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Discuss the importance of establishing a facility policy and procedure on the appropriate use of abbreviations in medical document filed in a patient’s record. Describe issues that can arise if health information management professionals are not properly trained in the documentation of medical records. Your response must be at least 200 words in length
July 18, 2018Discuss the process you would apply to determine whether the procedure falls within the Registered Nurse scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses.
July 18, 2018Was the physical assessment complete and correct? (Did the provider listen to your lung sounds through clothing?)
