Guide to Clinical Documentation 3rd Edition by Debra D Sullivan.pdf

GUIDE TO Clinical Documentation Debra D. Sullivan, PhD, RN, PA-C Lead Advanced Practice Provider Academic Urology and Urogynecology of Arizona Litchfield Park, AZ Owner, Sullivan Consulting Services Medicolegal Consulting Glendale, AZ F. A. Davis Company 1915 Arch Street Philadelphia, PA 19103 Copyright © 2019 by F. A. Davis Company Copyright © 2019 by F. A. Davis Company. All rights reserved. This product is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Senior Acquisitions Editor: Melissa A. Duffield Director of Content Development: George W. Lang Developmental Editor: Stephanie Kelly Art and Design Manager: Carolyn O’Brien Content Project Manager: Megan Suermann As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Names: Sullivan, Debra D., author. Title: Guide to clinical documentation/Debra D. Sullivan. Description: Third edition. | Philadelphia: F.A. Davis Company, [2019] | Includes bibliographical references and index. Identifiers: LCCN 2 (print) | LCCN 8 (ebook) | ISBN 9994 | ISBN 6627 (pbk.) Subjects: | MESH: Forms and Records Control--methods | Medical Records--standards Classification: LCC R697.P45 (ebook) | LCC R697.P45 (print) | NLM W 80 | DDC 651.5/04261--dc23 LC record available at Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is: 978-0-8036-6662-7/18 0 + $.25.