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GOVERNMENT OF GUAM EMPLOYMENT APPLICATION GENERAL INSTRUCTIONS INFORMATION SUBMITTING YOUR APPLICATION Complete this application by printing in black/blue ink or typing. If additional space is needed continue on item 12 or a separate sheet s may be attached* If you wish to submit a RESUME your resume must contain all of the required information under item 11 Work Experience Section for each work described* Resumes not in compliance may be considered incomplete. WE WILL ONLY ACCEPT APPLICATIONS ...
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Documentation communicates the what, why, and how of clinical care delivered to patients. These records allow other clinicians to understand the patient's history so they can continue to provide the best possible treatment for each individual.
Here are the ten components of a medical record, along with their descriptions: Identification Information. ... Medical History. ... Medication Information. ... Family History. ... Treatment History. ... Medical Directives. ... Lab results. ... Consent Forms.
Basics of history taking Chief concern (CC) History of present illness (HPI) Past medical history (PMH) including preexisting illnesses, medication history, and allergies. Family history (FH) Social history (SH) Review of systems (ROS)
What are medical charts? The complete record that contains all clinical data and health record of a patient, medical chart includes demographics, diagnoses, vital signs, treatment plans, medications, problems, progress notes, allergies, immunization details, lab results, and radiology images.
Clinical documentation for hospitals is very important. It is defined as the creation of a digital record that details a medical treatment, clinical test, or medical trial. Clinical documents must be timely, accurate, and outline the specific services that were provided to a patient.

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Medical aid card and ID. Comfortable clothing, slippers and a gown. Toiletries: toothbrush, toothpaste, shampoo, soap, moisturiser, deodorant and lip balm. Cell phone and cell phone charger.
Nursing documentation is essential for good clinical communication. Appropriate documentation provides an accurate reflection of nursing assessments, changes in clinical state, care provided and pertinent patient information to support the multidisciplinary team to deliver great care.
There are three types of medical records commonly used by patients and doctors: Personal health record (PHR) Electronic medical record (EMR) Electronic health record (EHR)
Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. It contains information in accordance with the steps of the nursing process.
The List of Document Types in Records Descriptions Correspondence. Complaints. Annual reports. Investigative reports. Legislative reports. Grant applications. Laboratory reports. Grant decision letters.

Related links

Electronic health records in the United States - Wikipedia

Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records.

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Your Medical Records | HHS.gov

Only you or your personal representative has the right to access your records. A health care provider or health plan may send copies of your records to another ...

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Important Documents - Hospital Stay - Patients & Families

We recommend that you download and print out the New York Health Care Proxy form before your stay at Strong Memorial Hospital. Learn more about Assigning a ...

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