Nursing Know-How: Charting Patient Care

Author(s): Springhouse

Publication Date: Apr 25, 2008

Availability: IN STOCK

Format: Book

ISBN/ISSN: 9780781791946

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Description

Nursing Know-How: Charting Patient Care offers how-to guidance on the latest techniques and trends in documentation, equipping nurses with the "know-how" to efficiently and accurately document patient care admission to discharge. The book is written in paragraph and bulleted format, with hundreds of sample filled-in forms and narrative notes that demonstrate the best and safest charting techniques.

Know-How icons offer expert advice on how to document. Case Clip icons present clinical scenarios involving specific situations, and identify the role that a rapid response team plays in responding to the situation. Legal Lookout icons present legal advice about documentation and real-world court cases where careful nursing documentation is particularly vital.

Features

--Time-saving strategies for documentation from admission to discharge.
--Part II has A-to-Z organization for practice-oriented use
--Hundreds of filled-in sample forms and excerpts of narrative notes, demonstrating the best and safest charting techniques
--Open, highly bulleted format with each topic starting on a new page
--Quick-scan tables covering dangerous abbreviations to avoid, different charting systems, and more
--Tips for complying with the latest HIPAA and Joint Commission guidelines
--The latest advice on electronic medical records
--Icons:

Know-How : expert advice on how to document
Case Clip: clinical scenarios that show the best way to document specific situations and identify the role that a rapod reponse team plays in responding to the situation
Legal Lookout: legal advice about documentation and real-world court cases where careful nursing documentation saved, or would have saved, the day