Ep031 Enter Computer Documentation Accurately, Completely and in a Timely Manner

Ep031 Enter Computer Documentation Accurately, Completely and in a Timely Manner

Apply knowledge of facility regulations when accessing patient charts
Ideal to do chart and enter orders in real time, however this is not always possible
Important to document in real time or as close to real time as possible because the longer the time in between the action (an assessment . . .