Introduction to clinical setting
... to clinical setting Medical records What sections comprise the medical record? (i.e laboratory results are printedand sent to nursing units)
Not every medical record binder within the hospital contained similar sections since each wing had different types of patients. Nonetheless, the following sections are to be found within the medical record:
History and physical,
2. Where are the nutrition screens, nutrition assessments and follow up notes found?
Nutrition screens, nutrition assessments, and follow up notes are found under Nutritional care records within the electronic medical records- EMR.
3. Why d...