Documentation Basics

Documentation Basics Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of Documentation Basics book. This book definitely worth reading, it is an incredibly well-written.

Documentation Basics

Author : Mia L. Erickson,Becky McKnight
Publisher : SLACK Incorporated
Page : 190 pages
File Size : 42,7 Mb
Release : 2005
Category : Allied health personnel
ISBN : 1556426739

Get Book

Documentation Basics by Mia L. Erickson,Becky McKnight Pdf

Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. Necessary for both students and clinicians, Documentation Basics: A Guide for the Physical Therapist Assistant will teach and explain physical therapy documentation from A to Z. Documentation Basics: A Guide for the Physical Therapist Assistant covers all of the fundamentals for prospective physical therapist assistants preparing to work in the clinic or clinicians looking to refine and update their skills. Mia Erickson and Becky McKnight have also integrated throughout the text the APTA's Guide to PT Practice to provide up-to-date information on the topics integral for proper documentation. What's Inside: Overview of documentation Types of documentation Guidelines for documenting Overview of the PTA's role in patient/client management, from the patient's point of entry to discharge How to write progress notes How to use the PT's initial examinations, evaluations, and plan of care when writing progress notes Legal matters related to documentation Reimbursement basics and documentation requirements The text also contains a section titled "SOAP Notes Across the Curriculum," or SNAC. This section provides sample scenarios and practice opportunities for PTA students that can be used in a variety of courses throughout a PTA program. These include: Goniometry Range of motion exercises Wound care Stroke Spinal cord injury Amputation Enter the physical therapy profession confidently with Documentation Basics: A Guide for the Physical Therapist Assistant by your side.

Documentation Basics for the Physical Therapist Assistant

Author : Mia Erickson,Rebecca McKnight
Publisher : Taylor & Francis
Page : 256 pages
File Size : 52,6 Mb
Release : 2024-06-01
Category : Medical
ISBN : 9781040142127

Get Book

Documentation Basics for the Physical Therapist Assistant by Mia Erickson,Rebecca McKnight Pdf

Complete and accurate documentation is one of the most important skills for a physical therapist assistant to develop and use effectively. The new Third Edition of Documentation Basics for the Physical Therapist Assistant continues the path of teaching the student and clinician documentation from A to Z. Mia Erickson and Rebecca McKnight have updated this Third Edition to reflect changes in the ever-evolving profession. Newly addressed are the changes in documentation requirements for major payers, changes in the disablement models used, and the increasingly common use of electronic documentation in the physical therapy profession. Features inside the Third Edition: Readers are encouraged to think about disablement and disablement concepts when writing notes How to document impairments in body structure and function but more importantly activity limitations and participation restriction Descriptions of the differences in documentation methods using a computer vs paper chart Evidence tied to benefits and challenges of computerized documentation Documenting the rationale for treatment and the unique skills of the physical therapist assistant in patient management New inside the Third Edition: Incorporation of the International Classification of Functioning, Disability, and Health disablement model Chapter on electronic documentation Screenshot examples of the popular WebPT® electronic medical record platform Updated chapters on reimbursement and legal issues Additional examples for student practice included in each chapter Included with the text are online supplemental materials for faculty use in the classroom. Documentation Basics for the Physical Therapist Assistant, Third Edition is the perfect guide for all physical therapist assistant students and clinicians who want to update and refine their knowledge and skills in documentation.

Documentation Basics that Support Good Manufacturing Practices

Author : Carol DeSain
Publisher : Aster Publishing Corporation
Page : 88 pages
File Size : 48,9 Mb
Release : 1993-01-01
Category : Medical
ISBN : 0943330300

Get Book

Documentation Basics that Support Good Manufacturing Practices by Carol DeSain Pdf

The documentation system described in this text is designed to support Good Manufacturing Practices (GMP) in a medical manufacturing environment. However, the usefulness of the system can be extended to other areas of a corporation (development, clinicals, marketing, finance, as well as to many other unrelated, nonmedical industries). The principles & the decision making inherent in documentation system design remain the same, no matter what the product or business. The book describes the creation, use & control of the descriptive documents, data collection documents, numbering systems & data files that are appropriate for use in an industry subject to Good Manufacturing Practices. The text was written as a guideline for the individuals who must design the systems & work with them routinely. The descriptive documents presented in this book are designed to serve two purposes: to direction task-specific events & to educate the reader about the event in a manner that supports responsible decision making. It presents the major components of a GMP documentation system, gives examples of design, format & content, & explains how these components interact. $US42.95 plus shipping & tax where applicable. Call or write Advanstar Communications, Marketing Services; 7500 Old Oak Boulevard; Cleveland, OH 44130. 216-826-2839 or 800-598-6008.

