TY - ADVS AU - Dimotto,Jean W. ED - Medcom, inc. TI - Documenting care: the charting process U1 - 610.7306 PY - 2001/// CY - Cypress, CA PB - Medcom KW - Nursing Records KW - Confidentiality KW - Professional ethics KW - Confidential communications N1 - Consultants, Jean W. Dimotto, Janet A. Sicking, Pamela Miya N2 - Charting, the recording and documentation of a patient's condition, treatment, and response to treatment, is one of the most basic nursing skills. This program reviews the fundamental techniques used in accurate charting and discusses confidentiality issues related to charting, including the new HIPAA rules, and describes some of the legal aspects of charting ER -