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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charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
[1] [2] Documenting patient encounters in the medical record is an integral part of practice workflow starting with appointment scheduling, patient check-in and exam, documentation of notes, check-out, rescheduling, and medical billing. [3] Additionally, it serves as a general cognitive framework for physicians to follow as they assess their ...
Discuss medication schedules and responsibilities with family members in advance Assign specific tasks, such as refilling prescriptions or administering doses, to ensure everyone is on the same page
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They are the repository of medical facts and clinical thinking, and are intended to be a concise vehicle of communication about a patient’s condition to those who access the health record. The majority of the medical record consists of progress notes documenting the care delivered and the clinical events relevant to diagnosis and treatment ...
Abbreviation Meaning q: each, every (from Latin quaque) : q15: every 15 minutes q6h q6° once every 6 hours q2wk: once every 2 weeks qAc Before every meal (from Latin quaque ante cibum)