Validation Compliance Biannual 1996-1997

Author : International Validation Forum
Publisher : CRC Press
Page : 860 pages
File Size : 40,5 Mb
Release : 1996-04-10
Category : Science
ISBN : 0824797469

Get Book

Validation Compliance Biannual 1996-1997 by International Validation Forum Pdf

This biannual offers detailed coverage of the regulations, requirements, and techniques for the validation of processes and systems used in regulated international industries. It addresses significant requirements for pharmaceutical, medical device, and biologic companies as well as environmental laboratories. It examines Good Manufacturing Principles (GMPs), Good Clinical Practices (GCPs), Good Laboratory Practices (GLPs), Good Automated Library Practices (GALPs), and others, and elucidates up-to-the-minute industry changes and international concerns.

The OTA’s Guide to Documentation

Author : Marie Morreale
Publisher : Taylor & Francis
Page : 354 pages
File Size : 51,8 Mb
Release : 2024-06-01
Category : Medical
ISBN : 9781040141939

Get Book

The OTA’s Guide to Documentation by Marie Morreale Pdf

The bestselling, newly updated occupational therapy assistant (OTA) textbook, The OTA’s Guide to Documentation: Writing SOAP Notes, Fifth Edition explains the critical skill of documentation while offering multiple opportunities for OTA students to practice documentation through learning activities, worksheets, and bonus videos. The Fifth Edition contains step-by-step instruction on occupational therapy documentation and the legal, ethical, and professional documentation standards required for clinical practice and reimbursement of services. Students and professors alike can expect the same easy-to-read format from previous editions to aid OTAs in learning the purpose and standards of documentation throughout all stages of the occupational therapy process and different areas of clinical practice. Essentials of documentation, reimbursement, and best practice are reflected in the many examples presented throughout the text. Worksheets and learning activities provide the reader with multiple opportunities to practice observation skills and clinical reasoning, learn documentation methods, create occupation-based goals, and develop a repertoire of professional language. Templates are provided to assist beginning OTA students in formatting occupation-based SOAP notes, and the task of documentation is broken down into smaller units to make learning easier. Other formats and methods of recording client care are also explained, such as the use of electronic health records and narrative notes. This text also presents an overview of the initial evaluation process delineating the roles of the OT and OTA and guidelines for implementing appropriate interventions. New in the Fifth Edition: Incorporation of the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition and other updated American Occupational Therapy Association documents Updated information to meet Medicare Part B and other third-party payer requirements Revised clinical terminology on par with current trends Added examples from emerging practice areas Expanded tables along with new worksheets and learning activities Included with the text are online supplemental materials for faculty use in the classroom, this includes: access to supplemental website worksheets, learning activities, and scenario-based videos to practice the documentation process.

Physical Therapy Documentation

Author : Mia Erickson,Ralph Utzman,Rebecca McKnight
Publisher : Taylor & Francis
Page : 259 pages
File Size : 41,5 Mb
Release : 2024-06-01
Category : Medical
ISBN : 9781040137024

Get Book

Physical Therapy Documentation by Mia Erickson,Ralph Utzman,Rebecca McKnight Pdf

Newly updated and revised, Physical Therapy Documentation: From Examination to Outcome, Third Edition provides physical therapy students, educators, and clinicians with essential information on documentation for contemporary physical therapy practice. Complete and accurate documentation is one of the most essential skills for physical therapists. In this text, authors Mia L. Erickson, Rebecca McKnight, and Ralph Utzman teach the knowledge and skills necessary for correct documentation of physical therapy services, provide guidance for readers in their ethical responsibility to quality record-keeping, and deliver the mechanics of note writing in a friendly, approachable tone. Featuring the most up-to-date information on proper documentation and using the International Classification of Functioning, Disabilities, and Health (ICF) model as a foundation for terminology, the Third Edition includes expanded examples across a variety of practice settings as well as new chapters on: Health informatics Electronic medical records Rules governing paper and electronic records Billing, coding, and outcomes measures Included with the text are online supplemental materials for faculty use in the classroom. An invaluable reference in keeping with basic documentation structure, Physical Therapy Documentation: From Examination to Outcome, Third Edition is a necessity for both new and seasoned physical therapy practitioners.

