This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Subscribe on iTunes , Android , or Stitcher The label of “penicillin allergic” usually sticks to a patient’s medicalrecord forever. The trouble is that many recorded allergies are actually intolerances, such as nausea, vomiting, and diarrhea. She experienced a rash to the nafcillin as an inpatient.
If I’m trying to determine whether venous thromboembolism prophylaxis is appropriate, it is much faster and accurate to see the sequential compression stockings (SCDs) on the patient’s legs than it is to search the medicalrecord for documentation that SCDs were applied.
If I’m trying to determine whether venous thromboembolism prophylaxis is appropriate, it is much faster and accurate to see the sequential compression stockings (SCDs) on the patient’s legs than it is to search the medicalrecord for documentation that SCDs were applied.
Documentation within the medicalrecord. If you like this post, check out my book – A Pharmacist’s Guide to InpatientMedical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <– This 3-step procedure includes: 1. Determination of indication 2.
It may be derived from work completed inthe microbiology lab, unitsdispensed from the pharmacy, administrations performed by nurses, expenditures produced from drug purchases, documentation within any area of the electronic medicalrecord, extraction from supplemental tools or data warehouses, and so much more.
Lawyers often need help understanding medicalrecords in preparation for a trial. Medical Transcriptionist Transcribing medicaldocuments is work you can do from anywhere at hours convenient for you. If you’re wanting to sharpen your medical coding skills, then this is a great role to consider.
Don’t get me wrong – I’m not suggesting that you don’t document necessary pieces of information in the medicalrecord, or that you don’t document your interventions. But for basic interventions like I just described, it makes the physician look good when they “fix up” orders based on your informal recommendations.
We organize all of the trending information in your field so you don't have to. Join 11,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content