on Thursday, April 30, 2020
Many practices are scrambling to incorporate telemedicine in order to continue treating patients while fulfilling social distancing requirements. But what if you need to treat a patient without having remote access to your complete records?
In an ideal situation, you would only treat patients when you can review their records. However, under today’s circumstances, you may not have that option. These suggestions will help you maintain your own records while treating patients to the best of your ability.
As always, document, document, document. This is the standard even in normal circumstances but is even more essential when functioning without record access. You are relying on the information and perception the patient is providing, so, documentation of your conversation becomes even more critical. Use quotes to capture what the patient tells you.