Document, in the place provided, the pt’s CC, with the information provided.
Each charting notation must be handwritten and legible. Computer generation is not acceptable.
Use abbreviations where appropriate.
List 3-5 questions that you would ask the patient to obtain a better idea of the chief complaint
Complete the “What is happening with your patient” section. This is a critical thinking exercise,
using 1) information, 2) inference, 3) assumption and 4) point of view. Be specific and detailed.
Document, in the place provided, the pt’s CC, with the information provided. Eac
in
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