Discuss the interconnectivity of the patient care plan, documentation, progress notes, HIPAA regulations, the medical record and the day-to-day operation of the health care facility.
Every part of the patient record should interact leaving no gaps in the care of the patient. When a patient enters a healthcare unit, the nurse begins with an assessment. With this information, he or she develops the plan of care. This is the guide by which all care is given throughout the stay for the patient. As activities occur, the nurse, technician, nurse's aide or physician writes or types in notes for everything that happens at the time of the activity. This is the documentation ...
The expert discusses the inter-connectivity of patient care plan, documentation, progress notes, HIPAA regulations and the medical records are examined.