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ERP Week 2

The Six C's of Charting Pg 397

TermDefinition
Six C's of Charting (1) Client's words must be recorded exactly with the use of a waterproof marker
Six C's of Charting (2) Clarity by documenting the patients condition using appropriate medical language
Six C's of Charting (3) Completeness of charting
Six C's of Charting (4) Conciseness - To the point
Six C's of Charting (5) Chronological order - arranged according to time
Six C's of Charting (6) Confidentiality - Privileged communication
All clinical observations of the client must Be documented
The MA should perform a Head-to-Toe assessment; For every patient
Created by: adrouillard
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