Complete Guide to Documentation

Complete Guide to Documentation 9781582555560
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Author(s): Springhouse 
Publication Date: May 11, 2007
Availability: IN STOCK
Format: Book
Edition: Second
ISBN/ISSN: 9781582555560
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Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management.

Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.

About the Author(s)


  • Edition: Second
  • Product Format: Softbound
  • ISBN: 9781582555560
  • Trim Size: 7.375 x 9.125
  • Pages: 448
  • Pub Date: May 11, 2007
  • Weight: 2.0

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