and Nursing process

Vocabulary, Description and Advance charting

Vocabulary, Description and Advance charting

Timely charting, Writing and Making corrections

Timely charting, Writing and Making corrections

Correct forms, Physician orders and Time

Correct forms, Physician orders and Time

Client identification, Signature, Allergies and sensitivities

Client identification, Signature, Allergies and sensitivities

Spelling/grammar/spelling, Omissions and Continued notes

Spelling/grammar/spelling, Omissions and Continued notes

Spaces, Late entries and Medication/treatment errors

Spaces, Late entries and Medication/treatment errors

Types of documentation P1

Flow sheets, Narrative, Source-oriented and more

Types of documentation P2

SOAP, Problem oriented: PIE (problem, intervention, evaluation) and Focus (DAR)

Types of documentation P3

Charting by exception, Critical pathways and Computerized

Summary and References

Summary and References

Exam

Medical Record Documentation and legal aspects Exam

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