Ethical and Legal Issues for Imaging Professionals - E-Book

Author : Doreen M. Towsley-Cook,Terese A. Young
Publisher : Elsevier Health Sciences
Page : 320 pages
File Size : 54,5 Mb
Release : 2013-08-13
Category : Medical
ISBN : 9780323277761

Get Book

Ethical and Legal Issues for Imaging Professionals - E-Book by Doreen M. Towsley-Cook,Terese A. Young Pdf

This balanced examination of ethical and legal principles and issues provides vital information for radiography, ultrasound, nuclear medicine, and radiation professionals. By discussing the foundations of ethics for technologists, then entering into a discussion of applicable law, Ethical and Legal Issues for Imaging Professionals, 2nd Edition provides an approach that leads to a more successful style of personal risk management. With each chapter divided into two sections of ethical issues and legal issues, the content is easy to read and understand. Plus, learning activities and current event discussions help the readers learn and remember information so they can use it in real life. Imaging Scenarios spark classroom discussion and encourage students to apply what they have learned and develop critical thinking and problem solving skills. Review Questions at the end of each chapter allow students to test their retention of chapter content. Critical Thinking Questions and Activities helps students examine their personal responses to various situations and encourages them to expand on their knowledge of policies and procedures. Professional Profiles present a brief glimpse into how ethics and law impact the daily lives of professional imaging technologists. Margin Definitions and Glossary provide an easily accessible resource to understanding terminology. Learning Objectives and Chapter Outline focus the student on the most important content. Discussion of limited radiographers, health care literacy, HIPAA, employee rights, whistle blowing, and relevant new technologies include the most current information available to keep readers up-to-date on topics in their field. More relevant and up-to-date case studies keep readers current on situations they may face in the field. Expanded content on the history of ethics gives users a better understanding of ethics. Updated legal terminology provides the most current information on the ever-changing world of law. Bulleted key point summaries highlight important information from each chapter for easy review.

Writing Patient/Client Notes

Author : Ginge Kettenbach,Sarah Lynn Schlomer,Jill Fitzgerald
Publisher : F.A. Davis
Page : 295 pages
File Size : 46,5 Mb
Release : 2016-05-11
Category : Medical
ISBN : 9780803658462

Get Book

Writing Patient/Client Notes by Ginge Kettenbach,Sarah Lynn Schlomer,Jill Fitzgerald Pdf

Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.

Extreme Programming Refactored

Author : Don Rosenberg,Matt Stephens
Publisher : Apress
Page : 417 pages
File Size : 40,7 Mb
Release : 2008-01-01
Category : Computers
ISBN : 9781430208105

Get Book

Extreme Programming Refactored by Don Rosenberg,Matt Stephens Pdf

Stephens and Rosenberg examine XP in the context of existing methodologies and processes such as RUP, ICONIX, Spiral, RAD, DSDM, etc – and show how XP goals can be achieved using these existing processes.

Clinical Practice Guidelines for Midwifery & Women's Health

Author : Nell Tharpe
Publisher : Jones & Bartlett Learning
Page : 262 pages
File Size : 41,6 Mb
Release : 2004
Category : Health & Fitness
ISBN : 0970141734

Get Book

Clinical Practice Guidelines for Midwifery & Women's Health by Nell Tharpe Pdf

The 2004-2005 Clinical Practice Guidelines for Midwifery & Women's Health approach midwifery care from a clinical perspective for the midwife who practices in any setting. The Guidelines are designed to stimulate critical thinking while providing key resources for support of midwifery care.

