Question

Chart analysis- instruction- select any four items and explain the importance of analyzing the item. Admission...

Chart analysis- instruction- select any four items and explain the importance of analyzing the item.

Admission Diagnosis

Final Diagnosis

Are the Progress notes legible? Summarize one note

Operative Report
Post op Diagnosis
List the procedure

Doctor’s orders

Signed/dated/timed???


List and review two lab results-
Are the results low or high?

Review the final nursing notes
Discharge instructions given to the patient?
List an example

Review the H&P
List Past Medical conditions/illness/diseases

Clinical Impression???

Discharge Disposition

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