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Mosby's Surefire Documentation
How, What, and When Nurses Need To Document
9780323034340
PRINT ON DEMAND - DELIVERY CAN TAKE UP TO 14 DAYS
Dostawa
Wybierz Paczkomat Inpost, Orlen Paczkę, DPD, Pocztę, email (dla ebooków). Kliknij po więcej
Płatność
Zapłać szybkim przelewem, kartą płatniczą lub za pobraniem. Kliknij po więcej szczegółów
Zwroty
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Opis
Mosbys Surefire Documentation, Second Edition, uses clear concise reading style to give specific, practical advice of how, what, and when to document over 100 of the most common and most important situations nurses face. Divided into 3 sections:: Caring for Patients; Dealing with Special Situations; and Practicing Yourself Legally; each entry tells exactly what to consider and document, so that nurses can ensure quality patient care, continuity of care, and legal protection. The second edition will be thoroughly updated to reflect the latest HIPAA and JCAHO recommendations and standards as well as the most current legal tips and advice. A special emphasis will be placed on the evolving role and means of electronic documentation in the clinical setting.
Szczegóły produktu
34301
9780323034340
9780323034340
Opis
- Rok wydania
- 2006
- Numer wydania
- 2
- Oprawa
- miękka foliowana
- Liczba stron
- 432
- Wymiary (mm)
- 152 x 229
- Waga (g)
- 549
- Part 1: Caring for Patients
When you perform your initial patient assessment
When your patient loses a peripheral pulse
When your patient has chest pain
When your patient has a myocardial infarction
When your patient has heart failure
When your patient is in shock
When your patient has cardiopulmonary arrest
When your patient has a new arrhythmia-NEW!
When your patient has hypertensive crisis- NEW!
When your patient has pneumonia
When your patient has pneumothorax- NEW!
When your patient has an asthma attack
When your patient has a pulmonary embolism
When your patient has pulmonary edema
When your patient has pulmonary tuberculosis
When your patient has severe pain
When your patient is confused
When your patient has a seizure
When your patient has a cerebrovascular accident
When your patient is unresponsive
When your patient aspirates a tube feeding
When your patient has GI hemorrhage- NEW!
When your patient has hypoglycemia
When your patient has hyperglycemia
When your patient has anaphylaxis
When your patient has a transfusion reaction- NEW!
When your patient has HIV infection
When your patient has a pressure ulcer
When your patient has an infected wound
When your patient has sepsis- NEW!
When your patient has an adverse drug reaction
When your patient has I.V. infiltration
When your patient has surgery
When your patient has wound dehiscence or evisceration- NEW!
Part 2: Dealing with Challenging Patient Situations
When your patient documents her own care
When your patient asks to see his medical record
When your patients medical record isnt available
When your patient withholds his medical history
When your patient refuses treatment
When your patient is noncompliant
When your patient is in police custody
When your patient leaves against medical advice
When your patient threatens to sue
When your patient makes a sexual advance
When your patient becomes hostile
When your patient threatens to harm someone
When your patient must be restrained
When your patient is anxious
When your patient threatens suicide
When your patient accidentally injures herself
When your patient is caught smoking
When your patient has contraband
When your patient tampers with medical equipment
When your patient hides his drugs
When your patient removes her endotracheal tube
When your patient removes his chest tube
When your patient speaks a different language
When your patient has a hearing impairment
When your patient has a vision impairment
When your patient is obese- NEW!
When your patient cant give informed consent
When your patient doesnt understand the procedure hes about to undergo
When your patients equipment fails
When your patients belongings are missing
When your patients family questions the quality of care
When you suspect that your patient has been abused
When your patients visitors wont leave
When your patient is seriously ill- NEW!
When your patient asks you to witness her last will and testament
When a patient dies
When your patient donates an organ
Part 3: Handling Difficult Professional Problems
When a physician or colleague illegally alters the medical record
When a colleague criticizes your care in the medical record
When you find an inappropriate comment in the medical record
When a physician asks to remove a medical record from the facility
How to handle a physicians questionable order
When you take a telephone or verbal order
When a physicians order is illegible
When a colleague asks you to document her care
When a coworker gives your patient drugs in your absence
When you suspect that a colleague is negligent
How to document care given by unlicensed assistive personnel
When youre asked to countersign a colleagues notes
When you must work on an understaffed unit
When your patient or her family asks you for medical advice
When the physician and family decide to terminate the patients life support
When the physician writes a do not resuscitate” order
When you withhold a prescribed drug or other patient care
When someone asks to photograph or videotape your patient
When a member of the media asks for patient information
When your patient is transferred or discharged
How to make a late entry
How to use abbreviations safely
How to complete an incident report
How to avoid the pitfalls of computer documentation
How to protect your patients privacy when faxing medical records
How to protect patient confidentiality when using the Internet
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