Download or read book Nursing Documentation Handbook written by T. M. Marrelli and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Document Smart written by Theresa Capriotti and published by Lippincott Williams & Wilkins. This book was released on 2019-06-26 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: Feeling unsure about documenting patient care? Learn to document with skill and ease, with the freshly updated Document Smart, 4th Edition. This unique, easy-to-use resource is a must-have for every student and new nurse, offering more than 300 alpha-organized topics that demonstrate the latest nursing, medical and government best practices for documenting a wide variety of patient conditions and scenarios. Whether you are assessing data, creating effective patient goals, choosing optimal interventions or evaluating treatment, this is your road map to documentation confidence and clarity.
Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
Download or read book Complete Guide to Documentation written by and published by Springhouse Publishing Company. This book was released on 2003 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive documentation reference is the most up-to-date book of its kind written for nurses. Complete Guide to Documentation is organized into four sections. Section 1 presents an overview of documentation basics, including the medical record, elements of good documentation, policies affecting documentation, legal and ethical considerations, quality management and reimbursement, documentation systems, and computerized documentation. Section 2 discusses documentation for acute care, outpatient or ambulatory care, home care, and long-term, extended care, and rehabilitation. Section 3 provides sample documentation for several clinical situations. Section 4 discusses how to document care given in selected clinical specialties and current documentation trends. Special features of the guide include filled-in documentation forms and samples, regulatory guidelines relating to documentation, and a glossary. Appendices cover approved nursing abbreviations, standards of nursing practice, and guidelines for documenting common nursing diagnoses. Graphic icons are used throughout the book to draw attention to tips on smarter charting, technology’s use in documentation, checklists, court cases, legal information, and sample documentation forms.
Download or read book Nursing Documentation Made Incredibly Easy written by LWW and published by Incredibly Easy! Series (R). This book was released on 2018-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by Charting made incredibly easy. 4th ed. c2010.
Download or read book Nursing Documentation Handbook written by Tina M. Marrelli and published by . This book was released on 1992 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Chart Smart written by and published by Springhouse Corporation. This book was released on 2011 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chart Smart: the A-to-Z Guide to Better Nursing Documentation tells nurses exactly what to document in virtually every type of situation they may encounter on the job, no matter where they practice--hospital, medical office, outpatient, rehabilitation facility, long-term care facility, or home. This portable handbook has nearly 300 entries that cover documentation required for common diseases, major emergencies, complex procedures, and difficult situations involving patients, families, other health care team members, and supervisors. In addition to patient care, this book also covers documenta
Download or read book Nursing Documentation Handbook written by T. M. Marrelli and published by . This book was released on 2000 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pocket-size guide saves nurses precious time while ensuring that a complete patient record is created and that legal, quality assurance, and reimbursement requirements are met. This handbook provides specific verbiage for charting patient progress, change or tasks accomplished for approximately 50 common problems. The new third edition has been completely updated to include Critical Assessment Findings, Subjective Findings for Documentation, Resources for Care and Practice, Legal Considerations, Time Saving Tips, and new Managed Care information. Plus, roughly 15 additional common problems and diagnoses have been added making this practical resource more valuable than ever. Diagnoses are in alphabetical order allowing for fast and easy access.
Download or read book Nursing Documentation written by Sue Meiner and published by SAGE Publications, Incorporated. This book was released on 1999-05-06 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on the legal implications in the US, this book is designed to meet the needs of professional and student nurses in determining how they should be recording their practice.
Download or read book ChartSmart written by Lippincott Williams & Wilkins and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Casebooks provide examples of legal implications of documentation. AccuChart sample forms show how to accurately complete various forms. Thoroughly updated to reflect current practice, this Second Edition provides information on the electronic health record. New entries cover situations such as surgical site verification, patient glucose self-testing, cultural needs identification, HIPAA, and reporting critical test values. A new appendix covers prohibited abbreviations.
Download or read book DocuNotes written by Cherie Rebar and published by F.A. Davis. This book was released on 2009-04-10 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: The perfect guide to charting! The popular Davis’s Notes format makes sure that you always have the information you need close at hand to ensure your documentation is not only complete and thorough, but also meets the highest ethical and legal standards. You’ll even find coverage of the nuances that are relevant to various specialties, including pediatric, OB/GYN, psychiatric, and outpatient nursing.
Download or read book Managing Documentation Risk written by Patricia A. Duclos-Miller and published by HC Pro, Inc.. This book was released on 2004 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses are now commonly cited or implicated in medical malpractice cases.
Download or read book Nursing Documentation Handbook written by T. M. Marrelli and published by Mosby Elsevier Health Science. This book was released on 1992 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide to 50 frequently encountered problems, their diagnosis and management, includes documentation which will fulfill legal, quality assurance and reimbursement requirements. Alphabetically organized, the book helps identify interventions, data, and outcomes appropriate for specific patients.
Download or read book Chart Smart written by and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Now in its third edition, ChartSmart : The A-to-Z Guide to Better Nursing Documentation is completely updated with hundreds of practical examples that explain and show you, at a glance, how to chart safely and responsibly in all clinical settings - hospitals, outpatient and rehabilitation centers, long-term care facilities, even right in the patient's home. Learn how to document routine nursing care as well as essential details you need to record for emergencies, complex procedures, and difficult situations involving patients, families, and other health care team members."--Résumé de l'éditeur.
Download or read book Documentation written by and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This full-color handbook is a quick-reference guide to all aspects of documentation for every nursing care situation. It covers current documentation systems and formats, including computerized documentation, and features scores of sample filled-in forms and in-text narrative notes illustrating everything from everyday occurrences to emergency situations. Coverage includes timesaving strategies for admission-to-discharge documentation in acute, outpatient, rehabilitation, long-term, and home care environments and special documentation practices for selected clinical specialties: critical care, emergency, perioperative, maternal-neonatal, and psychiatric. The book includes advice on legal safeguards, dangerous abbreviations, and compliance with HIPAA guidelines and JCAHO requirements.
Download or read book Study Guide for Fundamentals of Nursing E Book written by Barbara L Yoost and published by Elsevier Health Sciences. This book was released on 2022-02-12 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get the review and practice you need to master the role of today’s nurse! With chapters corresponding to the chapters in Yoost’s Fundamentals of Nursing, 3rd Edition, this study guide provides a variety of exercises and activities to reinforce your understanding of nursing concepts and skills. Chapter reviews use engaging activities to make learning more meaningful, and review questions help you apply concepts to the practice setting. Now with new Next Generation NCLEX®-style practice questions, this study guide also prepares you for success on classroom and NCLEX examinations. Chapter review questions include multiple-choice, matching, true/false, and image labeling questions, testing your comprehension of nursing fundamentals and making learning more fun. Answers and detailed rationales for all of the questions are included in the back of the study guide. Skills performance checklists on the Evolve website are completely updated to match the latest versions of nursing skills, and are both interactive and printable. NEW! Next Generation NCLEX®-style practice questions in clinical chapters help you develop skills in clinical judgment. NEW! Updated content reflects changes to the Fundamentals of Nursing, 3rd Edition textbook. NEW! Preliminary Readings refer you back to the related chapter in the textbook. NEW! Open-ended questions provide questions, activities, and guidance to make study group time more productive.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by . This book was released on 2008 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: