Sample interview questions: How do you ensure accurate documentation and record-keeping for pediatric patients?
Sample answer:
- Maintain accurate and complete patient records.
- Use a consistent and standardized format for recording patient information.
- Ensure that all entries are legible and understandable.
- Use the correct medical terminology and avoid using colloquialisms or jargon.
- Include all relevant information, including the patient’s name, date of birth, chief complaint, history of present illness, physical examination findings, laboratory results, and treatment plan.
- Document all changes in the patient’s condition, including any new symptoms or signs, changes in the level of consciousness, or adverse reactions to treatment.
- Document all medication administration, including the name of the medication, dose, route of administration, and time of administration.
- Document all immunizations, including the name of the vaccine, date of administration, and lot number.
- Document all procedures performed, including the name of th… Read full answer
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