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Medical-surgical nursing. Medical-surgical nursing is a nursing specialty area concerned with the care of adult patients in a broad range of settings. Traditionally, medical-surgical nursing was an entry-level position that most nurses viewed as a stepping stone to specialty areas. Medical-surgical nursing is the largest group of professionals ...
Medical-surgical nursing certification (and recertification) is offered by the Medical-Surgical Nursing Certification Board, an organization based in the United States that exists to establish credentialing mechanisms for validating proficiency in medical-surgical nursing. The Medical-Surgical Nursing Certification Board was founded by and is a ...
The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1] [2] Documenting patient encounters in the medical record is an integral part of practice workflow ...
A written record of the history, treatment, care, and response of the client while under the care of a health care provider. A guide for reimbursement of care costs. Evidence of care in a court of law. A legal record that can be used as evidence of events that occurred or treatments given. Show the use of the nursing process.
The Journal notes, however, the insurer, a unit of UnitedHealth Group, would have benefited from the nurse’s diagnosis, as Medicare pays insurers more for sicker patients — up to around $2,700 ...
The medical history, case history, or anamnesis (from Greek: ἀνά, aná, "open", and μνήσις, mnesis, "memory") of a patient is a set of information the physicians collect over medical interviews. It involves the patient, and eventually people close to them, so to collect reliable/objective information for managing the medical diagnosis ...
Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. Nurses' postnominal letters (abbreviations listed after the name) reflect their credentials—that is, their achievements in nursing education , licensure , certification , and fellowship .
A kardex (plural kardexes) is a genericised trademark for a medication administration record. [2] The term is common in Ireland and the United Kingdom.In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...