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2. Nursing documentation - Wikipedia

   en.wikipedia.org/wiki/Nursing_documentation

   Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. It contains information in accordance with the steps of the nursing process. Nursing documentation is the principal clinical information source to meet legal ...

3. Clinical Care Classification System - Wikipedia

   en.wikipedia.org/wiki/Clinical_Care...

   The significance of the CCC is a nursing terminology that completes the missing link needed to address nursing contribution to healthcare quality. Nursing care may be the most critical factor in a patient's treatment and recovery. [31] The partnership of nursing and technology is vital for designing nursing practice environments. [32]

4. Linda Richards - Wikipedia

   en.wikipedia.org/wiki/Linda_Richards

   Linda Richards (July 27, 1841 – April 16, 1930) was the first professionally trained American nurse. [1] She established nursing training programs in the United States and Japan, and created the first system for keeping individual medical records for hospitalized patients.

5. Nursing care plan - Wikipedia

   en.wikipedia.org/wiki/Nursing_care_plan

   A nursing care plan promotes documentation and is used for reimbursement purposes such as Medicare and Medicaid. The therapeutic nursing plan is a tool and a legal document that contains priority problems or needs specific to the patient and the nursing directives linked to the problems. It shows the evolution of the clinical profile of a patient.

6. Point of care - Wikipedia

   en.wikipedia.org/wiki/Point_of_care

   Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]

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