Chart Smart
The A-to-Z Guide to Better Nursing Documentation
Seiten
2009
|
3rd edition
Lippincott Williams and Wilkins (Verlag)
978-1-60547-764-0 (ISBN)
Lippincott Williams and Wilkins (Verlag)
978-1-60547-764-0 (ISBN)
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A handbook that shows nurses in various practice settings exactly what to document in any situation. It includes nearly 300 alphabetically organized entries that cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals.
Thoroughly updated for its Third Edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation. Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. Legal Casebook sidebars provide real-world examples of court cases. AccuChart sample forms show how to accurately complete various forms.
This edition includes new, difficult, and timely charting situations such as moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses.
Thoroughly updated for its Third Edition, this portable handbook shows nurses in all practice settings exactly what to document in any situation. Nearly 300 alphabetically organized entries cover diseases, emergencies, procedures, legal and ethical problems, and difficult situations involving patients, families, and other health care professionals. Legal Casebook sidebars provide real-world examples of court cases. AccuChart sample forms show how to accurately complete various forms.
This edition includes new, difficult, and timely charting situations such as moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice. Other highlights include expanded information on the electronic medical record, current Joint Commission guidelines on abbreviation use, and the newest NANDA nursing diagnoses.
Advisory board
Contributors and consultants
Foreword
Documentation (in alphabetical order)
Appendices
Computerized charting
Abbreviations to avoid
Common charting mistakes to avoid
Charting checkup: You're on trial - How to protect yourself
NANDA-I nursing diagnoses: Definitions and classifications
Selected references
Index
Mitarbeit |
Sonstige Mitarbeit: Lippincott Williams & Wilkins |
---|---|
Verlagsort | Philadelphia |
Sprache | englisch |
Maße | 152 x 229 mm |
Gewicht | 635 g |
Themenwelt | Schulbuch / Wörterbuch ► Lexikon / Chroniken |
Medizin / Pharmazie ► Pflege | |
ISBN-10 | 1-60547-764-8 / 1605477648 |
ISBN-13 | 978-1-60547-764-0 / 9781605477640 |
Zustand | Neuware |
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