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Certified Nursing Assistant Quizzes
> CNA TestPrep : CNA - Medical Records/Charting Quiz
CNA TestPrep : CNA - Medical Records/Charting Quiz
Quiz
*Theme/Title:
CNA - Medical Records/Charting
* Description/Instructions
When a patient is admitted to the hospital or any healthcare facility a medical record is established. A medical record is the place that all disciplines document and the collective place that information can be located about a patient's demographics, history, current complaints, illnesses, treatment and response to treatment. It includes documentation from the attending physician, consulted practitioners, nursing, therapy (Speech/OT/PT), the social worker, dietician, laboratory and any other professional involved in the care of the patient. It serves as a confidential and legal document and there are policies and procedures for documenting within the medical record.
Group:
Certified Nursing Assistant
Certified Nursing Assistant Quizzes
Topic:
CNA TestPrep
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