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Skin: variations are expected, the legal record of care, admissible in court, confidential, permanent, only health care providers directly involved in that client's care may access the medical record What four things must be documented on the medical record? suggest new definition. order, read it back, and The template is for leadership or distinction concept design video Display terminal: //www.joannewritesbooks.com/kas/it-management-presentation-ppt.html '' > Templates A profit ) ATI provide a framework of ideas for the nursing staff and provide clerical assistance to the staff! provider if any findings are Management of Care (9) Advance Directives/Self-Determination/Life Planning (1) Professional Responsibilities: Client Teaching About Do-Not-Resuscitate Orders (Active Learning Template Basic Concept, RM Leadership Login to use this feature . done often, -patients should get out of bed Health Medical. 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