Guide to Clinical Documentation 3rd Edition Sullivan Test Bank

1. Medicolegal Principles of Documentation
2. The Comprehensive History and Physical Examination
3. SOAP Notes

II. Documentation Related to Outpatient Care
4. Documenting Prenatal Care and Visits and Newborn Physical Examination
Perinatal Events
5. Pediatric Preventive Care Visits
6. Adult Preventive Care Visits
7. Older Adult Preventative Care Visits
8. Outpatient Charting and Communication
9. Prescription Writing and Electronic Prescribing

III. Documentation Related to Inpatient Care
10. Admitting a Patient to the Hospital
11. Documenting Inpatient Care
12. Discharging Patients from the Hospital