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 formatNEW discussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliationEasy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practicesEasy-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 chartingOutlines the Do's and Don’ts 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, evaluationDocumenting the patient’s health history and physical examinationThe Joint Commission standards for assessmentPatient rights and safetyCare plan guidelinesEnhancing documentationAvoiding legal problemsDocumenting proceduresDocumentation practices in a variety of settings—acute care, home healthcare, and long-term careDocumenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behaviorSpecial features include:Just the facts – a quick summary of each chapter’s contentAdvice 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-solvingThat’s a wrap! – a review of the topics covered in that chapterAbout the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
Details e-book Nursing Documentation Made Incredibly Easy (Incredibly Easy! Series®)
🗸 Author(s): LWW
🗸 Title: Nursing Documentation Made Incredibly Easy (Incredibly Easy! Series®)
🗸 Rating : 4.3 from 5 stars (142 reviews)
🗸 ISBN-10: 1496394739
🗸 ISBN-13: 9781496394736
🗸 Languange: English
🗸 Format ebook: PDF, EPUB, Kindle, Audio, HTML and MOBI
🗸 Supported Devices: Android, iOS, PC and Amazon Kindle
✓ Read as many eBooks you want!
✓ Secure Scanned. No Virus Detected
✓ Thousands of eBooks to choose from - Hottest new releases
✓ Click it and Read it! - no waiting to read eBooks, it's instant!
✓ Keep reading your favorite eBooks over and over!
✓ It works anywhere in the world!
✓ No late fees or fixed contracts - cancel anytime!
Readers' opinions about Nursing Documentation Made Incredibly Easy (Incredibly Easy! Series®) by LWW
Adisson Wright
Embark on a thrilling adventure with this gripping mystery novel that keeps readers guessing until the very end. Set in a picturesque village plagued by secrets and lies, the story follows a determined detective as he unravels the truth behind a series of baffling crimes. With its clever plot twists and compelling characters, this book is a must-read for fans of the genre.
Chelese Thomson
This beautifully illustrated cookbook is a culinary journey around the world, showcasing a diverse array of delicious recipes from every corner of the globe. From exotic street food to traditional home-cooked meals, each dish is a celebration of the rich tapestry of global cuisine. With its mouthwatering photographs and easy-to-follow recipes, this book is a must-have for any aspiring chef.
Ethelda Dixon
Discover the secrets of successful entrepreneurship with this insightful guide to starting and growing a business. Packed with practical advice and real-world examples, the author shares invaluable wisdom gleaned from years of experience in the business world. Whether you're a seasoned entrepreneur or just starting out, this book is a valuable resource for anyone looking to build a successful venture.
