Documentation for Physician Assistants
Students in medical professions need to develop skills in documenting patient care. This unique, straightforward "how-to" text and reference, written specifically for physician assistants (PAs), will teach them how to write SOAP notes, document patient care in the office and hospital settings, and write prescriptions.\ This book is basic enough for beginning students, yet useful enough for practicing professionals.\ "GREAT! Specifically addresed PA concerns with appropriate information.\...
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This textbook introduces the skills for documenting patient care. It specifically describes office and hospital charting procedures, and explains how to write SOAP notes and prescriptions. Real-life case studies illustrate the consequences of poor documentation. Perforated worksheets and reference cards review the key points for each chapter. The authors are affiliated with the physician assistant program at Midwestern University. Annotation ©2004 Book News, Inc., Portland, OR
Section 1: SOAP Notes\ 1. Subjective\ 2. Objective\ 3. Assessment\ 4. Plan\ Section 2: Office Charting\ 5. New Patients\ 6. The Office Visit\ 7. Pediatric Health Maintenance Visits\ 8. Adult Health Maintenance Visits\ Section 3: Hospital Charting\ 9. Admitting a Patient to the Hospital\ 10. Documenting Daily Rounds and Other Events\ 11. Discharging a Patient\ Section 4: Prescription Writing\ 12. Prescription Writing\ Worksheets\ Appendix A: Abbreviations\ Appendix B: Worksheet Answer Key
