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frustrated

Stephanie, a clinical documentation improvement (CDI) professional, has been growing frustrated with the lack of consistency in patient chart mai

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SCENARIO 1 Stephanie, a clinical documentation improvement (CDI) professional, has been growing frustrated with the lack of consistency in patient chart maintenance on the units of care. While most documentation is captured and housed electronically, there are also several items that are still maintained as handwritten documentation. This documentation is housed in plastic binders and … Read more

At work in the medical-surgical post-operative unit and frustrated with the flow of client information before discharge

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At work in the medical-surgical post-operative unit and frustrated with the flow of client information before discharge, you state, “I wish I did not have to wait for a physician to call to get discharge orders for a patient. Often, the client has to sit in the unit all day waiting to go home until … Read more