What type of details you will be expected to document

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You are assigned to take care of African Indian female who is 87 years old. she was admitted with cognitive heart failure and to rule our myocardial infarction ( a heart attack) you have already sailed through several clinical days and made pretty good grades, but you feel anxious about today because this is the first time that you will expected to document your nursing care.

1) What type of details you will be expected to document?

2) How will you document information in an electronic health record?

3) When will you need to chart? how often?

4) The patient's daughter, who is on her HIPPA form, asks to see some information on the EHR about her mother's lab results. what will you do?

Reference no: EM132469881

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