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  2. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. It contains information in accordance with the steps of the nursing process. Nursing documentation is the principal clinical information source to meet legal ...

  3. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.

  4. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    Physicians are generally required to generate at least one progress note for each patient encounter. Physician documentation is then usually included in the patient's chart and used for medical, legal, and billing purposes. Nurses are required to generate progress notes on a more frequent basis, depending on the level of care and may be ...

  5. Case report form - Wikipedia

    en.wikipedia.org/wiki/Case_report_form

    A case report form (or CRF) is a paper or electronic questionnaire specifically used in clinical trial research. [1] The case report form is the tool used by the sponsor of the clinical trial to collect data from each participating patient.

  6. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    Within the medical record, individual medical encounters are marked by discrete summations of a patient's medical history by a physician, nurse practitioner, or physician assistant and can take several forms. Hospital admission documentation (i.e., when a patient requires hospitalization) or consultation by a specialist often take an exhaustive ...

  7. What Is Wild Rice? It's Probably Not What You Think - AOL

    www.aol.com/wild-rice-probably-not-think...

    Wild rice is a hearty ingredient that makes an excellent side dish in colder weather. But what is it exactly? You may be surprised to learn the difference.

  8. Childish Gambino Cancels Australia and New Zealand Tour as ...

    www.aol.com/childish-gambino-cancels-australia...

    Donald Glover has canceled his Australia and New Zealand tour as his "recovery" from surgery is "taking longer than expected.". Per ABC's triple J, the rapper/singer/actor, 41, sent a statement to ...

  9. Hoda Kotb Recalls Body Shaming from Former Boss and Being ...

    www.aol.com/hoda-kotb-recalls-body-shaming...

    Hoda Kotb is reflecting on the moment a former boss body shamed her.. On the Dec. 2 episode of Today with Hoda & Jenna, the 60-year-old discussed Timothée Chalamet’s starring role in the ...

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