Expediting medical record charting by use of adhesive labels.
The use of adhesive labels in nutrition care charting has increased the documentation of registered dietitians and dietetic technicians in the medical record of each patient. At least to some extent, this improvement can be attributed to adhesive labels overcoming several "roadblocks" to charting. Credit for improvement must also be attributed to increased emphasis placed on charting throughout the dietetics profession. Increased charting has contributed to a more prominent role for the registered dietitian and dietetic technician in the daily care of the patient. Emphasis must continue on the quality of charting. Goals include reports that have a professional appearance and are concise yet contain pertinent details for patient care and reimbursement.
Heath
M K
MK
Nutritional Services Department, Loma Linda University Medical Center, California.
D004046:Dietetics / Q000379:methods*; D004282:Documentation; D006801:Humans; D008499:Medical Records