Guide to Clinical Documentation

Master the Art of Patient Care Documentation

Understand the when, why, and how! This essential guide is designed to help you develop the skills needed to tackle the increasingly complex challenges of documenting patient care. With a clear, step-by-step approach, you’ll learn how to:

• Write effective SOAP notes
• Document patient care in both office and hospital settings
• Write accurate prescriptions

This book is filled with a wealth of examples, exercises, and clear instructions that make every concept easy to grasp and apply in real-world scenarios.

What Practitioners and Students Are Saying

Don’t just take our word for it! Here’s what users are saying about this invaluable resource:

“Definitely worth the purchase. This is a guide which will stay with you during your whole nursing program…so do not rent, you must buy it and think of it as a documentation bible!” — Barbie

“Great resource for NP/PA school. Purchased this for my NP program. The book made writing SOAP notes and H&Ps very simple! Would recommend as a great resource.” — Dr. Jon

“Love this! Right down to it charting instructions and guidance. Even discusses codes and other factors of charting I had not taken into

 

Authors:
Debra D. Sullivan (Author)
Edition:
Third
Publication Date:
August 16, 2018
From the book: