Guide to Clinical Documentation, 3rd Edition by Debra D. Sullivan – Paperback (ISBN: 9780803666627)

By Debra D. Sullivan

Guide to Clinical Documentation, 3rd Edition by Debra D. Sullivan is a practical healthcare documentation textbook designed to help students and clinicians produce accurate, organized, legally sound, and clinically useful patient records. Published by F.A. Davis Company, this edition focuses on documentation standards across outpatient, inpatient, preventive care, prescribing, admission, progress note, and discharge settings.

Designed for nursing programs, physician assistant programs, medical assisting programs, health professions education, clinical documentation training, hospital onboarding, and institutional healthcare education, this book supports students and practitioners who need clear guidance on SOAP notes, history and physical documentation, electronic health records, medicolegal standards, prescription writing, and patient-care communication.

What This Book Does

This book teaches healthcare learners and clinicians how to document patient encounters clearly, consistently, and appropriately across the continuum of care. It explains how to structure histories, physical examinations, SOAP notes, preventive visits, prescriptions, hospital admissions, inpatient progress notes, and discharge documentation while reinforcing professional, legal, and clinical expectations for medical records.

Key Features

• Practical guide to clinical documentation for healthcare students and professionals
• Coverage of medicolegal principles, electronic records, SOAP notes, and clinical communication
• Includes outpatient, inpatient, preventive care, prescribing, admission, and discharge documentation
• Useful for nursing, physician assistant, medical assisting, and allied health programs
• Supports accurate charting, patient safety, continuity of care, and professional accountability
• Strong fit for healthcare education, hospital training, and institutional textbook purchasing

Who Should Use This Book?

• Nursing students and nursing faculty
• Physician assistant and medical assisting programs
• Allied health and health professions students
• Clinical documentation improvement training programs
• Hospitals, clinics, and healthcare onboarding teams
• Medical libraries and institutional health science collections
• Schools and universities purchasing clinical documentation textbooks in bulk

Why It’s Essential

• Builds core documentation skills required for safe and effective clinical practice
• Helps learners understand both the clinical and legal importance of accurate records
• Supports structured charting across outpatient, inpatient, preventive, and discharge settings
• Strong fit for healthcare programs, clinical skills courses, hospital training, and institutional procurement

A practical healthcare documentation textbook for clinical education, charting accuracy, patient-care communication, and professional training.
Order today from BooksGoat for reliable academic supply and institutional bulk purchasing.

Product Details

• ISBN-13: 9780803666627
• ISBN-10: 0803666624
• Edition: 3rd
• Author: Debra D. Sullivan
• Publisher: F.A. Davis Company
• Format: Paperback
• Pages: 416
• Publication Date: August 16, 2018
• Condition: New
• Price: $35.99
• Minimum Order: 5 Copies
• Availability: In Stock

TOC Highlights

• Medicolegal Principles of Documentation
• The Comprehensive History and Physical Examination
• SOAP Notes and Clinical Encounter Documentation
• Prenatal Care and Perinatal Event Documentation
• Pediatric, Adult, and Older Adult Preventive Care Visits
• Outpatient Charting and Communication
• Prescription Writing and Electronic Prescribing
• Hospital Admission Documentation
• Inpatient Progress Notes and Daily Care Documentation
• Discharge Documentation and Continuity of Care

FAQs

• Is this the 3rd Edition of Guide to Clinical Documentation?
  Yes. This listing is for Guide to Clinical Documentation, 3rd Edition by Debra D. Sullivan.
• Who is this book designed for?
  It is designed for healthcare students, nursing programs, physician assistant programs, medical assisting programs, allied health students, and clinical training teams.
• Does this book cover SOAP notes?
  Yes. It includes guidance on SOAP notes, history and physical documentation, outpatient charting, inpatient care documentation, and discharge documentation.
• Is this useful for clinical documentation training?
  Yes. It is suitable for clinical skills courses, hospital onboarding, health professions education, and documentation improvement training.
• Is this suitable for institutional and bulk orders?
  Yes. BooksGoat supports bulk purchasing for universities, hospitals, nursing schools, physician assistant programs, medical libraries, and healthcare training departments.