If it Wasn’t Documented, It Wasn’t Done! Documentation Woes! Part 2

http://www.wcei.net . Cindy Broadus RN discusses Defensive Documentation.

The medical record is considered to be the most reliable source for determining what happened. It is a legal document, yet not always treated as such. With litigation lurking around the corner for every healthcare professional, we, as Wound Care Certified professionals, need to make sure our documentation is complete, concise and correct. Come on it and let’s talk about correct terms, techniques, and steps it will take to keep you out of trouble.

For more information about becoming Wound Care Certified, please visit http://www.wcei.net

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