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Patient history this please use black ink only quizlet
Which documentation guideline would the nurse use while documenting in the patient's records
A medical center uses all electronic charting and has no paper records
Which individual is responsible for completing a patient's initial admission nursing history
When using the SOAP format which statement will the nurse identify as the P statement
The nurse finds abnormal clinical signs and abnormal laboratory values in a patient
how can you ensure that a doctor can readily find the most recent information about a patient?
If unsure about how to abbreviate how would a nurse approach using abbreviations in documentation
