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doi: 10.1080/1028415X.2022.2143958 124

Mandatory Elements in Clinical Notes Documentation must include: Provider order Drug name, lot number, and expiration date Reason for injection Route and site Start and end times (if required) Proper Documentation of the Medication Administered Always document: NDC number Dosage Manufacturer Any patient reactions Dosage, Route, and Patient Response Recording Precise documentation protects against denials and audits

As soon as I walked in to the clinic I felt like at home

If you have doubts about the treatment or want more information about your medicine or the monitoring procedure, do ask the doctor or nurse