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    Medical records

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    Identify 4 requirements for documenting each of the following:

    a patient's pain assessment and treatment
    medication administration
    verbal telephone orders

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    Four requirements for a patient's pain assessment and treatment:
    Medical documents need to include subjective complaints of pain by a patient as well as an obejctive treatment plan for the pain.
    Any medical history citing a patient's previous experience with the same or similar pain should be noted in a patient's records.
    Once treatment begins a patient's medical records need ...

    Solution Summary

    This solution discusses the requirments for documenting different sections of medical records.