Nursing Documentation
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Nursing Documentation
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Author : Jennifer Richmond
language : en
Publisher:
Release Date : 1997-01-01
Nursing Documentation written by Jennifer Richmond and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-01-01 with Medical categories.
"If these are your concerns... I'll never get time to finish my nursing notes! Is it legal? Can I use white-out? Can't they make a better form than this? How can I record this family set-up quickly? Weren't computers made for clerks, not nurses? There has to be something wrong with documenting for funding. How do you record the pain level of someone who has a dementing illness? Who walks down critical pathways? What happens if a home health record gets lost? How can I document my client's spiritual concerns realistically? Will managed care affect what I write? Is there a culturally appropriate way to document? What is charting by exception? How did nurses document before NANDA?... then this book is for you." - Back cover.
Nursing Documentation Made Incredibly Easy
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Author : Kate Stout
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2018-06-05
Nursing Documentation Made Incredibly Easy written by Kate Stout and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-05 with Medical categories.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. 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 format NEWdiscussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliation Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices Easy-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 charting Outlines 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, evaluation Documenting the patient’s health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings—acute care, home healthcare, and long-term care Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special features include: Just the facts – a quick summary of each chapter’s content Advice 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-solving That’s a wrap! – a review of the topics covered in that chapter About the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.
Nursing Documentation
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Author : Ellen Thomas Eggland
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 1994
Nursing Documentation written by Ellen Thomas Eggland and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical categories.
Focuses on the communicatiion skills that are the key to good documentation.
Complete Guide To Documentation
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Author : Lippincott Williams & Wilkins
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2008
Complete Guide To Documentation written by Lippincott Williams & Wilkins and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
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.
Nursing Documentation
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Author : Patricia W. Iyer
language : en
Publisher:
Release Date : 1999
Nursing Documentation written by Patricia W. Iyer and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Nursing care plans categories.
Accurate documentation shows managed care companies that patients receive adequate care and that health care providers are controlling costs and resources. This book clearly and concisely provides guidelines for appropriate and careful documentation of care. This new edition includes the latest changes and trends in nursing documentation as they relate to the newly restructured healthcare environment.
Nursing Documentation In Aged Care
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Author : Christine Crofton
language : en
Publisher:
Release Date : 2004
Nursing Documentation In Aged Care written by Christine Crofton and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Geriatric nursing categories.
As another volume in Ausmed's 'Guide to Practice' series of textbooks and audiobooks, this is an essential text for all aged-care nurses who wish to enhance their documentation skills and deliver higher quality care to the elderly. AudioBooks are ideal teaching tools.
Nursing Documentation Handbook
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Author : T. M. Marrelli
language : en
Publisher:
Release Date : 2000
Nursing Documentation Handbook written by T. M. Marrelli and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Nursing records categories.
Nursing Care Plans Documentation
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Author : Lynda Juall Carpenito-Moyet
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2009
Nursing Care Plans Documentation written by Lynda Juall Carpenito-Moyet and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Medical categories.
The Fifth Edition of Nursing Care Plans and Documentation provides nurses with a comprehensive guide to creating care plans and effectively documenting care. This user-friendly resource presents the most likely diagnoses and collaborative problems with step-by-step guidance on nursing action, and rationales for interventions. New chapters cover moral distress in nursing, improving hospitalized patient outcomes, and nursing diagnosis risk for compromised human dignity. The book includes over 70 care plans that translate theory into clinical practice.Online Tutoring powered by Smarthinking--Free online tutoring, powered by Smarthinking, gives students access to expert nursing and allied health science educators whose mission, like yours, is to achieve success. Students can access live tutoring support, critiques of written work, and other valuable tools.
Clinical Care Classification Ccc System Manual
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Author : Virginia Saba, EdD, RN, FAAN
language : en
Publisher: Springer Publishing Company
Release Date : 2006-10-09
Clinical Care Classification Ccc System Manual written by Virginia Saba, EdD, RN, FAAN and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-10-09 with Medical categories.
Designated a Doody's Core Title! The Preeminent Nursing Terminology Classification System "The Clinical Care Classification (CCC) System described in this manual is the only standard coded nursing terminology that is based on sound research using the nursing process model framework and that meets the Patient Medical Record Information (PMRI) comparability requirement. The CCC System allows patient care data generated by nurses to be incorporated into the PMRI database, and enables nurses' contributions to patient outcomes to be studied and acknowledged." -- From the Foreword by Sheryl L. Taylor, BSN, RN, Senior Consultant, Farrell Associates TESTIMONIES: "ABC Coding Solutions-Alternative Link developed ABC codes for nursing in collaboration with Dr. Virginia Saba, developer of the CCC system. Approximately two hundred ABC codes were developed from the CCC System of Nursing Interventions to accurately document nursing and integrative health care processes, classify and track clinical care, and develop evidence-based practice models, thus filling significant gaps in older medical code sets." --Connie Koshewa, Practitioner Relations Director, ABC Coding Solutions-Alternative Link "The International Classification for Nursing Practice (ICNPÆ) is a program of the International Council of Nurses (ICN). One of the first steps in the development of the ICNPÆ was to collect and compare all the nursing concepts in existing nursing terminologies, including the CCC. To facilitate the goal of ICNPÆ as a unified nursing language system, a project is under way to map the CCC to the ICNPÆ Version 1.0. This work will facilitate evaluation and ongoing development of both terminologies and allow ICN to compare data using CCC codes with data from other standard nursing terminologies." --Amy Coenen, PhD, RN, FAAN, Director, ICNPÆ Program, International Council of Nurses
Nursing Documentation
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Author : Sue Meiner
language : en
Publisher: SAGE Publications, Incorporated
Release Date : 1999-05-06
Nursing Documentation written by Sue Meiner and has been published by SAGE Publications, Incorporated this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-05-06 with Medical categories.
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.