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The OTA's guide to documentation : writing SOAP notes (Record no. 83823)

MARC details
000 -LEADER
fixed length control field 02447cam a2200289 4500
001 - CONTROL NUMBER
control field 1617110825
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 151214t2013 xxu||||| |||| 00| 0 eng d
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 1617110825
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Morreale, Marie J.
245 #4 - TITLE STATEMENT
Title The OTA's guide to documentation : writing SOAP notes
250 ## - EDITION STATEMENT
Edition statement 3rd ed.
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc. Thorofare, NJ :
Name of publisher, distributor, etc. SLACK
Date of publication, distribution, etc. c2013
300 ## - PHYSICAL DESCRIPTION
Extent 225 p. : ill. ; 28 cm.
500 ## - GENERAL NOTE
General note Occupational therapy assistant's guide to documentation
500 ## - GENERAL NOTE
General note Rev. ed. of: The OTA's guide to writing SOAP notes. 2nd ed. 2007.
500 ## - GENERAL NOTE
General note OTA's guide to writing SOAP notes."
505 ## - FORMATTED CONTENTS NOTE
Formatted contents note Documenting the occupational therapy process -- The health record -- Billing and reimbursement -- Using medical terminology -- Avoiding common documentation mistakes -- Writing the ""S"" subjective -- Writing the ""O"" objective -- Tips for writing a better ""O"" -- Writing the ""A"" assessment -- Writing the ""P"" plan -- Documenting special situations -- Improving observation skills and refining your note -- Making good notes even better -- Evaluation and intervention planning -- Goals and interventions -- Documenting different stages of treatment -- Documentation in different practice settings -- Examples of different kinds of notes.
520 ## - SUMMARY, ETC.
Summary, etc. ""This text teaches the SOAP notes format reimbursable by Medicare Part B and other third-party payers. Other topics include a review of spelling and grammar, an overview of the initial evaluation process delineating the roles of the occupational therapist and the occupational therapy assistant, tips for clinical reasoning, and guidelines for selecting appropriate interventions. Templates allow beginning students to practice formatting SOAP notes, and a detachable summary sheet can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. Multiple worksheets are provided for practice in developing observation skills, clinical reasoning, documentation skills, and a repertoire of professional language. All worksheets are also available online with answers included to enable independent study.""-- Back cover.
520 ## - SUMMARY, ETC.
Summary, etc. Includes bibliographical references and index.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Practice of Medicine
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Occupational therapy assistants
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Medical records
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Occupational Therapy-methods
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Documentation-methods
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Medical Records
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Borcherding, Sherry
Holdings
Withdrawn status Lost status Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Date last checked out Price effective from Koha item type
        Queen's Hospital Jackie Blanks Library Queen's Hospital Jackie Blanks Library Shelves 29/09/2022 2 WB 555 ROMT10048 13/05/2024 08/04/2024 29/09/2022 Book
        Queen's Hospital Jackie Blanks Library Queen's Hospital Jackie Blanks Library Shelves 29/09/2022 1 WB 555 ROMT10049 29/09/2022   29/09/2022 Book
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