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Documentation Course Introduction

Documentation Course Introduction

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Outline

Overview

Documentation can be hard!
1. What is covered in the Documenation Course?
  1. Introduction to the electronic medical records (EMR)
  2. Basic daily charting
  3. Shift change and patient hand-off
  4. Documentation of
    1. Provider phone calls
    2. Escalation of chain of command
    3. Medication errors
  5. Legalities of charting

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Transcript

Hey guys! Documentation is a huge part of our jobs as nurses! In the next slide I wanted to give you a glimpse into the different types of lessons that we cover in the documentation course!

In the documentation course we will take you through an introduction to the electronic medical record also known as the EMR, daily charting in its basic form but also the key points involved in documenting provider phone calls. We will also explain the importance of documenting at shift change. A very important lesson included in this course is the legalities of charting or in other words how we keep ourselves as nurses safe with our documentation. Finally, in the event of a medication error, we review what to chart and also in the event of the escalation of the chain of command.

We love you guys! Go out and be your best self today! And as always, Happy Nursing!

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Concepts Covered:

Study Plan Lessons

Chemistry Course Introduction

Communication Course Introduction

Community Health Course Introduction

Diagnostic Testing Course Introduction

Documentation Course Introduction

Emergency Nursing Course Introduction

Gastrointestinal (GI) Course Introduction

Health Assessment Course Introduction

Genitourinary Course Introduction

Hematology/Oncology/Immunology Course Introduction

Human Biology Course Introduction

Human Growth & Development Course Introduction

Integumentary (Skin) Course Introduction

Language Arts Course Introduction

Life Support Review Course Introduction

Medical Terminology Course Introduction

Metabolic/Endocrine Course Introduction

Musculoskeletal Course Introduction

Nursing Care Plans Course Introduction

Nursing Interviews & Resumes Course Introduction

Nursing Report & Communication Course Introduction

Nursing Skills Course Introduction

Perioperative Nursing Course Introduction

TEAS® Prep Course Introduction

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Hematology Module Intro

Hemoglobin and Myoglobin

Identifying Key Ideas & Details in Reading

Integumentary (Skin) Module Intro

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