Documentation For Health Records

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Documentation For Health Records
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Author : Cheryl Gregg Fahrenholz
language : en
Publisher:
Release Date : 2017
Documentation For Health Records written by Cheryl Gregg Fahrenholz and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Writing Patient Client Notes
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Author : Ginge Kettenbach
language : en
Publisher: F.A. Davis
Release Date : 2016-05-11
Writing Patient Client Notes written by Ginge Kettenbach and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-05-11 with Medical categories.
Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.
Registries For Evaluating Patient Outcomes
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Author : Richard E. Gliklich
language : en
Publisher:
Release Date : 2014
Registries For Evaluating Patient Outcomes written by Richard E. Gliklich and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Diseases categories.
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.
Guide To Clinical Documentation
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Author : Debra Sullivan
language : en
Publisher: F.A. Davis
Release Date : 2011-12-22
Guide To Clinical Documentation written by Debra Sullivan and has been published by F.A. Davis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-12-22 with Medical categories.
Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
Legal Issues In School Health Services
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Author : Nadine Schwab
language : en
Publisher: iUniverse
Release Date : 2005-07
Legal Issues In School Health Services written by Nadine Schwab and has been published by iUniverse this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005-07 with Education categories.
Legal Issues in School Health Services offers a legal resource never before available for education and health professionals, and their legal advisors. All professionals involved in the development, implementation, and evaluation of school health services will find this an exceptional tool. This book addresses the spirit and letter of the laws, the related standards, the conflict between them, and how they affect the delivery of school health services in regular and special education. Special attention is given to pertinent issues for school administrators, school attorneys, and school nurses, in order to foster school practices that are safe and effective. Designed as a guide and reference work, this book is written by 15 highly-credentialed nurses, attorneys, and educators and offers detailed discussions of the legal challenges that exist in the 21st century. KEY FEATURES School nursing practice, standards, and performance issues Risk management strategies for school administrators, school boards, and attorneys Multi-disciplinary approaches in ethico-legal problem solving Collaborative approaches in promoting student learning and success Financial, special education, record confidentiality, and future genetic challenges In-depth legal references, citations, and research, plus a comprehensive glossary and table of federal statutes and regulations
Foundations Of Nursing E Book
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Author : Kim Cooper
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-10-23
Foundations Of Nursing E Book written by Kim Cooper and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-10-23 with Medical categories.
- NEW! Expanded and updated art program enhances content with original photos and line art - NEW! NCLEX-PN Review questions at the end of each chapter include alternate item formats and cover all chapter objectives. - NEW! Reorganized chapters make it easier for you to follow and understand the material.
Foundations And Adult Health Nursing E Book
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Author : Kim Cooper
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-10-31
Foundations And Adult Health Nursing E Book written by Kim Cooper and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-10-31 with Medical categories.
Learn the skills essential to clinical practice with Foundations and Adult Health Nursing, 8th Edition! This all-inclusive guide to fundamentals and medical-surgical nursing for the LPN/LVN covers everything from anatomy and physiology to nursing interventions and maternity, neonatal, pediatric, geriatric, mental health, and community health care. Guidelines for patient care are presented within the framework of the nursing process; Nursing Care Plans are described within a case-study format to help you develop skills in clinical decision-making. In addition, the accessible, friendly overall style and clearly written review questions helps you to prepare for the NCLEX-PN® examination. - Clear coverage of skills across the human lifespan includes maternity, pediatrics, adults, and older adults. - Full-color, step-by-step instructions for over 110 skills show nursing techniques and procedures along with rationales for each. - Tenth grade reading level helps you to understand complex topics. - Skills are presented in a step-by-step format with clearly defined nursing actions and rationales. - Mathematics review in Dosage Calculation and Medication Administration chapter covers basic arithmetic skills prior to the discussion of medication administration. - Safety Alerts cover issues related to safe patient care in a variety of settings. - Health Promotion Considerations boxes highlight information on wellness and disease prevention, including infection control, diet, and pregnancy. - Nursing Care Plans emphasize patient goals and outcomes within a case-study format, and promotes clinical decision-making with critical thinking questions at the end of each care plan. - Patient Teaching boxes include post-hospital discharge guidelines and disease prevention instructions with a strong focus on three-way communication among the nurse, patient, and family members. - Communication boxes illustrate communication strategies using real-life examples of nurse-patient dialogue. - Lifespan Consideration boxes provide you with age-specific information for the care of the patient. - Home Health Considerations boxes discuss issues facing patients and their caregivers in the home setting. - Get Ready for the NCLEX® Examination section at the end of each chapter provides Key Points, Review Questions, and Critical Thinking Activities to reinforce learning. - Coordinated Care boxes promote comprehensive patient care with other members of the health care team, focusing on prioritization, assignment, supervision, collaboration, delegation, and leadership topics.
Workbook For Insurance Handbook For The Medical Office E Book
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Author : Marilyn Fordney
language : en
Publisher: Elsevier Health Sciences
Release Date : 2014-12-23
Workbook For Insurance Handbook For The Medical Office E Book written by Marilyn Fordney and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-12-23 with Medical categories.
Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney’s Insurance Handbook for the Medical Office, 13th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Critical thinking assignments help you connect theory to practice with real-world scenarios. Self-study exercises – including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions – help you practice important concepts. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter. Study outlines focus your review by listing key points for each chapter UPDATED content reflects changes in the text, ensuring you have the latest guidelines and regulations for medical insurance billing and coding available. UPDATED coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, meaningful use, and CPT 2013. NEW CMS-1500 (02-12) claim form includes block-by-block explanations and examples. UPDATED ICD-10 coding information prepares you for the ICD-10 transition. UPDATED self-assessment quizzes on Evolve test your knowledge of the material in each chapter. UPDATED guidelines for the filing and submission of electronic claims include sample screenshots, preparing you for the future of the medical office.