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Nursing Documentation Made Incredibly Easy

Nursing Documentation Made Incredibly Easy

9781496394736
283,44 zł
240,93 zł Zniżka 42,51 zł Brutto
Najniższa cena w okresie 30 dni przed promocją: 240,93 zł
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Opis
Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical records systems, complying with legal requirements, following care planning guidelines, and more. Whether you are a nursing student or a new or experienced nurse, this on-the-spot study and clinical guide is your ticket to ensuring your charting is timely, accurate, and watertight.

Let the experts walk you through up-to-date best practices for nursing documentation, with::
  • NEW and updated , fully illustrated content in quick-read, bulleted format
  • NEW discussion of the necessary documentation process outside of charting-informed consent, advanced directives, medication reconciliation
  • Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices
  • Easy-to-read, easy-to-remember content that provides helpful charting examples demonstrating what to document in different patient situations, while addressing the different styles of charting
  • Outlines the Dos and Donts of charting - a common sense approach that addresses a wide range of topics, including::
    • Documentation and the nursing process-assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation
    • Documenting the patients health history and physical examination
    • The Joint Commission standards for assessment
    • Patient rights and safety
    • Care plan guidelines
    • Enhancing documentation
    • Avoiding legal problems
    • Documenting procedures
    • Documentation practices in a variety of settings-acute care, home healthcare, and long-term care
    • Documenting special situations-release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior
  • Special features include::
    • Just the facts - a quick summary of each chapters content
    • Advice from the experts - seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans
    • Nurse Joy and Jake - expert insights on the nursing process and problem-solving
    • Thats a wrap! - a review of the topics covered in that chapter

About the Clinical Editor

Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
Szczegóły produktu
Wolters Kluwer Health
62306
9781496394736
9781496394736

Opis

Rok wydania
2018
Numer wydania
5
Oprawa
miękka foliowana
Liczba stron
312
Wymiary (mm)
177.80 x 228.60
Waga (g)
431
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