记录保存和隐形眼镜练习。

J G Classé
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引用次数: 0

摘要

在隐形眼镜的实践中,记录的保存可能是基于一个以问题为导向的系统,强调表格的使用。合适协议和知情同意协议是这一制度的最重要组成部分。进度记录也用于记录阶段性护理,这是隐形眼镜实践的一个组成部分。检查结果应尽可能用描述性语言描述;警告,诊断,病人管理,召回和转诊预约应认真记录在护理记录。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recordkeeping and contact lens practice.

Recordkeeping in contact lens practice may be based on a problem-oriented system that emphasizes the use of forms. Fitting agreements and informed consent agreements are the most important components of such a system. Progress notes are also used to document the episodic care that is an integral part of contact lens practice. Examination findings should be described with descriptive language whenever possible; warnings, diagnoses, patient management, and recall and referral appointments should be conscientiously documented in the record of care.

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