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Increase Efficiency EMR POC documentation reduces inefficiencies and will reduce errors dramatically compared to information transfer that requires paper documentation and dual entry, often at night, when the nurse's attention may be elsewhere.

The basics of clinical documentation Date, time and sign every entry. ... Write your name and role as a heading and the names and roles of all others present at the encounter. Make entries immediately or as soon as possible after care is given. ... Be legible. ... Be thorough, accurate, and objective. Maintain a professional tone.

A treatment is a document that presents the story idea of your film before writing the entire script. Treatments are often written in present tense, in a narrative-like prose, and highlight the most important information about your film, including title, logline, story summary, and character descriptions.

Documentation is important because it communicates clinical information about a client including data related to their state of health and illness. The documentation record is a vehicle of communication within the interprofessional healthcare team.

PoC documentation provides the ability for clinicians to document patient findings and assessments, as well as plans of care while at the patient's bedside or while in the exam room. Documenting real time while interacting with patients, creates many benefits as well as some challenges.

Point of care (POC) POC testing refers to medical diagnostic tests that are performed at or near the site of patient care, rather than in a central laboratory. This allows for more rapid test results, which can help providers make more timely and accurate diagnoses and treatment decisions.

Clinical point of care (POC) is the point in time when clinicians deliver healthcare products and services to patients at the time of care.

Point of care documentation is defined as ?any documentation that is created or accessed at the point of care.? In other words, it is documentation that is created or accessed while nurses and physicians are delivering care to a patient or resident in a healthcare facility.