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What Is Charting

What Is Charting - While it tracks patients' medical history, progress, and care needs, it also communicates to other healthcare professionals your. Charting in nursing is the systematic documentation of a patient’s medical history, care provided, observations, interventions, responses, and any other important information. Nurse charting creates a documented medical record of services provided to a patient, including procedures performed, medications given, diagnostic test results, and. Charting is an integral part of nurses' daily tasks. Medical charting, also known as medical record documentation, is an essential aspect of healthcare that involves recording and maintaining accurate and detailed information regarding. Charting should include assessment, intervention, and patient response. Charting is documentation of medical services, patient status, and more. This record captures vital information that is essential for healthcare providers to. Here’s a refresher on what and how to chart as a nurse, as well as tips for avoiding some of the most common documentation mistakes. Be precise with your notation.

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