CNA TestPrep : CNA - Medical Records/Charting 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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