Managed Care Success

Author : James W. Saxton,Thomas L. Leaman
Publisher : Jones & Bartlett Learning
Page : 328 pages
File Size : 50,8 Mb
Release : 1998
Category : Liability, Legal
ISBN : 0834210231

Get Book

Managed Care Success by James W. Saxton,Thomas L. Leaman Pdf

The number of malpractice claims And The severity of final judgments could explode under managed care. Physicians and managed care organizations are on a collision course with malpractice when patient expectations are at an all-time high, and pressures of efficiency are constantly increasing. Defensive medicine -- doing procedures or additional tests, To protect the provider will no longer work. Utilization controls will penalize you, and ultimately, limit your practice. So what's the solution? to be successful in this evolving health care environment, you've got to change with it. You've got to be informed, be prepared, and ready to coexist with it. That's precisely why you need Managed Care Success: Reducing Risk While Increasing Patient Satisfaction . You'll learn how to work with -- not against -- managed care.

EMS and the Law

Author : Jacob Hafter
Publisher : Jones & Bartlett Learning
Page : 136 pages
File Size : 55,5 Mb
Release : 2004
Category : Law
ISBN : 0763720682

Get Book

EMS and the Law by Jacob Hafter Pdf

This book covers a wide variety of legal issues facing EMS providers today.

API Design for C++

Author : Martin Reddy
Publisher : Elsevier
Page : 472 pages
File Size : 44,6 Mb
Release : 2011-03-14
Category : Computers
ISBN : 0123850045

Get Book

API Design for C++ by Martin Reddy Pdf

API Design for C++ provides a comprehensive discussion of Application Programming Interface (API) development, from initial design through implementation, testing, documentation, release, versioning, maintenance, and deprecation. It is the only book that teaches the strategies of C++ API development, including interface design, versioning, scripting, and plug-in extensibility. Drawing from the author's experience on large scale, collaborative software projects, the text offers practical techniques of API design that produce robust code for the long term. It presents patterns and practices that provide real value to individual developers as well as organizations. API Design for C++ explores often overlooked issues, both technical and non-technical, contributing to successful design decisions that product high quality, robust, and long-lived APIs. It focuses on various API styles and patterns that will allow you to produce elegant and durable libraries. A discussion on testing strategies concentrates on automated API testing techniques rather than attempting to include end-user application testing techniques such as GUI testing, system testing, or manual testing. Each concept is illustrated with extensive C++ code examples, and fully functional examples and working source code for experimentation are available online. This book will be helpful to new programmers who understand the fundamentals of C++ and who want to advance their design skills, as well as to senior engineers and software architects seeking to gain new expertise to complement their existing talents. Three specific groups of readers are targeted: practicing software engineers and architects, technical managers, and students and educators. The only book that teaches the strategies of C++ API development, including design, versioning, documentation, testing, scripting, and extensibility. Extensive code examples illustrate each concept, with fully functional examples and working source code for experimentation available online. Covers various API styles and patterns with a focus on practical and efficient designs for large-scale long-term projects.

Fundamentals of Tests and Measures for the Physical Therapist Assistant

Author : Stacie J. Fruth,Carol Fawcett
Publisher : Jones & Bartlett Learning
Page : 430 pages
File Size : 44,8 Mb
Release : 2019-01-15
Category : Medical
ISBN : 9781284147131

Get Book

Fundamentals of Tests and Measures for the Physical Therapist Assistant by Stacie J. Fruth,Carol Fawcett Pdf

Fundamentals of Tests and Measures for the Physical Therapist Assistant provides students with the tools required to interpret the physical therapy evaluation and replicate the measurements and tests. This text guides students in learning how to utilize case information and documentation furnished by the PT to assist in the follow-up treatment.

Legal First Aid

Author : Anthony DeWitt
Publisher : Jones & Bartlett Learning
Page : 353 pages
File Size : 49,7 Mb
Release : 2010-10-22
Category : Business & Economics
ISBN : 9780763758479

Get Book

Legal First Aid by Anthony DeWitt Pdf

Get the answers you need to questions such as: What can I discuss under HIPAA with the patient's family? What must I get permission to speak about from the patient? Who can make end-of-life decisions if there is no next-of-kin? When do I need to get a legal opinion? What do I say to a Board Investigator? Legal First Aid: A Guide for Health Care Professionals is a definitive quick reference for the clinician, providing the answers to legal question that relate to patient care. A concise and easy to understand text, this book provides solid advice on important legal issues, and includes a resou