Chart Smart

Chart Smart

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Publication Date: 2009
Availability: In Stock
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ISBN/ISSN: 9781605477640

Description

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.

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--NEW! Addition of new, difficult, or timely charting situations including moderate sedation, medication reconciliation, infant identification, faxing medical records, and requests by families for medical advice
--NEW! Current abbreviation use guidelines from The Joint Commission
--NEW! Expanded information on accurately charting in the electronic medical record
--NEW! Newest NANDA nursing diagnoses including definitions and classifications
--NEW! Update of all entries to comply with current guidelines and standards
--A-to-Z format helps the nurse find topics in seconds
--All popular documentation systems covered
--Nearly 300 documentation situations--more than any competitor--presented in a consistent format, each including a written example or completed form
--Icons:
-- AccuChart: Accurately completed documentation forms and directions
-- Legal Casebook: Sidebars provide real-world examples of court cases

Edition: 3
ISBN/ISSN: 9781605477640
Product Format: Softbound
Trim Size: 6 x 9
Pages: 512
Pub Date: 2009
Weight: 1.4

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

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